I am considering types of incisions and implant placement for my augmentation. Is there a significant increase in risk of contracture with periareolar incision and subglandular placement?
Answer: Yes Yes, both the periareolar incision and subglandular placement increase the risk of capsular contracture (assuming you're using a smooth implant). Inframammary fold incisions are generally safer (lower risk of capsular contracture), allow for more precise implant placment, and if they are planned properly the scar hides beautifully in the fold underneath your breast. If you want to have the implant above the muscle (if you work out a lot, or are worried about animation deformity), subfascial placement tends to have lower capsular contracture and hold up better over time than subglandular based on the studies we have.
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Answer: Yes Yes, both the periareolar incision and subglandular placement increase the risk of capsular contracture (assuming you're using a smooth implant). Inframammary fold incisions are generally safer (lower risk of capsular contracture), allow for more precise implant placment, and if they are planned properly the scar hides beautifully in the fold underneath your breast. If you want to have the implant above the muscle (if you work out a lot, or are worried about animation deformity), subfascial placement tends to have lower capsular contracture and hold up better over time than subglandular based on the studies we have.
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Answer: Risk Yes, it is well known that there is significantly higher risk of capsular contracture with all incisions that are not inframammary (in the breast fold). I would recommend seeing a board certified or board eligible plastic surgeon with aesthetic surgery training/experience who can perform a full exam and provide safe recommendations.
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Answer: Risk Yes, it is well known that there is significantly higher risk of capsular contracture with all incisions that are not inframammary (in the breast fold). I would recommend seeing a board certified or board eligible plastic surgeon with aesthetic surgery training/experience who can perform a full exam and provide safe recommendations.
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August 23, 2022
Answer: Risk of capsular contracture with periareolar incision and subglandular placement? Hello, Thank you for the question. The breast implants are typically placed under the muscle using a small incision at the breast fold in order to provide more soft tissue coverage for the implant and to minimize the risk of capsular contracture which is higher when implants are placed via nipple-areolar incision in the subglandular plane. I would seek an in-person evaluation by the Board-Certified Plastic Surgeon, in order to discuss your goals and concerns for the best cosmetic results. I hope this helps.Best regards, Dr. Karanetz Dr. Irena KaranetzBreast Fellowship-TrainedBoard Certified Plastic Surgeon
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August 23, 2022
Answer: Risk of capsular contracture with periareolar incision and subglandular placement? Hello, Thank you for the question. The breast implants are typically placed under the muscle using a small incision at the breast fold in order to provide more soft tissue coverage for the implant and to minimize the risk of capsular contracture which is higher when implants are placed via nipple-areolar incision in the subglandular plane. I would seek an in-person evaluation by the Board-Certified Plastic Surgeon, in order to discuss your goals and concerns for the best cosmetic results. I hope this helps.Best regards, Dr. Karanetz Dr. Irena KaranetzBreast Fellowship-TrainedBoard Certified Plastic Surgeon
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August 15, 2022
Answer: Capsular Contracture Hi Optimistic462204 Publisehd medical peer reivewed literature does state there is a higher capsular contracture risk with not only periareolar incsions but also sublglandular implant placement. There is also some literature that would say the differences in approaches doesn't matter. Each surgeon has their own preferences in incision and implant placement so make sure you are aware of what the plan for your body is prior to surgery. Best wishes, Dr. Andre P. MarshallDouble Board Certified Plastic SurgeonBeverly Hills, CA 90210
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August 15, 2022
Answer: Capsular Contracture Hi Optimistic462204 Publisehd medical peer reivewed literature does state there is a higher capsular contracture risk with not only periareolar incsions but also sublglandular implant placement. There is also some literature that would say the differences in approaches doesn't matter. Each surgeon has their own preferences in incision and implant placement so make sure you are aware of what the plan for your body is prior to surgery. Best wishes, Dr. Andre P. MarshallDouble Board Certified Plastic SurgeonBeverly Hills, CA 90210
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August 10, 2022
Answer: Capsular contracture To keep the risk from capsular contracture low I recommend placement of the implant beneath the muscle with an incision in the fold. There are many other steps I take during surgery to keep risk low such as bathing the pocket and implant with antibiotic solution prior to insertion. I also use the Keller funnel for gel implants which allows me to insert the implant without it touching the skin. I've included a video that I hope you find helpful.
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August 10, 2022
Answer: Capsular contracture To keep the risk from capsular contracture low I recommend placement of the implant beneath the muscle with an incision in the fold. There are many other steps I take during surgery to keep risk low such as bathing the pocket and implant with antibiotic solution prior to insertion. I also use the Keller funnel for gel implants which allows me to insert the implant without it touching the skin. I've included a video that I hope you find helpful.
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