Breast augmentation is referred to by the medical community as breast augmentation mammoplasty. This procedure is used to alter the fell, form or size of the breasts surgically. The surgery is used to correct chest-wall congenital abnormalities, post-mastectomy breast reconstruction and for aesthetic purposes. It is also part of the process of male-to-female gender transition surgery. Breast augmentation surgery can improve the quality of life and, in some cases, the functionality of the breasts for women and as such, is one of the top ten most popular plastic surgeries performed in Florida.
Breast augmentation generally involves one of three types of breast implant devices: Saline, Silicone or Composite. The devices are defined by the composition of the filler inside the implants. Because the market has changed so much over the years, many people are not aware of what is and is not currently available with regards to the type of implants used for breast augmentation surgery.
Areola Incision: This incision is made around the edge of the areola, where it meets the breast tissue. It’s becoming one of the most popular methods for placing implants because the scar is very hard to see and doesn’t involve any nipple damage or white scars on the areola itself.
Trans-Axillary: This incision is often referred to as the arm pit incision and is placed exactly as it sounds: in the arm pit. This particular incision isn’t appropriate for most pre-filled implants and is done with an endoscope as it’s away from the breast itself. The deflated implant is rolled up like a cigar and inserted into the slit endoscopically and then filled after implantation. The obvious advantage to this particular incision is the complete lack of scarring on the breast itself. This is the only incision that will allow you to have a fully under the muscle implant without any scarring on your breasts. This incision requires a highly skilled surgeon with a lot of experience in order to get the correct implant placement.
Inframammary Fold: The inframammary fold is located directly under the breast and is often called "the crease", where the breast meets the chest wall. Like the peri-aerolar incision, this incision site allows the surgeon to work very close to breast, eliminating any trauma to other parts of the body. Not only that, due to the close location to the breast, implant placement is precise and exact, allowing the surgeon to get the most symmetry as possible.
TUBA: Trans-Umblical Breast Augmentation is an incision based at the navel. Just as the trans-axillary incision is, the TUBA incision is away from the breast and not a suitable option for firm or hard implants. It is a favored incision for many women and is gaining in popularity as the scarring is very hard to see. Due to how far away from the actual surgical site the incision is, the procedure must be done endoscopically and under the muscle implants are impossible using this technique. This is a highly specialized incision and requires a highly skilled, experienced surgeon for best results.
Breast augmentation is relatively safe and yet complications can and do occur. As with any other surgery, adverse reactions to anesthesia and risk of hematoma (post-operative bleeding), fluid accumulation and infection are all risks to be considered. Complications specific to augmentation mammoplasty are as follows:
Recovery time will depend partially on which type of augmentation mammoplasty your surgeon and you agree to perform. Generally speaking it will take around 6 weeks for the incisions to totally heal, although many women find they can return to work and most normal activities within 1-2 weeks. Scars will eventually fade but may take as long as a year to completely fade but they will never truly be invisible. Depending on the type of augmentation you choose, they may be in invisible to anyone who doesn’t know where to look for them. The complete evidence of change will not be totally evident for several weeks but results are fairly obvious immediately post op.