Those who are considering breast augmentation at Premier Plastic Surgery may wish to know exactly how the procedure is done, how long it takes to recover, and what risks are involved. There are several different methods of breast augmentation, each with its own advantages and disadvantages, and as is the case with any surgery, the procedure entails a certain amount of risk. In this article, we’ll discuss the operation itself, including techniques and placement of the implant.
The Entry
A breast augmentation procedure can be completed in about two hours, and is normally an outpatient procedure. Depending on the size and shape of your breasts, your preferences and the surgeon’s judgment, he may choose on of five different incisions:
1. Inframammary the incision is made underneath the breast (inframammary fold). This allows the greatest precision when it comes to insertion of the implant.
2. Periareolar - the incision is made around the lower border of the areola. This approach is best for breast lift procedures.
3. Transaxillary – the incision is made in the armpit, allowing the implant to be placed without any visible scarring.
4. Transumbilical this approach is rarely used, and involves insertion of the implant via a dissection tunnel running up through the navel. It leaves no scarring, but makes precision placement of implants difficult.
5. Transabdominoplasty - if the patient is undergoing a tummy tuck at the same time, the physician may elect to use this procedure.
Placement
Breast implants may be places in one of four different ways, depending on the look desired and the condition of the natural breasts.
1. Subglandular this usually has the most natural looking results; the implant is placed between the breast tissue and the underlying muscle and is best if you have had breast surgery previously.
2. Subfascial the implant is placed underneath the fascial surface of the muscle just behind the mammary gland itself.
3. Subpectoral - also known as dual plane, the implant is placed underneath the chest muscle itself., after it has separated from its lower attachments. Although this is the most common method in North America, it allows the most shifting of the implant when the patient moves her arm.
4. Submuscular this is similar to the subpectoral method, except that the muscle is not released from its attachments.
Recovery
Most patients are able to resume their everyday activities after seven to ten days. During this time, the doctor will instruct you to avoid activities that involve lifting or other kinds of physical exertion.
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