I just had my first consult with Dr. Alavi in san diego yesterday and am extremely excited for my BA in September! While the details are not set now and we will work them out at my pre-op, i am planning on getting 650-750 CC motiva ergonomix implants and he said that was doable but when talking about incision types he mentioned favoring periareolar over inframammary due do experience and less scarring. I am all for that if done well but i just wanted to ask here if doing that incision type with a larger implant on smaller areola (about the size of a quarter) is as safe as the other options. As well as, is there a higher risk of nipple sensitivity loss from needing that bigger incision for the implant. Any information is greatly appreciated thank you :)
Answer: Great question! The Areola is a great final scar and if you have a small areola it may make the procedure harder. The Motiva Ergo is a bit harder to insert due to the gel and texture and a Funnel device really helps. Your doctor should be able to answer this question easily, good luck!
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Answer: Great question! The Areola is a great final scar and if you have a small areola it may make the procedure harder. The Motiva Ergo is a bit harder to insert due to the gel and texture and a Funnel device really helps. Your doctor should be able to answer this question easily, good luck!
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May 15, 2025
Answer: Incisions There are pros and cons to each incision option. Generally I prefer the inframammary incision as it allows direct access and allows visualization of the pocket. However each person is different and should be evaluated based on anatomy and patient goals. I encourage you to visit a few board certified plastic surgeons near you for a consultation to listen to varying opinions.
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May 15, 2025
Answer: Incisions There are pros and cons to each incision option. Generally I prefer the inframammary incision as it allows direct access and allows visualization of the pocket. However each person is different and should be evaluated based on anatomy and patient goals. I encourage you to visit a few board certified plastic surgeons near you for a consultation to listen to varying opinions.
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May 14, 2025
Answer: Breasts You did not post photos, but for most women, 650-700 cc's is much too large and heavy. For that size implant, a peri-areolar incision will be safer in the long run. The weight of such a heavy implant will stretch and thin your lower breast tissue. Over time, there is a risk of the large implant becoming exposed and falling out of an inframammary incision.
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May 14, 2025
Answer: Breasts You did not post photos, but for most women, 650-700 cc's is much too large and heavy. For that size implant, a peri-areolar incision will be safer in the long run. The weight of such a heavy implant will stretch and thin your lower breast tissue. Over time, there is a risk of the large implant becoming exposed and falling out of an inframammary incision.
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May 13, 2025
Answer: Incision Decision There are a number of breast augmentation access incisions. Each has advantages and disadvantages unique to them. The most common are infra-mammary fold (beneath the breast), infra-areolar (beneath the areola),trans- axillary (armpit), trans-umbilical (belly-button). Generally, the infra-mammary and infra-areolar are the most commonly used as they provide a more direct approach with good visualization. Incisions will generally be 5-6 cm (smaller for saline as they are filled after placement). Limitations on these approaches are generally defined by anatomy. A small areola may not accommodate an adequate incision for access. A patient with a poorly defined fold may not be a good candidate for an IMF incision due to the uncertainty surrounding placement. Distant approaches such as the trans-axillary or trans-umbilical approach are less direct and have slightly higher complication rates likely secondary to more limited visualization. There are also limitations on the devices used as silicone devices cannot be placed via the trans-umbilical approach. Larger silicone implants are also difficult to place via the trans-axillary approach due to the narrow window of placement through the axilla. Sensation and the ability to breastfeed are generally unaffected by choice of access incision (although anecdotally, some patients will report greater sensory disruption via the infra-areolar approach). All are generally reasonable options. Your board certified plastic surgeon is uniquely qualified to guide you to a safe and reasonable surgical plan.
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May 13, 2025
Answer: Incision Decision There are a number of breast augmentation access incisions. Each has advantages and disadvantages unique to them. The most common are infra-mammary fold (beneath the breast), infra-areolar (beneath the areola),trans- axillary (armpit), trans-umbilical (belly-button). Generally, the infra-mammary and infra-areolar are the most commonly used as they provide a more direct approach with good visualization. Incisions will generally be 5-6 cm (smaller for saline as they are filled after placement). Limitations on these approaches are generally defined by anatomy. A small areola may not accommodate an adequate incision for access. A patient with a poorly defined fold may not be a good candidate for an IMF incision due to the uncertainty surrounding placement. Distant approaches such as the trans-axillary or trans-umbilical approach are less direct and have slightly higher complication rates likely secondary to more limited visualization. There are also limitations on the devices used as silicone devices cannot be placed via the trans-umbilical approach. Larger silicone implants are also difficult to place via the trans-axillary approach due to the narrow window of placement through the axilla. Sensation and the ability to breastfeed are generally unaffected by choice of access incision (although anecdotally, some patients will report greater sensory disruption via the infra-areolar approach). All are generally reasonable options. Your board certified plastic surgeon is uniquely qualified to guide you to a safe and reasonable surgical plan.
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May 10, 2025
Answer: Find a new doc Your doc is living in the past with his preference with periareolar incisions. There won't be less scaring, but instead more. And worse, there will be scaring from skin to implant directly through the breast tissue. This increases your risk of capsular contracture, although not as much with Motiva, but it also increases your risk of other scar related deformities including thinning of tissues where they should be thickest, and the potential for scar tethering of the areola.
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May 10, 2025
Answer: Find a new doc Your doc is living in the past with his preference with periareolar incisions. There won't be less scaring, but instead more. And worse, there will be scaring from skin to implant directly through the breast tissue. This increases your risk of capsular contracture, although not as much with Motiva, but it also increases your risk of other scar related deformities including thinning of tissues where they should be thickest, and the potential for scar tethering of the areola.
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