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INCISIONS AND SCARS
Sub-Mammary (Sub-mammary fold): It is the most popular approach, and usually the best choice. Gives direct access to the pocket, with minimum trauma to the surrounding tissues. It is well hidden inside the natural breast crease. Heals with leaving minimum scar.
Peri-Areolar: On the lower half of the areola boarder. Ideal when an augmentation is combined with a "donut" breast lift. Not indicated when the areola has no well defined boarder. The incision needs to transverse the breast tissue in order to reach deep behind it for the implant placement (small breast trauma). Small risk of germs contamination of the implant from the breast flora.
Axilla (armpit): Hidden when the arms are not extended, can not be hidden when wearing a bra or bathing suit with the arms on extended position. Bad wound healing and scar formation on this area. Increased risk of germ contamination from the armpit flora.
UNDER OR OVER THE MUSCLE?
Pocket placement can affect the final result and has a role to potential aesthetic complications.
Over the muscle: When the implant is placed under the breast gland and sits over the pectoralis major muscle. It is the natural place for the implant. Allows the formation of a tight boost and nice fill of the inner pole of the breast. Allows natural movement of the implants, gives softer breast fill. Allows natural ptosis of the breast and implant as one unit. It is indicated when the overlying skin and breast tissue are thick enough to give good implant cover (otherwise implant ripples and dimples may be visible).
Under the muscle: When the implant is placed deep under both the breast gland and the pectoralis major muscle, giving extra cover on the upper pole of the implant. Creates more natural and discrete upper pole (sliding upper breast boarder). Ideal for small and medium size implants when patients want natural results. Indicated for thin patients with thin skin and very small breast. Slightly longer recovery period. May cause breast implant movement when the muscle contracts (animation).
ROUND OR ANATOMICAL IMPLANT?
Round Implant: Are usually softer. They change shape in a natural way with body movement and posture. Ideal for patients with small and medium sized breast.
Anatomical Implants: The are harder and firmer in order to preserve their shape. Less natural movement with change of postures. Risk of implant rotation (change of implant direction) in the future. Indicated for patients that have very small breast and no shape.
Every implant has width, projection and volume, that define the overall shape.
The doctor makes makes measurements on the patients chest and breast. These measurements define the ideal range of implants that perfectly fit each patients body, individually. At the end a range of sizes and implants are presented to the patient. This way we make sure, all choices will have a perfectly natural result. Then the patient picks according her desires, from smaller to large. This means that a small implant for one patient, may be a big implant for someone else's body measurments... Implant choice is a co-decision between doctor and patient after a body physical examination and patients desires are fully comprehended.
MENTOR: The leader company in breast implants. Implants are manufactured in the US and have FDA approval with the best safety and quality standards. Evidence-based, they are the safest implants in the world. Learn more...
MOTIVA: An innovative, relatively new, internationl company. The implants have CE approval and initial made in Costa Rica. They offer new implant technology for optimum aesthetic results.
B-LITE: A new implant concept that offers same volume but less weight implants. That claim to be 30-40% lighter than other brands.