Breast implants are used in breast
augmentation and breast reconstruction surgery, to build and
shape the breast to it's new size or form. There are several considerations
in breast augmentation, including the the placement of the breast
implant and the type of breast
implant used.
Breast implants can be placed either under the chest muscle or directly
under the breasts. Placement considerations include the anatomy of
your breasts, soreness after surgery, exercise activities (upper body
strength and conditioning sports such as weightlifting, tennis, volleyball
and others) and interference with mammograms.
Incision Placement
The incision for breast augmentation may be placed underneath the
breast, around the areola (the pigmented skin surrounding the nipple),
in the armpit, or in the belly button. Not all plastic surgeons perform
all of these approaches because it may not have been a part of their
training. If you have a specific preference with regard to incision
placement, make sure your plastic surgeon is experienced with that
approach.
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Breast implant placement
- Subglandular vs. Submuscular
Breast implants may be placed beneath the tissue of the breast (subglandular),
or may be placed even deeper, beneath the muscle of the chest wall
(submuscular). The decision is a very individual one, and it is determined
by the natural shape of your breasts and chest wall muscles. Whenever
possible, I prefer to place the implants in a submuscular position.
This is for two main reasons. First, mammography is easier when the
breast implant is separated from the breast tissue by the additional
layer of muscle. Secondly, there is a lower incidence of capsular
contracture when the implants are placed beneath the muscle. Capsular
contracture occurs when the body produces scar tissue around the implant.
This may change the shape of the implant and make the breasts asymmetric.
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