Blog

Tummy Tuck Dubai | 10 May 2020

One variation of abdominoplasty is the mini-tummy tuck. This uses a shorter incision just at or above the pubic region, similar to the incision for a cesarean section. A mini tummy tuck is a modified tummy tuck that uses a C-section-like incision to tighten muscle and remove excess lower abdominal skin. The ideal candidate for a mini tummy tuck has most of his or her issues below the belly button, and it is usually recommended for patients who have always been in pretty good shape but have plateaued with diet and exercise.This procedure is ideal for people who have less excess tummy area skin or fat that is localized in the mid-abdomen area and want to tighten the abdominal area below the belly button.

Mini-Tummy Tuck vs. Full Tummy Tuck

Cosmetic Surgery Dubai | 7 May 2020

The brow lift is the method of choice for rejuvenative surgery of the upper third of the face. It can revitalise the entire forehead, smooth out frown lines and wrinkles, and restore the position of the eyebrows. A brow lift will also raise and tighten loose skin of the upper eyelid and open up the eyes. Although the forehead is much less prone to ageing and gravitational descent than the mid and lower third of the face, it is sometimes necessary to include the forehead in combination with eyelid surgeries or a facelift as part of a complete facial rejuvenation. Since the brow and forehead are close to the eyes, most concerns related to this zone stem from sagging brow tissues that in some way affect the eye area; either by drooping skin reducing the size of the eyes, heavy brows affecting their appearance or by physical impairment of upper eyelid function. The second most frequent concern relates to folds and frown lines in the central part of the forehead, which may communicate a heavy or fatigued appearance.

Reasons for lifting the forehead and brow tissues include reversal of the gradual age-related droop (ptosis) of soft tissue which is a natural process of facial ageing, though more pronounced in some individuals. Secondly, brow lifts can be used to adjust a congenitally low and heavy brow and correct asymmetry (due to conditions such as facial palsy where lack of muscle function will result in an asymmetric sagging of forehead soft tissue).

Forehead and brow rejuvenation

Forehead and brow rejuvenation is customised to suit individual features: lifting of the brow, repositioning of descended tissues, adjustment of skin, and modulation of the muscle function responsible for lines and creases. The forehead, brow and eyes are areas where gentle adjustments can lead to major improvements. A lift of just 4-6 mm is often sufficient to open up the eyes and restore the youthful position of the eyebrows. Forehead rejuvenation usually requires lifting the outer half of the brow, as the mid-section is anatomically more stable and less prone to gravitational descent. A delicate upwards curve of the brow is aesthetically appealing. The overall aim is to position the outer part (end point) of the brow slightly higher than the inner part (the start point) with a gentle arch in-between.

Cosmetic Surgery Dubai

Breast Augmentation Dubai | 3 May 2020

Will breast augmentation dubai increase my risk of breast cancer?

This is one of the most frequently asked questions by women considering this surgery. Many studies have shown that women who get implants are not at an increased risk for getting breast cancer. In addition, implants do not delay the detection of breast cancer. Finally, breast implant patients who do get breast cancer have the same chance of obtaining remission, or being free of cancer for 5 years, as women without implants.

Am I too old for the surgery?

Many women in their 40s and 50s have undergone breast augmentation dubai surgery with good results. The most common patient for this surgery is a woman in her 30s with two children who has been considering this operation for many years. Whatever your stage in life, we encourage you to schedule a consultation to find the best path toward your cosmetic goals.

Should I wait until I am done having children to have breast augmentation dubai?

Pregnancy will change the size and shape of a woman’s breasts whether she has implants or not. These changes may adversely affect the cosmetic appearance of any augmented breast. It is usually recommended that pregnancy be postponed until 6 months after the surgery. Breast-feeding with implants is still possible and has been shown to be safe for the baby and the mother.

Will breast augmentation dubai work for me if I feel my breasts are sagging?

Women with sagging breasts, which is called “ptosis”, can also receive breast implants. Depending on how much the breast sags, an additional surgery may also be necessary. For breasts with nipples that droop below the lower crease of the breast, a breast lift surgery, or mastoplexy, is often required as well. This surgery will also add scars all the way around the nipple-areola unlike most breast augmentation surgeries. Without this additional surgery to remove excess skin, placement of the implant may not adequately correct the sagging.

How do I choose my new size?

This is often one of the most difficult decisions, and for many reasons, has the most potential for disappointment. During your consultation, I will work with you to identify what size of breast you desire from augmentation. “Breast size” as measured by bra-size is variable and is often not a good way to measure final size. As a general rule, every 125-150cc of implant volume equals an increase in a single cup size. However, every patient’s body is different, you can set obtainable and healthy expectations together. It is helpful for you to bring in a bra the size you would like to be to help in finding the right sized implant for you.

Will my nipple sensation or feeling change?

Most women will have loss of some feeling or sensation following breast augmentation dubai surgery. For most of them, this lasts 6-12 months before returning to normal. 15% of women, however, have permanent alterations in nipple sensation.

How long until I can exercise?

It is recommended that patients begin walking immediately after surgery. However, women should not perform any intense physical exercise for six weeks following the operation. Physical exercise including weight lifting, biking, jogging, and other forms of intense activities may cause implants to shift position or cause wound healing problems that may alter the appearance of the breasts after surgery.

When can I return to work?

This depends on your job and its physical demands. Some general guidelines are: Upper arm movements, like reaching, should be avoided for the first 1-2 weeks. Lifting anything heavier than 5 pounds should be avoided for 6 weeks after the operation. This lifting restriction may prevent some women from returning to work.

How much pain can I expect?

The pain from breast augmentation dubai surgery is usually in the moderate range and generally can be well controlled with medication in the first 1-2 weeks following the surgery. It is important to note that severe or untreatable pain following surgery can mean infection or another complication.

When can I drive?

Women may start driving a car one week after surgery as long as they are not taking any pain medications.

Will the new implants affect my physical functioning, can I lift heavy objects?

It is unlikely that you will experience long term changes in physical functioning. Depending on the size of the implant, most women find no trouble performing most physical activities following the surgery. Weight lifting or lifting heavy objects will not affect the implant once the area has properly healed.

Can I breast feed after augmentation?

Yes. Placement of the implant below the breast tissue, as in subglandular placement, does not affect the ability of the breast to produce milk. Similarly, submuscular placement, or implant placement below one of the chest muscles preserves proper breast functioning. With the peri-areolar incision, an increased risk of breast-feeding problems may exist. In one study, 7/8 patients reported problems with breast-feeding following peri-areolar breast augmentation surgery. For women who choose the infra-mammary or trans-axillary incision, (incisions under the breast and through the armpit), breastfeeding is usually not a problem. Be sure to discuss your breast feeding needs with your surgeon during your consultation.

Will I need additional surgeries?

Sometimes additional surgeries may be required for breast augmentation dubai patients. To reach optimal symmetry, you may desire follow up breast lifts or other supporting procedures. Additional surgeries may be needed if you face any complications during your augmentation, like implant rupture or capsular contracture. In addition, implanted breasts will age just like any other body part and in the future some woman choose to have additional operations to correct the results of gravity and aging. During your consultation, you and your surgeon should discuss the possibility of additional procedures after breast augmentation.

Breast Augmentation Dubai | End

Fillers in Dubai | 1 May 2020

Today both injectables and fillers are commonplace treatments to eliminate facial wrinkles. However, unlike injectables which temporarily paralyse active muscle, fillers are used to plump the problem area to lift and soften the appearance wrinkles. Injectable fillers can be used to plump the lips, enhance hollow areas of the face, soften fine lines and wrinkles, and improve the appearance of settled scars. Fillers are a great option for those with these aesthetic issues, but do not want to undergo an invasive surgery.

Ideal candidates for fillers are in general good health, do not smoke, and are realistic about the outcome of their procedure. It is important that patients understand what fillers can and cannot do for them so they are fully aware of the results. For example, fillers cannot achieve the same results as a facelift or a forehead lift. There are many different fillers available on the market today including Juvederm, Restylane, Perlane, Belotero, Bellafill and Radiesse.

Juvederm, Restylane, Perlane, Voluma and Belotero are hyaluronic acid (HA) fillers, which is a substance that occurs naturally in the body. Radiesse is not a HA filler, but is meant for the body to create volume through the use of the body’s own inflammatory process. Bellafill is a permanent filler. Because injectable fillers are minimally invasive, there is no scarring involved with treatment.

I also offer fat grafting injections as an option at my practice. For this technique, a patient’s own fat can be harvested from another location on their body to be used as a natural filler. If a patient has a substantial amount of fat on another remote location of the body, it can be liposuctioned to be harvested. Of course, this creates a secondary surgery site which may be associated with additional complications or scarring. It is best to determine during a consultation if this option is right for you.

When a patient desires a filler injection treatment, I will first evaluate the patient’s facial structure and skin tone to get a better feel for where the filler should be placed. I will then inject the filler into the designated areas. Most patients tolerate the injections well, though some do ask for a topical numbing cream to be applied beforehand. The entire injection process can take anywhere from 15 minutes to an hour, depending on the number of areas that need treatment.

After treatment, I recommend that patients use an ice pack to reduce any swelling that may occur. There is typically no downtime required after being treated with injectable fillers. With most treatments, the results are immediate, however, how long it lasts depends on the type of filler being used.

1 May 2020 | Fillers in Dubai

Breast Enlargement Dubai | 12 April 2020

Breast enlargement can give women a fuller, firmer, better-proportioned appearance. Breast enlargement can give women with small or unevenly sized breasts a fuller, firmer, better-proportioned appearance through the placement of implants. Women may chose to undergo breast enlargement for many different medical and aesthetic motivations, including balancing breast size and compensating for reduced breast mass after pregnancy, surgery or weight loss. There are a number of procedures available with regard to positioning of the implant (above or below the pectoralis muscle) and the types of incisions used (axillary approach, infra-mammary or through the areola). Furthermore, implants vary widely in shape, size and firmness. The choice of implant and procedure is best reached in consultation so that individual circumstances may be taken into account.

Anatomical breast implants – In most cases, anatomical implants will provide the best results for women seeking natural-looking breast enhancement, as they can be used to customise breast shape as well as volume. The extensive number of shapes and sizes manufactured offers opportunities for individualisation to an extent that is beyond what can be obtained with traditional round implants.

Breast enlargement consultation – I believe that any breast enlargement patient undeniably deserves the best treatment possible by being shown what their new body could look like before they go for surgery. My newly introduced Crisalix simulator offers patients 3D images of superior accuracy by integrating the latest advancements in 3D technology, similarly to what is used for box office motion picture animations as well as sophisticated 3D architectural visualizations and video games. The new simulator introduces state-of-the-art scientific algorithms which go to a level of detail and depth of perception never achieved till now. The shape of the implant in the body can be reproduced with exceptional precision, thereby enabling patients to clearly express their desires and expectations and communicate more effectively with me.

Fillers in Dubai | 11 April 2020

Dermal Fillers and Lip Fillers are made of Hyaluronic acid, which is grown in a laboratory. This is naturally occurring in our skin and serves a variety of purposes. Youthful skin retains its turgor, resilience and pliability, among others, due to its high content of water. Daily external injury, in addition to the normal process of aging, causes loss of moisture. The key molecule involved in skin moisture is hyaluronic acid that has unique capacity in retaining water.

I am able to use dermal filler treatments to replicate bone, subcutaneous fat, to add more volume creating contours and symmetry to the face, to rejuvenate the ageing face, or to give overall hydration to improve skin texture. There are a variety of dermal fillers and lip fillers available on the market. I only use industry gold standard products to ensure we deliver you procedures with the evidence behind them. Dermal fillers and lip fillers come in a range of viscosities and are selected specifically for areas and the volume required.

Teosyal and Juvederm are traditional dermal fillers, dependent on the particle size and where they are placed, last from 6-12 months. The Teosyal RHA range lasts longer due to the elastic nature of the product. This helps to prolong breakdown by moving harmoniously with the skin and gives a more natural appearance. These dermal fillers typically last from 9-22 months.

1mL of dermal filler equates to 1/5th of a teaspoon which can give good improvement to younger patients and older, however if there is a significant ageing or volume required you may require more than 1mL.

Areas which can be treated with dermal fillers include volumising young or ageing lips; smoker’s lines; chin & jawline contouring; cheeks; temples; forehead rejuvenation; nose; under eye hollowing; back of hands; full facial rejuvenation with skin beauty boosters; décolletage rejuvenation.

I believe in the natural look and will never make you look ‘done’. My aim is to have your friends, family and colleagues admiring your freshness rather than thinking you have had assistance with aesthetic procedures.

Patients often ask if the procedures hurt. I strive to make your experience as comfortable as possible, using numbing creams and techniques to minimise discomfort. If you are anxious and would like a dental block for lip or peri-oral treatments I can accommodate this.

It is very important that you make an informed choice when it comes to dermal filler procedures. This is a medical procedure and Iwill thoroughly discuss potential side effects as well as treatment outcomes at your consultation.

Breast Augmentation Dubai | 10 April 2020

Below are some of the most common questions patients ask about breast augmentation.

Breast Augmentation is another name for Breast Enlargement or Breast Enhancement, and is also known as Boob Job. It is the single most requested plastic surgery in the world.

For women, their breasts play an important part in their overall personality and it also gives them a lot of confidence. Many women feel the need to have breast surgeries – some for cosmetic reasons, some due to deformities, and some due to mastectomies (removal of breast due to cancer). Whatever the reason, it is important to know that it is a surgery, which would need proper medical expertise and support.

So, before deciding to undergo this surgery, it is imperative to get a clear understanding of the process, and the do’s and don’ts associated with it. Being a leader in breast surgeries, and the best in the field of Breast Augmentation Dubai, I share the relevant information here for you.

What is Breast Augmentation Dubai or Boob Job?

Breast Augmentation is a surgical procedure which helps improve the looks of your breasts, making them larger and if needed fuller too. It is also referred to as breast enlargement or breast enhancement or breast reconstruction, or augmentation mammoplasty, or breast implants surgery. Breast augmentation can be done as an outpatient procedure with twilight anesthesia (patient goes back home the same day), or as an inpatient procedure with general anesthesia (requires overnight stay at hospital or clinic). In this procedure, a well-trained surgeon, will either insert an ‘implant’, or ‘fat’ grafted from other parts of your body into your breasts, helping them get bigger and fuller.Breast implants come in different types, shapes and sizes, and their quality has improved dramatically over the years. The method of inserting the implants differs according to the patient’s needs. More details are given below. Fat grafting breast augmentation is a technique wherein your own body fat from other parts of the body is extracted and injected into your breasts. This is mainly used when the need for enlargement is small and a more natural result is preferred.

Breast Augmentation Dubai is a cosmetic surgery which is used to increase the size of breasts and enhance its shape and contour. It is considered as the most demanding job cosmetic surgery.

For women, breast is an important part of their personality and better-looking breast can greatly improve their self-confidence. There are various reason for which people undergo this surgery some women do it for cosmetic reasons while some due to deformities then there are those who need them as an after treatment of cancer. Whatever the reasons are it should be kept in mind that it is a surgical procedure and one should consult with their doctor before going ahead with the procedure.

Breast Augmentation Dubai will provide you with a long-term and effective solution to your worries regarding the size of your breasts. The implants will give you large, supple and natural looking breasts that will transform your body from an average to a beautiful one. Breast Augmentation Cost in Dubai primarily depends on the breast implant type you choose. Most commonly used breast implants for breast enlargement in Dubai include Saline Implants and Silicone Implants.

Why Breast Augmentation?

Usually breast augmentation is done to enhance the shape, size and texture of breasts, and to make them appear larger and fuller. This may be needed for cosmetic reasons or for reconstructive purposes, such as mastectomy after breast cancer, or correction of deformities. The reasons can be very personal and the decision should be made by you and your surgeon after understanding your needs, and more importantly your expectations. You should be aware that a breast augmentation surgery does not automatically correct sagging or drooping breasts. A breast lift procedure may be required to rectify sagging breasts, which can be performed together with your breast implant surgery or independently, at a later date. A well planned and executed procedure can help regain breast volume, get a better shape, reduce asymmetry, improve balance of breast & hip contours, increase fullness and size of breasts, and also help enhance self-image and self-confidence.

Deciding about Breast Augmentation Dubai

Breast Augmentation is a common and popular procedure which will make your appearance different from your existing one. Nevertheless, it is a surgery, thus it is important for you to decide carefully before going ahead with your decision. Common questions that we suggest you ask yourself are:

Why do I need this augmentation?

Will it give me more confidence and contentment?

Will I be comfortable with this change?

Once you have answers to this and any other personal questions, you must then take the most important steps of identifying the best breast surgeon, and breast clinic in town. This will ensure that you get the best consultation, advice, and results for your desired procedure. A top breast augmentation surgeon is one who is appropriately certified, well qualified, has loads of experience, has worked with different solutions and techniques, and is well respected amongst his peers and patients. The surgeon should have a good track record of consistent and quality results. Also during your initial consultation, remember to ask him to share the ‘before’ and ‘after’ photos depicting his work.

A well-known and respected clinic for breast augmentation is one which has a good team of surgeons, anesthetists, and nursing staff. Their location should be convenient and the premises should be approved by the medical authorities. They should have a reputation of successful surgeries, and their team should be able to explain the entire aspect of the procedures to you in detail.

Who is a good breast augmentation candidate?

You are a good candidate for Breast Augmentation surgery in Dubai if:

You have naturally small breasts or have lost volume and shape due to mastectomy or trauma to the chest.

Your breasts are uneven or have lost volume and shape due to pregnancy or significant weight loss.

You are physically healthy and are not suffering from any ailment that can hinder wound healing.

You are not pregnant or breastfeeding.

You have realistic expectations with the outcomes of surgery.

Breast Augmentation Goals

Breast enhancement surgery aims at improving the appearance of breasts by making the following improvements.

Increases fullness and projection of breasts.

Improves the size and contours of small breasts.

Improves the symmetry of breasts.

Makes the breasts firmer and perkier.

Breast augmentation is indicated in following people:

Young women with very small breasts or hypo plastic breasts

Women after pregnancy or weight loss who have lost size of breasts

Women with mild to moderate sagging of breasts due to pregnancy, weight loss or aging process.

Asymmetrical breasts due to birth deformity.

Tuberous breast deformity where the shape of the breast is very narrow and tubular.

Reconstruction of breasts after breast removal surgery due to mastectomy or breast cancer.

A normally healthy woman, with stable blood pressure, not pregnant, nor currently breast feeding are generally good candidates. Being a non-smoker also helps. And importantly, you should be in the age bracket where your breasts have developed fully, which is a minimum of 18 years of age.

If you feel that some of these descriptions match you, come and talk to our experts, we will be able to guide you to the next steps towards having a fuller upper body.

What are the types of Breast Augmentation?

There are 3 main types of implants –

Silicone Implants

Saline Filled Implants

Fat Grafting or Fat Transfer from other parts of your body

How do you prevent rippling in breast implants?

The ideal option to prevent rippling is to decide preoperatively what type of implant you need and whether it should be placed above or below the muscle. The optimal way to prevent rippling, or at least minimize rippling, is to place the implant below the muscle, make sure there is adequate breast tissue and not oversize or underinflate an implant if you are using saline or silicone implants. Sometimes the use of silicone implants may be better, especially in patients with no breast tissue as well as placement below the pectoralis major muscle. If you are using saline implants make sure you maximally fill it and not overfill or underfill, as that can cause more scalping or rippling. If you underfill, it can cause more deflation in saline implants. Remember, one can almost always feel any implant in the lower outside quadrant of your breast.

Breast Enlargement Dubai | 9 April 2020

Breast enlargement surgery is usually carried out under general anaesthetic. Most patients come to the clinic early in the morning on the day of their surgery. Your breast enhancement surgery will then take place later that morning or early afternoon that day. Patients can generally be discharged the same day however if your surgery is scheduled for the afternoon you may have to stay overnight before being discharged the next morning.

Depending on your specific type of procedure, surgery typically takes between 1 to 2 hours.

Possible Incision Areas

I pride myself on making the smallest and most concealed incisions possible, usually four to five centimetres long. There are three incision areas widely used for breast augmentation:

The infra-mammary incision (under the breast fold)
The circumareolar incision (around the nipple)
The axillary incision (in the armpit)
Each incision has its advantages and disadvantages. Your final choice needs to be discussed with me at consultation.

Inserting your breast implants

Your implants will be placed either under or over your pectoral muscle depending on several factors including the size of your breast, skin quality, and your breast shape. The position of the implant will have been decided prior to surgery at your consultations.

Implants placed under the muscle tend to give a slightly more natural upper ‘pole’ of the breast and possibly a lower incidence of capsular contracture (scar tissue that can develop around an implant and cause the breast to feel hard).

Subpectoral (under the chest muscle)
Subglandular (beneath your breast tissue)
Dual Plane (partly under the muscle, partly under breast tissue)
Closing your incisions

Dissolvable stitches are normally used to close the incision. Dressings will then be applied. I may place a drain on each side to remove unwanted fluid from around your implants. These are usually removed prior to discharge. Occasionally drains need to be left in place for a little longer.

Fillers in Dubai | 8 April 2020

Dermal fillers are a non-surgical cosmetic treatment for adding volume to areas of the face, giving them a refreshed and more youthful appearance. If you’ve just had dermal fillers, or are thinking of having the treatment, you’ll find all the aftercare advice you need as Dr. Matteo Vigo answers your most common questions.

Latest figures show that lip fillers are becoming one of the most sought-after aesthetic treatments, so here is a summary of information about lip fillers or lip augmentation. Here’s your questions answered!

Q: How long does the procedure take?

Less than an hour. First, your injector will cleanse the area and apply a topical numbing cream which takes about 20 minutes to kick in have an effect. Then, the injections themselves take 15 to 20 minutes.

Q: Does it hurt?

When asked to describe the sensation, most people say it can be best described as an immediate pricking sensation, then uncomfortable pressure as the filler moves throughout the lips.

Q: Will they look good straight after?

You do see immediate volume, but you may see a few days of bruising and swelling.

Q: What about the side effects?

There can be some small bumps under your lips, though this is rare. They usually smooth out on their own within a week or two, but if not, your injector can remove them. While rare, more serious complications (like a blood clot) can occur.

Q: How do I take care of them after?

Gentle treatment without harsh products and no touching your lips for 48 hours after the injections. And hold off on exercise for a few days, as it speeds up your blood flow, which can break down the filler.

Q: How do I maintain them?

Touch-ups every three months to a year. Certain factors like filler consistency and lifestyle can affect longevity.

Q: What if I hate them?

Your doctor can dissolve the filler by injecting lips with the enzyme hyaluronidase. This can only be done two weeks after the filler was injected. If you are not sure about the level of volume less is more its far easier to add more filler than take it away.

Breast Augmentation Dubai | 7 April 2020

It’s pretty amazing when you think about it: The first medical report of a breast augmentation surgery occurred 120 years ago. That’s more than 65 years before the silicone implant was invented!

In 1895 — to put that in perspective, Grover Cleveland was President of the United States, and Oscar Wilde was hanging out in a London prison — a German-Bohemian surgeon named Vincenz Czerny documented what is believed to be the first breast-reconstruction surgery, on a 41-year-old singer who was concerned about asymmetry after having a tumor and much of the surrounding tissue removed from her left breast.

Having fuller more voluptuous breasts is a very important part of feeling feminine and more confident for women. The breasts give the female body more proportion, curves and shape, which makes many women feel more sexy. There are a variety of factors that make women unhappy with their breasts. Such factors include the effects of aging, gravity which leads to sagging, post pregnancy changes and natural asymmetry. A breast augmentation helps women improve the overall appearance of the breasts and cleavage. This results in an improved self esteem, confidence and feeling sexier about your body.

Reasons why women seek breast augmentation include:

– Improved body proportion

– Correct loss of fullness or sagging due to aging, gravy, or pregnancy

– Improve cleavage appearance

– Increase breast shape and size

– Correct asymmetry of the breasts (one breast is larger than another)

WHAT TECHNIQUES ARE INVOLVED?

Breast augmentation involves the placement of an implant under the patient’s breast tissue to enhance the size and shape of the breast. The breast implants are usually inserted using an incision placed under the breast at the crease, but can also be put in via an incision in the armpit or around the nipple.

Breast augmentation surgery takes about one and a half hours, and is usually done under general anaesthetic. The operation itself involves accessing and creating the pocket into which the implant will be placed, using one of the insertion routes mentioned above: breast-crease, armpit or nipple.

Incision Options

There are three different types of incisions that can be performed when getting a breast augmentation surgery. These incisions are Inframammary (incision below the breast), Transaxillary (through the armpit), and Peri-Areolar (along the lower edge of the Areola). Dr Vigo will go over the different options available to you during your consultation, showing you the benefits of each option and explaining exactly how they are performed including the associated recovery time for each.

Inframammary

An inframammary incision is the most common incision when getting a breast augmentation. This incision is made in the fold below the breast and carries a very low risk of complications. Inframammary incisions are highly recommended for large pre-filled implants such as silicone. These incisions are usually discreet as it goes along the natural crease below the breast, however, on occasion the scar may be visible due to the size or shape of the implant. All patients heal at different rates. Your incisions will be monitored after surgery and tailor your scar managment to optimize healing and appearence. Proper care and maintenance of your incisions will be closely followed with you as you heal.

Peri-Areolar

A Peri-Areolar incision is done around the bottom edge of the areola and is typically four to five centimeters in length. This incision is very discreet after it is healed. Often times it is impossible to notice as it goes along the natural edge of the areola. The trade off risks and benefits of their incision approach will be disscused at the time of your consultation. Some women may experience difficulty with breast feeding after this incision approach. Nipple sensitivity is also jeopardized with this approach compared to other incision sites.

Transaxillary

A Transaxillary incision is the least visible of the different incision options as it is made in the armpit. This ensures there are no scars anywhere near the breasts. The breast augmentation procedure is performed using an endoscope during the surgery, which allows the surgeon to see the implant inside the pocket. Having the ability to see the implant inside the pocket allows for the best surgical decisions and precise placement of the implant. Implant type is limited by the incision, as only round smooth implants can be placed through this incision.

Once the pocket has been created, the surgeon may insert a trial implant to check that the size chosen is appropriate. The trial implant is removed, the definitive implant inserted and the incision wounds are stitched. You will be able to go home the same day. Postoperative pain in these procedures is easily controlled. Your chest will feel tight. Your breasts and ribs below your breasts will be tender. Patients will be mobile from day one and should be back to full exercise within six weeks. Patients are recommended to take around one to two weeks off work immediately after the operation in order to ensure you recuperate fully.

Implant Placement Options

There are two choices when it comes to the placement of the breast implants you select. They are subglandular (above the muscle) or submuscular (below the muscle). The benefits of each of the different placement options will be discussed with you at your consultation with a recommendation of a specific placement option depending on the natural shape of your breasts or your overall goals for getting a breast augmentation.

Subglandular

Subglandular placement is when the implant is placed above the muscle. During this placement, the implants are placed below the natural breast tissue and the surgery is usually quicker but the recovery time is about the same as below the muscle. One of the benefits of subglandular placement is that if future surgery may be required due to rupture or leakage, it allows for easier access to the implant. However, subglandular placement does also have its downsides, such as an increased risk of capsular contracture, concerns about breast views on mammography, and the implant may be able to be felt through the skin.

Submuscular

Submuscular placement is when the breast implant is put under the pectoral muscle. The benefit with submuscular placement is that the final result of the breast augmentation will look and feel more natural. Any breast imaging will be easier including mammographies, because it is easier to differentiate the implant from real breast tissue. Most patients are able to drive in a few days and you may shower the next day. Most surgeons agree that implants under the muscle are in the best position for the long term health of the patient.

Dual plane augmentation

When slender women with slightly drooping breasts seek breast augmentation surgery, surgeons often combine these two routes, placing the implants partly behind the breast and partly behind the muscle. Through this combined approach surgeons try to give patients the benefits of both techniques. This is called a dual plane augmentation.

BEFORE BREAST AUGMENTATION SURGERY

Before going into breast augmentation surgery, it is very important to get a good nights rest. You must follow the instructions given such as limitations to food or medications the day before surgery. All of this is important to get the best results and have the quickest recovery possible when getting surgery.

On the day of surgery make sure you have a friend or family member drive you to the surgical facility. You may be very sleepy from anesthesia after the surgery. Before surgery, your surgeon will review the choices you selected and answer any final questions or concerns you may have.

Your body will then be marked and you will be guided through exactly what will happen during the surgery.