Breast Miscellaneous

This is one of the reasons I do not like placing the incision infra-mammary or under the breast for augmentation. Although admittedly, this is a very rare and extreme example of poor scarring and does not happen in most cases using this approach, I do feel that the thick skin on the chest does scar differently than the paper thin skin of the underarm.

45 year old and has above the muscle saline implants placed in 1996 through the belly button approach. She did not like the droop nor the empty upper part of her breasts. In surgery, I removed her old implants and placed new saline implants. 425 cc in the right and 375 in the left, but this time moving them under the muscle and then doing a brazilian breast lift on top of that...with a much more even result!

This shows a typical incision close to one year later for the underarm approach I use for Transaxillary Breast Augmentation. It’s difficult to see. I love this technique and very rarely do I get a patient with a scar that needs revision. I am also a firm believer in using the endoscope to allow visualization during the procedure. Without it, I think the implants can have a tendency to sit high and wide…

This shows a close up of Nipple Reduction done at the same time as a Breast Augmentation. This patient felt that her nipples were a bit too long and I like this technique that makes two circular incisions on the nipple and “telescopes” it down onto itself. It works really well.