I was wondering if there are a majority of doctors that prefer to go through the crease rather than the nipple or the other way around.Or is it based upon the patients request? Also would it still be possible to place the implant submuscular through the nipple. I am trying to decide on incision sites and would like to know if there is a better one than the other?
February 26, 2014
Answer: Placement of Incisions for Breast Augmentation #breastimplants Great question. There are pros and cons to many of the approaches. Yes, you can have the implant placed under the muscle via a peri-areolar incision. There are however limitations in that approach. If you have a smaller areola and are having a larger implant placed it may not be big enough of an incision. I do not prefer that approach for a few reasons. One, it can just simply be hard to place a bigger implant, and two the breast ducts that you have to cut through to get to the muscle harbor bacteria and in theory you could then seed the pocket with bacteria via that approach. This has not been shown into literature to be a statistically significant problem, but it is a problem and is known to us. One of the theories of why patients develop capsular contracture of their breast implants is because bacteria latch onto the implant and stimulate contracture of the capsule. So for me, I like to avoid that approach to take away all possibilities of letting bacteria enter the pocket. So you are left with the breast crease incision or I do place them endoscopically with a camera via an armpit incision as well if you are a good candidate. My first preference is the breast crease. It is the easiest and simplest approach to creating symmetric pockets on both sides. The scars generally heal well and are hidden over the lower pole of the breast. If a patient is a candidate for the armpit incision I will do that as well.
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February 26, 2014
Answer: Placement of Incisions for Breast Augmentation #breastimplants Great question. There are pros and cons to many of the approaches. Yes, you can have the implant placed under the muscle via a peri-areolar incision. There are however limitations in that approach. If you have a smaller areola and are having a larger implant placed it may not be big enough of an incision. I do not prefer that approach for a few reasons. One, it can just simply be hard to place a bigger implant, and two the breast ducts that you have to cut through to get to the muscle harbor bacteria and in theory you could then seed the pocket with bacteria via that approach. This has not been shown into literature to be a statistically significant problem, but it is a problem and is known to us. One of the theories of why patients develop capsular contracture of their breast implants is because bacteria latch onto the implant and stimulate contracture of the capsule. So for me, I like to avoid that approach to take away all possibilities of letting bacteria enter the pocket. So you are left with the breast crease incision or I do place them endoscopically with a camera via an armpit incision as well if you are a good candidate. My first preference is the breast crease. It is the easiest and simplest approach to creating symmetric pockets on both sides. The scars generally heal well and are hidden over the lower pole of the breast. If a patient is a candidate for the armpit incision I will do that as well.
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March 9, 2015
Answer: Inscion for breast a Augmentation Thank you for your question.lets look at pro's and con's of access incisions:1) crease( infra mammary)+ easiest for surgeon+less chance for capsular contracture?? - scar on breast, if bathing suit rides up while laying down potential to see scar2)areolar+ blends well with junction of breast skin and areloar skin- ? Increased chance of capsular contracture, - If large silicone implants desired & small areolae may be a contraindication 3)axillary+ no scar on breast- scar in axillae (arm pit)- limited to smaller silicone implant size-if revision neede usually requires 1) or 2)access incisions (see above)4)umbilical (TUBA)+ no incision on breas- limited to only saline implants, less precise and indirect- if revision needed additional incision requiredI suggest you make a appointment with a Board Certified Plastic Surgeon to further explain your options
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March 9, 2015
Answer: Inscion for breast a Augmentation Thank you for your question.lets look at pro's and con's of access incisions:1) crease( infra mammary)+ easiest for surgeon+less chance for capsular contracture?? - scar on breast, if bathing suit rides up while laying down potential to see scar2)areolar+ blends well with junction of breast skin and areloar skin- ? Increased chance of capsular contracture, - If large silicone implants desired & small areolae may be a contraindication 3)axillary+ no scar on breast- scar in axillae (arm pit)- limited to smaller silicone implant size-if revision neede usually requires 1) or 2)access incisions (see above)4)umbilical (TUBA)+ no incision on breas- limited to only saline implants, less precise and indirect- if revision needed additional incision requiredI suggest you make a appointment with a Board Certified Plastic Surgeon to further explain your options
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