where will the incision or scar be located?
The incision in the breast fold is currently the most commonly used incision method for breast augmentations and has the following advantages:
- Better vision: during the operation, the plastic surgeon has a clear view of the cavity in which the implant is placed so that it can be perfectly tailored.
- With the latest generation of Joy Ergonomic implants, minimal incision ("minimal scar") is possible depending on the number of cc.
- If necessary, we also use the "sleeve method" and the "no-touch method". The no-touch technique was introduced to avoid implant contact and thereby reduce skin/breast infection. This is done with the sleeve method, namely the insertion of the implant using a sterile container (sleeve).
- As a result, less blood loss will occur. The risk of bleeding decreases so that drains usually do not have to be placed.
- The scar is also less likely to be visible in the natural breast fold than in the armpit.
The major disadvantage of the incision around the nipple (peri-areolair) is that breast and glandular tissue is cut, which can potentially reduce sensitivity in the nipple and interfere with later ultrasound mammography examinations.
The incision in the natural fold of the armpit (transaxillary) has the disadvantage that the distance from the incision in the armpit to the breast negatively affects the surgeon's ability to control the bleeding and to position the implant in the right place. If the scar in the fold of the armpit heals poorly, it is visible in bikinis or sleeveless clothing. If capsular formation were to occur, another incision (and therefore scar) would still be required.
The incision in the navel (transumbilical TUBA) is only used for saline implants. Again, the distance from the incision to the breast will negatively affect the surgeon's ability to control bleeding and position the prosthesis in the right place.
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