Trans-axillary breast augmentation utilizes the axillae for placement of mammary prosthesis. The procedure is performed with an endoscope that allows visualization of the distal ends of the breast pocket. In general, we tell patients that in order to be a good candidate for trans-axillary breast augmentation, the breasts have to be relatively symmetric to being with. In addition, the breast…
There are many clinical scenarios where a patient chooses to revise or improve upon her previous breast augmentation. One of the more common reasons for a patient to desire revision of her breast augmentation is when the breast implants have palpable or visible rippling. Rippling of the breast implant can be related to the patient’s body habitus, for example in…
Silicone mammary prosthesis or silicone breast implants are a medical device. Over time the outer shell of the implant can become weak and tear or rupture. When this happens, the body can recognize the silicone gel as foreign, and the body can form scar tissue around the implant. The body can form scar tissue around the implant even if there…
Liposuction is a common aesthetic procedure. We are all born with deposits of fat that are much more difficult to get rid of than in other areas of our body. Women athletes are quite a disciplined group of individuals who inspire me. Women athletes not only have very busy careers, but also seem to find time to raise a family…
Breast augmentation is a common aesthetic procedure performed in our practice. The most commonly used implant is a smooth silicone gel implant. There are several options for the incision choice in breast augmentation with silicone gel implants. The three choices are inframammary crease, periareaolar, and transaxillary. There are different benefits to each incision. It is helpful to select an implant…
There are many occasions when patients acquire infections in their breasts. This can occur from previous mastitis during breast feeding or from previous galactocele, intraductal papilloma, or previous breast trauma. When the breast has been previously infected, scarring between the skin and the chest wall can occur. This can cause breast asymmetry and deformity of the breast. If the infections…
Trans-Axillary breast augmentation allows implants to be placed through the armpit without a visible scar on the breast or chest wall. Revision of the implant is possible through the same trans-axillary incision but can be challenging. Silicone implants can be placed through the trans-axillary incision, but the volume may be slightly limited. Patient satisfaction is high with the trans-axillary incision.…
Breast augmentation is a common procedure to improve the shape or appearance of the breast and increase the breast size. There are many incision choices for breast augmentation. One of the more common incision choices is periareolar. This incisions tends to heal very well with minimal scarring. Patient satisfaction is quite high with breast augmentation.
Secondary mastopexy augmentation is when a mastopexy augmentation is performed in a previously augmented or operated breast. In these patients it is important to take significant attention to the previous plane of the implant and previous incisions to be able to discern the remaining blood supply to the breast. In the secondary mastopexy augmentation it is quite common to perform…
Secondary breast augmentation procedures are common. A secondary breast augmentation procedure commonly occurs when patients have had there breast implants in place for greater than 10 years. Both saline and silicone gel implants are surrounded by a silicone elastomer shell. Over time, with repeated folding, the shell can break. If a patient has saline implants, a break in the shell…
