What are the different types of incisions for breast augmentation? скачать в хорошем качестве

What are the different types of incisions for breast augmentation?

Dr. Ramsey J. Choucair answers frequently asked questions about plastic surgery and the different types of incisions for breast augmentation procedures--learn more at http://www.DrCPlasticSurgery.com What are the different types of incisions for breast augmentation? There are essentially four options for the placement of the breast implant regarding incisions. Inframammary fold: incision just beneath the breast crease Areola incision: where the dark and the light color of the breast meet typically done between about four o'clock and six o'clock Armpit incision Umbilical incision done through the belly button, or umbilicus We typically don't use the umbilical incision because it can only be used with saline implants. It's also the least predictable because the surgeon doesn't have complete control over creating the pocket and placing the implant. We have doctors we refer patients to if they insist on the umbilical incision, but we don't do it because we don't believe it's as predictable and safe. The armpit incision is also not used as often for the same reason. The surgery is being done in the area of the breasts, yet the access site is further away in the armpits. Many times you need a video camera to do the procedure and while it's certainly reasonable and it's certainly safe, it's not as predictable in most surgeons' hands as the other two approaches. Our workhorse incisions are the inframammary incision, underneath the breast, and the areolar incision, at the edge of the areola. The reason those two incisions are so popular among board certified surgeons is that they give the surgeon complete visual control over where they're placing the implant. This is entirely the procedure, having control over creating the space and placing the implant precisely. So, what are the differences among those two operations? Well, the incision underneath the breast basically cuts no breast tissue. When you make the incision, it's usually about four centimeters long - which is not very large. Whether you place the implant beneath the muscle or on top of the muscle you cut very little, if any, breast tissue. That's a plus because it's least traumatic to the breast. If you go through the areolar incision to get to the chest wall to place the implant, whether it's above or below the muscle, you have to cut through some breast tissue. That's not a terrible thing, but it's a little more traumatic to the breast. The recovery is essentially the same, regardless of what incision is used. It's up to the patient to decide. Many patients have had friends who have had it done one way or the other and make the decision based more on that word-of-mouth advice than on anything else. Skin type and skin color can make a difference in how the incisions heal. These small incisions typically heal very "kindly," meaning they're typically faint little lines that hopefully are not an issue when you balance them against the results of your surgery. Many patients say "well I certainly don't want the incision around the areola because I'm afraid I'll lose feeling in my nipple." The risk of losing feeling in your nipple is something that can occur with any breast augmentation, regardless of the approach. This risk is technically very low and really has very little to do with the incision, if the incision is done accurately. The space created for the implant dictates how much you stretch the nerves that come in from the side of the breasts. As surgeons we obviously know to be very gentle outside the area of the breast when we stretch those nerves. But the nerves aren't visible and you are stretching tissue to accommodate the implant. The smaller the implant, theoretically, the less risk of hurting nipple sensation. I don't think people should make a decision not to do the areolar incision for fear of nipple areolar loss of sensation, because it can happen either way. The areolar incision heals very kindly because the skin is very thin, and the incision underneath the breast is typically hidden. For the most part, either incision has the same amount of minimal discomfort. Most patients have very little pain after these procedures when they are done with the current approach of very precise dissection and very little bleeding.