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

Breast enlargement-what implant to take ?

“There is no easy answer to this question, because not every breast is the same”, says Dr.Alexander Aslani, who is head Consultant Plastic Surgeon of the Cirumed Clinic Marbella and Consultant Plastic Surgeon in London´s Highgate Hospital.

“It depends very much on the breast and , more importantly, on patients preference. Different patients prefer different looks, and this has to be taken into account when planning the procedure.
Generally, The question is where fullness is required….if it is on the upper pole, a round implant may be the better option, especially if the implant is positioned behind the breast muscle, choice of breast implant,but this depends very much on the case.I prefer to show patients pictures with relevant examples, and then we make a choice together .Breast surgery is not just a “boob job” but a very individual and every breast is different and therefore requires different solutions,” says Dr Aslani.

Round implants or anatomical ? Again this this depends, says Dr.Aslani. People perceive that breast enlargement with anatomical implants as more natural.

“Anaomical implants behind the muscle can occasionally look a bit flat on top, if the breast is fairly flat on top in the first place and the muscle rather strong,” so Dr.Alexander.Aslani.

Generally breast augmentation is one of the operations with he highest degree of patient satisfaction, which tends to give patients an enormous boost in self confidence.

Materials used are, without exception, cohesive silicone-gel filled implants.

Breast augmentation/breast enlargment in Cirumed Clinic Marbella continues to be one of the most popular procedures for patients from abroad seeking cosmetic surgery in Spain, the backbone of medical tourism in Marbella.

There is a couple of other procedures breast enlargement can safely be combined with, says Aslani, depending on the nature of the request.

A frequently asked question is….can Breast enlargement be done as a day case ? Yes, it can says Dr.Aslani, but he suggest for patients not to enter without a “plan B” to possibly stay overnight.

How long do breast implants last ?

“At present, we don’t know”, says Dr.Alexander Aslani.”We presume that patients can enjoy the effects of a breast enlargement for as long as there are no problems. Should problems occur, action might naturally have to be taken and the breast implants exchanged”.

Dr.Alexander Aslani, Cirumed Clinic Marbella, Marbella, Malaga, Spain, www.cirumed.es, www.alexanderaslani.com