Breast Augmentation is done on an outpatient basis in an Ambulatory Surgery Center, and usually under general anesthesia.
A number of options with regards to the location of the incision will be discussed to you, which would be dependent on the individual variables of your breast anatomy and the type and size of implant that will be used. Not all options are possible to every patient. The implant type, pocket placement and incision approach all have relative advantages and disadvantages.
The following are the different type of incisions:
– Infra-mammary Incision is made in the fold under the breast.
– Peri-areolar Incision is made around the nipple.
– Trans-axillary with endoscopic assist Incision is made under the arm.
All incisions are kept short and unnoticeable. RVB will choose the surgical technique as well as the size and type of implant that will produce the result each individual desires.
Implants can be inserted either under the breast tissue (sub-glandular) or partially under the pectoral muscle (sub-pectoral or sub-muscular). When implants are placed in a sub-muscular position (under the breast tissue and the pectoral muscle), there is less chance of capsular contracture, which is the shrinkage of the tissue capsule surrounding the implant that causes both implant and breast to feel unnaturally firm. Placing implants in a sub-glandular position (directly under the breast tissue) may be advisable in some cases, depending on the thickness and laxity of the breast tissue, and also the ability of the breast tissue to decently cover the implant. Once the desired pocket has been created, a temporary sizer implant is placed to determine the proper shape and size of the final implant. In this stage, RVB will evaluate your pre-operative photos and your desired results based on your previous discussions with the surgeon, as well as the photos you may have shown for comparison. The final implant is then chosen, inserted, and properly positioned within the pocket, and checked to insure that your breasts have the shape and size you expected before surgery. Although, take note that there can be no guarantee as to the final cup size of your breasts after the operation.
Incisions are carefully closed with multiple layers of hidden sutures and surgical tape. However, in the case of revision surgery on the breast for encapsulation or other problems, drains are never placed. You will then be placed in a soft surgical bra with a supportive wrapping around the chest. You will wake up in the recovery room with minimal pain, or mild to moderate muscular soreness that is similar to a strenuous workout, after the implants have been placed partially behind the muscle.
RVB will help you in deciding which incision, pocket placement, and type of implant you should have to get your desired results. They will utilize the most advanced techniques in order to minimize your risks, optimize your results, and return you to your normal, unrestricted activities as quickly and comfortably as possible.