Breast Augmentation Q&A

Q. Is there any standard for choosing an incisional method for breast surgeries ?


- The incision is broadly divided into inframammary(under the breast)
and transaxillary(armpit) incision.
There is no major difference between the two incisions
when it comes to the result of the surgery.
In the case of transaxillary incision,
as the incision line(mark) can be hidden under the armpit wrinkles,
the scar can be less obvious after surgery
as it can be seen just like one of those armpit wrinkles.
Therefore, if you are concerned about the scar after the surgery,
I recommend going for transaxillary incision.


Whereas, for inframammary incision, the scar will be exposed a bit more.
However, the surgical scope essentially leaves the armpit area untouched
and is limited to the bottom.
Thereby, the advantage is that the recovery after the surgery is faster and less painful.



Q. Is there any other method other than transaxillary and inframammary incision ?


- In the past, the periareolar incision method was one of the widely used methods but recently due to many reports regarding the increasing possibility of capsular contracture and inflammation, the periareolar incision method is rarely used by breast specialists nowadays.



Q. When does the breast start to feel softer and more natural ?

- When the implant is inserted it takes about 3 months for the pocket to safely form
 and settle down.
Both the shape and the texture may feel hard, firm,
or a bit unnatural but as the skin gets loosened up
and the implant in the body gradually settles down, it will start to feel much softer. 



Q. Tell us about capsular contracture symptoms.


- Capsular contracture is when the breast gets abnormally hard
and the shape gets deformed.
After having a normal recovery for a duration of time,
all of a sudden the shape of the upper breast starts to get bulged
or intensively high riding and your breast becomes abnormally firm,
this is a case where we can suspect capsular contracture.



Q. Which has a more dangerous effect on capsular contracture, alcohol, or smoking ?

- There's nothing more or less dangerous.
Both alcohol and smoking can delay the recovery of wounds
and thus it's highly forbidden for a month post-op.
But it doesn't mean that they can increase the possibility of capsular contracture.



Q. When can we start wearing normal bras ?

- You wear a compression bra for a month after surgery.
Then, you should switch to a sports bra that has more support on the shoulders.
At 6 month mark, you can start wearing any normal bra you want.



Q. What is the difference between Dual Plane Plus and other insertion methods ?


- The implant goes through the muscles and the glandular tissue,
and the dual plane method literally means one muscle plane
and one glandular tissue plane which the dual-plane is divided into.
This is the classical method of breast surgery.


The Dual Plane Plus method adds a layer of fascia to that.
The Dual Plane Plus method gives a huge improvement to the implant's feeling
and appearance by placing the upper part of the implant under the pictorial muscle
and covering the lower part with fascia
which makes the implant covered twice which is by sub-fascia and sub-glandular layers.




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