Does the muscle need to be cut when doing a Dual Plane Breast Augmentation and what is the best level to achieve the most natural result, I have quite well developed pectoral muscles and am wandering how this is going to affect the outcome? My surgeon has suggested going through the nipple, but another surgeon has said he thinks my nipples are not large enough to do this, what are the recommendations on nipple size for this approach? What complications can arise from this incision site?Thank you
October 13, 2014
Answer: Dual plane breast augmentation and periareolar incision The pectoralis major muscle does need to be cut to perform a dual plane breast augmentation. This is necessary anytime the implant is placed under the muscle.The periareolar approach is more challenging with a small areola. Not only is it more difficult to visualize the dissection, but it is also harder to place silicone implants. Generally speaking, the larger the implant the more difficult it is to get through a small incision. Your plastic surgeon will be the best person to determine whether or not the periareolar approach will best meet your goals. Keep in mind that surgeon preference may also play a role in these recommendations.
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October 13, 2014
Answer: Dual plane breast augmentation and periareolar incision The pectoralis major muscle does need to be cut to perform a dual plane breast augmentation. This is necessary anytime the implant is placed under the muscle.The periareolar approach is more challenging with a small areola. Not only is it more difficult to visualize the dissection, but it is also harder to place silicone implants. Generally speaking, the larger the implant the more difficult it is to get through a small incision. Your plastic surgeon will be the best person to determine whether or not the periareolar approach will best meet your goals. Keep in mind that surgeon preference may also play a role in these recommendations.
Helpful
October 13, 2014
Answer: Dual plane breast augmentation surgery Your muscle would need to be cut in order to place them under the muscle. A well developed pectorals muscle should not affect this but a dual plane will minimize the possibility of the muscle displacing the implant too high on the chest. This can be done through either an infra-mammary incision or periareolar incision. Typically you need a 4-5cm incision under or above the areola so measuring the outer edge of the areola can let you know if you have enough room. There is a slightly higher risk of capsular contracture going through the areola according to some studies but I still will perform this if the patient is requesting it. Good luck
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October 13, 2014
Answer: Dual plane breast augmentation surgery Your muscle would need to be cut in order to place them under the muscle. A well developed pectorals muscle should not affect this but a dual plane will minimize the possibility of the muscle displacing the implant too high on the chest. This can be done through either an infra-mammary incision or periareolar incision. Typically you need a 4-5cm incision under or above the areola so measuring the outer edge of the areola can let you know if you have enough room. There is a slightly higher risk of capsular contracture going through the areola according to some studies but I still will perform this if the patient is requesting it. Good luck
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