Breast Implant Surgeon in Phoenix
February 18th, 2009 Dr. Ward
SUMMER SPECIAL 20% SAVINGS ON BREAST AUGMENTATIONS !!!
JUNE ,JULY & AUGUST…
PHOENIX BREAST IMPLANT SURGEON
ARTICLE BY: DR. JOHN WARD MD PC FACS
Board Certified Plastic Surgeon in Arizona for over 22 years.
There are four types of incisions for breast implant surgery, these incisions include:
Inframammary Incision (crease or under the breast)
Periareolar Incision (nipple incision)
Transaxillary Incision (transax or armpit incision)
TUBA Incision (belly button, navel, or transumbilical incision)
My goal for a breast augmentation incision is to keep the scar as inconspicuous as possible and this is the main reason I prefer the under breast approach. The usual choices are : under the breast, around the lower part of the areola, or in the armpit. There are advantages and disadvantages with all these approaches. The TUBA (belly button) approach I do not offer due to too many disadvantages. My preference is the Inframammary incision (crease or fold) and has the following recognized advantages; it is the most popular incision used by breast implant surgeons and patients who choose to have breast augmentation surgery, the recovery from this incision typically has less pain, fewer healing problems, and patients are often able to return to normal activities sooner. The scar is well hidden along the crease of the breast, the implant and the breast typically fall over the incision causing the scar to be be less noticeable. Another very important advantage to me as a surgeon is the breast crease incision allows me to do revisions for capsular contracture and or replacement of implant size without having to make an additional incision elsewhere on the breast. The periareolar(nipple) incision may look good in photos but often in person this incision is more visible and can sometimes create a deformed look to the nipple. The transaxillary(armpit) incision like any incision can suffer from hypertrophy which is thickening of the scar, plus this area is exposed when a patient is wearing a swimsuit or strapless gown and patients can also suffer from in-grown hairs along this incision. In my experience the need for re-d0 surgery for poor implant position is more common with the nipple and under armpit approach. The inframammary incision can always be re-used for change in size of the implant, rupture of the implant and or implant removal whereas the nipple incision as well as the armpit incision may have technical reasons why it can not be used again. The patient will never need another incision for the rest of her life. With usage of the inframammary crease the surgeon can create a fold to the breast by carefully placing stitches during the surgery at the point of the incision the fold of the breast is then firmly established. I have seen many instances where the armpit incision and the periareolar incision where surgeons have failed to adequately create a good placement of the implant along the inframammary crease. The surgeon inadvertently makes the pocket too large and the implant goes inferiorly along the patients chest wall displacing the implant below the inframammary crease or fails to create a pocket which is low enough causing the implants to sit high on the chest creating an upside down appearance to the breast. A well performed inframammary incision creates a pocket for the implant and allows the implant to migrate to the correct location without usage of a tight sports bra or bandage after surgery.