New York plastic surgeon provides New York City Breast Augmentation - Breast Augmentation by A respected New York plastic surgeon
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Breast Augmentation Surgery
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Breast Augmentation typically takes between one and three hours to complete and may be performed with either general anesthesia or a combination of local anesthesia and sedation. There are several different possible locations for the incision: axillary, which is under the armpit; inframammary, which is within the crease below the breast; and periareolar, which is around the nipple. Once the incision is made, the breast tissue is lifted to make a space or pocket into which the implant is then inserted. The implant may be placed in one of two locations: subglandular, which is above the chest muscle, or submuscular, which is beneath the chest muscle. The implant itself is typically a silicone shell that is usually filled with a saline solution. Most implants are inserted empty and then filled, allowing for minimal scarring. After the implant is inserted, the incisions are then closed. Tape may be used for added support and the breasts may also be wrapped with gauze or other bandages. A drainage tube may be placed at the incision site if necessary in order to drain fluid.
Breast augmentation involves many different options and techniques. Choices must be made about the incision location and the implant placement. The choices that are right for you will depend upon your individual circumstances and, thus, are best made with the help of your doctor. Generally speaking, there are pros and cons to each of the options. In terms of incision placement, the axillary and inframammary placements are typically associated with fewer complications with future breast feeding, though both of these placements do produce a visible, though small, scar. The periareolar placement involves a less visible scar, but it is associated with an increase in breast feeding complications. There is also a fourth placement, known as the umbilical or endoscopic placement, which involves insertion of the implant through the navel, or belly button, though this is a relatively new technique and generally not recommended.
When it comes to the placement of the implant itself, there is the choice between subglandular and submuscular. For the subglandular placement, the implants are placed above the chest muscle. Though this placement typically involves shorter surgery and recovery times, less pain, and easier accessibility in case of reoperation, it may also involve an increased risk of implant palpability, capsular contracture, and mammography interference. On the other hand, the submuscular placement, or beneath the chest muscle, typically involves a decreased risk of capsular contracture, implant palpability, and mammography interference. However, this placement is also associated with longer surgery and recover times, more pain, and less accessibility in case of reoperation.
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New York Breast Augmentation Surgery