Inframammary Breast Augmentation Incision

What is the inframammary breast augmentation?.

 

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A beautiful breast help to bring beauty to the woman's body.  Having breasts with ideal size and shape boost woman's self images and confidences. However, the breast can be affected by multiple reasons such as genetics, aging, pregnancy and weight fluctuation, resulting in smaller, saggy or imbalance breasts compared to the ideal one. Breast augmentation is the treatment method for these situations, inframammary breast augmentation is one of the most common treatment methods for these cases.

Inframammary breast augmentation is a breast augmentation technique that create and utilize a small 2.5-3cm incision lie along the lower edge of the breast to insert the implant.

 

Breast Anatomy.

 

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The breast is composed of various tissue types, including glandular, fatty, and fibrous tissue, all situated over the pectoralis major muscle of the chest wall. Mammary glands and milk ducts perform their main functions, while surrounding fatty tissue provides the breast's characteristic shape and softness. Skin elasticity also plays a crucial role in determining breast contour and appearance.

 

Procedure details

 

This procedure lasts approximately one to two hours under general anesthesia or local anesthesia. The inframammary fold incision is made at the groove of the bottom pole of the breasts, which will leaves a small scar along the mentioned groove. The surgeons then dissect through multiple tissues layers and form a surgical pocket to contain the implants, the options for the location of the pocket will be discussed in the next section. 

 

The position of insert and  place implants.

 

Breast implants can be placed in two positions: Subglandular (over muscle) or submuscular (under the pectoral muscle). Among the two options, placing the implants under the muscle offers several advantages, as it helps reduce the risk of implant visibility, which can occur with subglandular placement.

 

 

Video of open breast lift surgery.

 

 

Video 3D simulation of Inframammary Breast Augmentation process.

 

Subglandular breast implants placement pocket do not use muscle to cover the implant result in higher risk of implant visibility.

 

a. Subglandular breast implant placement option.

 

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Among the available options for inframammary incisions breast augmentation, this is the most easy to perform technique, often offered less pain, swelling and faster recovery for patients. However, it have higher implant visibility risks as mentioned.

 

After making an incision under the breast, the surgeon dissect skin and tissue through that incisions, the surgeon only cut through the glandular tissues. Then the surgeon will form a pockets to insert the implant. Since this approach required dissecting the glandular tissues, certain breast function maybe compromised such as breast feeding.

 

b. Submuscular breast implant placement option.

 

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This procedures options is performed under similar steps with the subglandular one. However, to form a pocket under the muscle. The surgeon will also dissect through the pectoral muscle before forming the pocket within the muscle layers. This additional steps help remove the risk of implant exposures (implant visibility). 

However, since this method requires the surgeons to cut through the pectoral muscle, the recovery process will be more painful than the previous options. The further improvement on this approach is performing transaxillary breast augmentation, which allow the surgeons to gentle separated the muscle layers instead of cutting through them, reduce the pain that patients have to endured during recovery phases.

 

Incision closure.

 

The incisions will be closed by surgical suture and removed from seven to ten days. Like other surgeries, the patients will experience swelling, which will fade away in a few days, or a couple of weeks for rare cases. The surgical site scars will completely heal in the same period.

However, some patients may experience unsightly scars (keloid, atrophic), which can be resolved with scar dissolving injections. 

 

Compression garment usage in the healing process.

 

The surgeon will provide a post operative care guidelines, which would require the patient to wear a compression garment. This specialized clothes help reduce swelling, prevent bleeding and breast support in the first few weeks of the recovery phases. It also help to reduce implant shifting, allowing the implant to gently settled in.

 

Beside wearing the compression garment, the patient must avoid strenuous work or heavy lifting for about three or four weeks to avoid implant positions shifting. This can interfere with healing and cause displacement of the breast pocket.

 

The results from breast augmentation are usually long-lasting, the improvement required low maintenance and can last for a lifetime. 

 

Types of breast implants.

 

The main implants used for this procedure is usually gel-based, which were approved by the FDA in 2006. These gel implants are made of a 3-layer silicone shell and are filled with silicone material. There is no evidence that gel implants increase the risk of breast cancer, or other disease.

 

Breast implants differ from: shape, roughness, and projection. They are round or teardrop shape,  smooth or rough surface (textured or smooth implants) . Breast implants are available in different types of profiles such as low profile, medium profile, moderate profile and high profile. The higher the profile of your breast implant, the more it extends forward from your chest. Finally, breast implant size varies by volume.

 

Choosing the right breast implants depends on your preference and breast anatomy. The surgeon’s goal is to make your breast look beautiful and natural, which is best guaranteed to achieve by choosing an experiences doctor with highly developed skill.

 

Depending on whether the customer prefers a high or natural bust, the doctor will perform surgery according to the customer's needs.

 

Before and after pictures of high bust.

 

 

 

 

 

 

 

 

 

Before and after pictures of natural breast shape.

 

 

 

 

 

 

 

 

 

Before and after pictures of client's breast who underwent nipple reduction.

 

 

In case the customer has large nipples, breast augmentation and nipple reduction can be combined.

 

 

Images of a client's breast, which was classified as sagging degree 3, before and 30 days after procedure,

which was a combination of breast lift and nipple reduction.

 

 

American client breast was completely transformed just 2 weeks after procedure.

 

 

 

American customer images before and 3 weeks after the breast lift procedure.

 

The final results also depend on individual's physiology.

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