Saturday, November 03, 2007
Breast Augmentation III
There are a variety of incisions for placement of implants. Some make sense, while others are purely a promotion ploy. The oldest incision has been much maligned in favor of newer and therefore presumably more inventive approaches. The axillary incision is good when the scar is good, but some people develope an enlarged scar in this are which becomes very visible in certain clothes. The nipple areola approach is nice at the very beginning, but as the scar matures it becomes lighter in color and in some cases cotracts causing very visible dimpling. The naval incision is at best a long run (and dangerous) for a short slide. I venture to say that this area is very visible in many of today's styles. The infra-mammary (bottom fold) approach allows good visualization for safe surgery, easy access, and excellent scars that are in the fold of the breast. My large following of exotic dancers have this incision and are very satisfied with it. Not all that is old is bad. There are reasons why this classic has withstood the test of time.
posted by Dr_Goldstein at 12:08 PM
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Monday, October 29, 2007
Breast Augmentation II: Above or below the muscle?
Placement of the implant depends on the anatomy of the individual. I like to place the implant where it will do the most good. If a person has no breast tissue, then the implant is placed under the pectoralis muscle so as to cover the implant with more than just skin. This placement is best because the patient literally has a breast created for her that will never droop since there was no original breast tissue to begin with. In most cases the patient does have some breast tissue or even a fair amount of breast but wishes to enlarge. This situation is best approached with placement of the implant under the breast but above the muscle. Here we are trying to enlarge an already existing breast and even possibly lift it. The best results are achieved when the implant is placed as close to the breast tissue as possible. This gives the most natural appearance.
posted by Dr_Goldstein at 6:56 PM
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