Areola or crease incision for explant?

450
cc implants are quite large. When these
implants are removed, you will have excess hanging skin. For that reason, I recommend a new technique
called Explant with Mini Ultimate Breast LiftTM. Using only a circumareola incision it is
possible to reshape your breast tissue creating upper pole fullness, elevate
them higher on the chest wall and more medial to increase your cleavage. Through the same incision, the implants can
be removed and excess skin can be resected.
Aligning the areola and breast tissue over the bony prominence of the
chest wall maximizes anterior projection.
This technique avoids the ugly vertical scars of the traditional
technique, maintains nipple sensation and the ability to breast feed. An inframammary crease incision allows only
implant removal and you will end up needing a second operation later to remove
the excess hanging skin. Best Wishes,Gary Horndeski, M.D. 

It is true that the inframammary crease incision has the downside of extra scars.  Your surgeon does make a good point about using the areolar incision.  I have done explanations through the original areolar incision, only for there to be a resultant puckering and indentation at the site of the scar.  The ultimate choice is yours.

Please find an experienced Board Certified Plastic Surgeon
and member of the Aesthetic Society using the Smart Beauty Guide. These Plastic Surgeons can guide you on all
aspects of facial surgery, breast augmentation and body procedures including
tummy tucks or mommy makeovers!



In breast augmentation I have chosen to spend time reviewing
photographs with patients to fully understand their expectation of size and
shape. Many times this simply raises
more questions. I will make measurements
and use the implant guides to allow the patient to understand exactly the sizes
that are reasonable for their body type and measurements.