Breast augmentation

Dr.Aslani, Head of department of Plastic surgery of Hospital Quiron Malaga, presents case based discussions of breast enlargement cases

28 year old patient requesting breast enlargement,moderate amount of gland

After submuscular breast enlargement, round implants.

The patient requested cleavage, therefore round implants where the better option. The submuscular position gave the patient cleavage but still a antural look.

This patient requested breast augmentation but a natural look was of utmost importance to her, therefore the decision was made to use anatomical implants.

Another example of a moderate profile implant in submuscular position:

Again the round implants do not cause an overly wound shape in the submuscular position, but provide cleavage.

The moderate profile prevents too much of gap between implants

The inframmary incision is not noticable in the new inframammary fold.

The next patient requested the most natural look possible, cleavage was of less importance to her, the decision was made to use anatomical implants.

Before and after augmentation with 335 cc anatomical implants

Different patients request different options, and a solution which is desired by one patient may not be so good for another patient.

There is no precut recipe which applies to all patients, therefore we suggest to take sufficient time to discuss in depth all options between surgeon and patient.

We do mainly use implants of the Natrelle, Allergan and Polytech brands.

For more information and to see more before and after pictures visit our Homepage:

Dr.Alexander Amir Aslani, MD, EBOPRAS

Hospital:
Director and Chief Surgeon
Department of Plastic, Aesthetic and Reconstructive Surgery
Hospital Quiron Malaga
Avda.Imperio Argentina, 1
E-29004 Malaga
Spain
www.quiron.es

Private practice:
Cirumed Clinic
Avda.Ramon y Cajal 7-4°
E-29601 Marbella/Malaga
Spain
Phone:+34 607 307 515
info@cirumed.es
www.cirumed.es

Incision placement in breast enlargement

What is the perfect incision placement for breast augmentation ?

Well, there is none. There is different options, the most popular ones being

1.The armpit. This is a very elegant approach, implying the the breast implant is brought in through an incision in the armpit. I personally have used it for quite a while and on very special patient request I still do, but a few points have to be taken into account. Firstly, the skin of the armpit can impossibly be made sterile, so there is a higher risk of infection, secondly, I have had patients who, after axilar breast enlargement, reported certain restrictions in movement to me. This has to be taken into account.

2.The nipple. In planning breast enlargement, I guess half of the patient is very keen to have their incision through the nipple and half are terrified just by the thought of that. there are really very different views on that. Since I personally only use cohesive gel implants, a certain size of the nipple is necessar. This does not have to be excessive but should be sufficient to accommodate a 3cm cut along the lower nipple border.The scar will fade with any of the three incisions mentioned, but probably quickest here.

3.The inframammary crease. Great advantage of this incision in breast enlargement is that it heralds the smallest risk of infection, and the inframammary fold can be planned very accurately.Length of incision is normally around 3-4 cm.

Case example from our practice:

Patient with very little breast tissue and small nipple

Athletic, desire for substantial augmentation

Patient requested cohesive gel implants

Therefore nipple no suitable option

Post op result

Inframmary, submuscular augmentation

300cc moderate profile round coheisve gel implants

6 months post op inframmary incision not visible

Preoperative A cup, postoperative C-cup

There are some exotic variations like endoscopic approaches through the  bellybutton just to name one example, who I feel make restricted sense from the physiological point of view since when placing a foreign body large dissection pathes make the procedure somewhat more risky.

In Spain, breast augmentation remains the most popular aesthetic surgical procedure.

Dr.Alexander Amir  Aslani, MD, EBOPRAS

Hospital:
Chief Surgeon and Head of Department
Department of Plastic, Aesthetic and Reconstructive Surgery
Hospital Quiron Malaga
Avda.Imperio Argentina, 1
E-29004 Malaga
Spain
www.quiron.es

Private practice:
Cirumed Clinic
Avda.Ramon y Cajal 7-4°
E-29601 Marbella/Malaga
Spain
Phone:+34 607 307 515
info@cirumed.es
www.cirumed.es