Also, what's the research data regarding scarring in hispanic/latino women? Anything that specifies the best outcomes as far as incisions within this population? Also capsular contracture, does it occur more often with periareolar incisions? What patient population is it most prominent to occur?
Answer: Breast Implant Incisions and Scarring There are two types of scarring to be aware of: internal scarring (capsular contracture) and external scarring. All breast augmentation incisions have their pros and cons. If you do not have a small areola then a periareolar approach is reasonable and the scar is more camouflaged. However you should be aware that there is a higher risk of capsular contracture and not being able to breast feed with this approach. A transaxillary approach also has a higher risk of capsular contracture and has no breast scars. An inframammary approach would probably be the safest with least risk of complications with the scar tucked beneath the breast to hide it. Hispanics/Asian/Mediterranean, and African American populations have more of a tendency for raised scars/keloids.
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Answer: Breast Implant Incisions and Scarring There are two types of scarring to be aware of: internal scarring (capsular contracture) and external scarring. All breast augmentation incisions have their pros and cons. If you do not have a small areola then a periareolar approach is reasonable and the scar is more camouflaged. However you should be aware that there is a higher risk of capsular contracture and not being able to breast feed with this approach. A transaxillary approach also has a higher risk of capsular contracture and has no breast scars. An inframammary approach would probably be the safest with least risk of complications with the scar tucked beneath the breast to hide it. Hispanics/Asian/Mediterranean, and African American populations have more of a tendency for raised scars/keloids.
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Answer: Breast augmentation incisions I believe that periareola incisions and non-Caucasian women can be an issue because they can be readily seen. I usually recommend a periareola incision for Caucasian women with a larger diameter areola. Capsular contraction can theoretically be greater with a periareola incision because you have to operate through the breast to get to the muscle. This can increase the amount of bacteria that the implant comes in contact with. Capsular contracture is believed because by a low-grade bacterial infection.Earl Stephenson Jr MD DDS FACS
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Answer: Breast augmentation incisions I believe that periareola incisions and non-Caucasian women can be an issue because they can be readily seen. I usually recommend a periareola incision for Caucasian women with a larger diameter areola. Capsular contraction can theoretically be greater with a periareola incision because you have to operate through the breast to get to the muscle. This can increase the amount of bacteria that the implant comes in contact with. Capsular contracture is believed because by a low-grade bacterial infection.Earl Stephenson Jr MD DDS FACS
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August 3, 2016
Answer: Incision This is an age old question in plastic surgery and there's lots of opinions and not much science. I see a lot of breast cancer patients, so my current thought process is the less we disturb the breast tissue the better. That is not to say that inserting the implant has anything to do with breast cancer but an implant placed through and inframammary incision can be done almost without even touching any breast tissue. It's hard to say that about a peri-areolar approach.
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August 3, 2016
Answer: Incision This is an age old question in plastic surgery and there's lots of opinions and not much science. I see a lot of breast cancer patients, so my current thought process is the less we disturb the breast tissue the better. That is not to say that inserting the implant has anything to do with breast cancer but an implant placed through and inframammary incision can be done almost without even touching any breast tissue. It's hard to say that about a peri-areolar approach.
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April 11, 2014
Answer: Peri-areolar vs inframammary incision? While there are advantages and disadvantages to both types of incisions, both incisions provide direct access with good visualization for proper placement of the breast implant for the surgeon. Typically, the peri-areolar incision has a slightly higher rate of capsular contracture and change in nipple sensation; however, the scar is usually well-camoflagued in women who have a distinct change in skin tone between the areola and skin. The inframammary incision is typically well-hidden at the inframammary fold. In terms of scarring, the only way to know how you will heal is based on the appearance of your scars from previous procedures. I would recommend that you consult with a board certified plastic surgeon to discuss which option is best for you. Good luck!
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April 11, 2014
Answer: Peri-areolar vs inframammary incision? While there are advantages and disadvantages to both types of incisions, both incisions provide direct access with good visualization for proper placement of the breast implant for the surgeon. Typically, the peri-areolar incision has a slightly higher rate of capsular contracture and change in nipple sensation; however, the scar is usually well-camoflagued in women who have a distinct change in skin tone between the areola and skin. The inframammary incision is typically well-hidden at the inframammary fold. In terms of scarring, the only way to know how you will heal is based on the appearance of your scars from previous procedures. I would recommend that you consult with a board certified plastic surgeon to discuss which option is best for you. Good luck!
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April 11, 2014
Answer: Periareolar vs Inframammary Breast Implant Incsion Both periareolar and Inframammary incisions can give better resultsVisibility during surgery and accuracy of placement of the breast implant is better with Inframammary Crease incision.Silicone Gel Breast Implants almost always require an Inframammary incision except for small 200-250cc implants.A recent study did find that capsular contraction is less after the inframammary crease incision.Some Hispanic scars can pigment darker but pigment can be lightened.
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April 11, 2014
Answer: Periareolar vs Inframammary Breast Implant Incsion Both periareolar and Inframammary incisions can give better resultsVisibility during surgery and accuracy of placement of the breast implant is better with Inframammary Crease incision.Silicone Gel Breast Implants almost always require an Inframammary incision except for small 200-250cc implants.A recent study did find that capsular contraction is less after the inframammary crease incision.Some Hispanic scars can pigment darker but pigment can be lightened.
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