Hello, I had breast augmentation in June 250cc with the incisions in my arm pits. Since the day I first looked at my new breasts I have had wrinkles/ skin under my boobs which looks hideous and wasn’t there previously. Could someone please help me with how I can improve them or do I need to have a revision surgery? Thank you, Lauren
Answer: Ripples/wrinkles under boob Dear laurenng92, I understand your concern and it is quite normal to be concerned about the outcome following a breast augmentation surgery. However, you are still in the early stages of the healing process.You will need to be patient at this moment and follow what your surgeon has instructed you to do post operatively.At the early stage of the healing process, the tissues around the implants are still swollen. Once the swelling subsides and the implants drop to their final position, you will be able to see the final result of your breast augmentation surgery. Daniel Barrett, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery
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Answer: Ripples/wrinkles under boob Dear laurenng92, I understand your concern and it is quite normal to be concerned about the outcome following a breast augmentation surgery. However, you are still in the early stages of the healing process.You will need to be patient at this moment and follow what your surgeon has instructed you to do post operatively.At the early stage of the healing process, the tissues around the implants are still swollen. Once the swelling subsides and the implants drop to their final position, you will be able to see the final result of your breast augmentation surgery. Daniel Barrett, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery
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October 9, 2023
Answer: Revision The wrinkles are created by the fact that the original inframammary fold is now separate from the new inframammary fold. This can be corrected by making an inframammary incision and tacking the capsule in such a way to make it one fold or by placing smaller implants or a combination of the two. Best Wishes, Gary Horndeski, M.D.
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October 9, 2023
Answer: Revision The wrinkles are created by the fact that the original inframammary fold is now separate from the new inframammary fold. This can be corrected by making an inframammary incision and tacking the capsule in such a way to make it one fold or by placing smaller implants or a combination of the two. Best Wishes, Gary Horndeski, M.D.
Helpful
October 9, 2023
Answer: Issues after trans axillary breast augmentation Breast augmentation, using the armpit or belly button approach, may seem very appealing to patients considering breast implants. The problem with these approaches is that the surgeon to have direct access to dissecting out the implant pocket in an accurate manner I think, most plastic surgeons who have high levels of experience and disease breast augmentation practices will use a peri-areolar approach to saline implants, because it gives the best direct access to forming an accurate and anatomically correct implant underneath the pectoralis muscle. getting this done correctly with transection of the pectoralis muscle at the right level and keeping the inframammory fold intact is important in a quality augmentation. This leads, the higher Rivian rate, and a higher degree of secondary issues after augmentation, using either the armpit or belly button approach. Revision surgery cannot be done through the armpit or belly button. Generally speaking down some surgeon may try not adding a new incision. There is no non-surgical way of addressing this, so I suggest having a few in person consultation with a plastic surgeon who do a lot of breast augmentation surgery to get a better assessment, and better understanding of revision strategies. The best shot at getting quality outcomes is having it done correctly the first time around. Most plastic surgeons, shy away from indirect approaches to breast augmentation because they realize the importance of having control over the creation of an accurate implant pocket. These are only my personal thoughts and other plastic surgeons may have very different views on the topic. If somebody can get consistent quality results minimizing the scarring on the breast, then my hat goes off to them. Unfortunately what I see is what you present with all too often making the approach not all that desirable. Best, Mats hagstrom MD
Helpful
October 9, 2023
Answer: Issues after trans axillary breast augmentation Breast augmentation, using the armpit or belly button approach, may seem very appealing to patients considering breast implants. The problem with these approaches is that the surgeon to have direct access to dissecting out the implant pocket in an accurate manner I think, most plastic surgeons who have high levels of experience and disease breast augmentation practices will use a peri-areolar approach to saline implants, because it gives the best direct access to forming an accurate and anatomically correct implant underneath the pectoralis muscle. getting this done correctly with transection of the pectoralis muscle at the right level and keeping the inframammory fold intact is important in a quality augmentation. This leads, the higher Rivian rate, and a higher degree of secondary issues after augmentation, using either the armpit or belly button approach. Revision surgery cannot be done through the armpit or belly button. Generally speaking down some surgeon may try not adding a new incision. There is no non-surgical way of addressing this, so I suggest having a few in person consultation with a plastic surgeon who do a lot of breast augmentation surgery to get a better assessment, and better understanding of revision strategies. The best shot at getting quality outcomes is having it done correctly the first time around. Most plastic surgeons, shy away from indirect approaches to breast augmentation because they realize the importance of having control over the creation of an accurate implant pocket. These are only my personal thoughts and other plastic surgeons may have very different views on the topic. If somebody can get consistent quality results minimizing the scarring on the breast, then my hat goes off to them. Unfortunately what I see is what you present with all too often making the approach not all that desirable. Best, Mats hagstrom MD
Helpful