All Breast Augmentation procedures involve the placement of a small incision through which a breast implant is inserted during surgery. The incision can be made in one of four possible places on a woman’s body:
A permanent scar remains after surgery where each incision was placed. At the Toronto Cosmetic Surgery Institute, Dr. Jugenburg is an expert at creating minimal scars that are beautifully concealed and virtually undetectable. The technique that is chosen for your surgery will therefore depend on:
It is possible that your breast enlargement may be suitable for more than one approach, in which case, you will be able to decide where you would prefer your scars to be concealed.
An incision is made in the armpit and a tunnel is then created into the space (the breast pocket) under the chest muscle. This approach is the best way to hide the scars; there are no scars on or under the breasts, and the scar in the armpit heals beautifully to a point where it is undetectable to the naked eye. For this reason, the Trans-Axillary technique can be described as a virtually scarless Breast Augmentation and is the preferred approach of Dr. Jugenburg.
A small incision is made around the lower border of the areola (between the dark areola skin and lighter breast skin). This is an effective way to conceal the scar, especially in women who have a more pronounced contrast between the color of the areola and skin.
Peri-Areolar surgery is preferable in women who do not have a well defined breast fold and in whom an Infra-Mammary incision would therefore be difficult to hide.
A small incision is made within the breast fold, providing direct access and easy implant placement into the pocket either above or below the chest muscle.
This is the most popular approach to Breast Augmentation (for women having a well defined breast fold).
A small incision is made inside the belly button. A narrow tube is then temporarily placed under the skin towards the breast, through which a surgical instrument is inserted to create the pocket for the implant. A saline implant is then folded up and inserted through the tube into the pocket under the breast.
Dr. Jugenburg does not perform this approach because of its obvious limitations.
The following questions and answers will give you an insight into other common concerns regarding the long-term care of breast implants among post-operative Breast Augmentation patients. If you have a question that is not answered here, please contact us.
Silicone breast implants, which come in pre-filled profiles and sizes, require longer incisions than saline implants, which can be filled after insertion under the breast area (i.e., once inside the breast). Larger silicone implants can be problematic for the Trans-Axillary approach; however, this will depend on the anatomy of each patient.
All Breast Augmentation procedures are performed using the No-Touch Technique. Using this technique, breast implants are transferred from their sterile packaging directly into the breast pocket to minimize the risk of bacterial contamination and therefore, Capsular Contracture formation. For further information, please refer here.
The Bloodless Breast Augmentation technique, which is believed to lower the risk of Capsular Contracture, is useful for surgery performed through the areola (Peri-Areolar) or breast fold (Infra-Mammary), but is not compatible with surgery performed through the armpit (Trans-Axillary). For further information, please refer here.
No. You should not submerge your breasts in any water until your incisions are completely healed (meaning, you have no open wounds or scabbing areas); this generally takes 2 – 3 weeks. It is advisable to wait for 1 month before using hot tubs because these typically harbor more bacteria than pools.
You will be able to take a shower a few days after surgery, but must make sure to thoroughly dry your wounds and dressings. In some cases, Dr. Jugenburg uses waterproof dressings; he will advise you if this is the case.
Until your wounds have properly healed after surgery, you should not run, jump or perform any other vigorous physical activity that will raise your blood pressure, make your breasts bounce, potentially break open your wounds, and/or dislodge your implants. You should also avoid lifting your arms above shoulders height, especially if you have an armpit (Trans-Axillary) wound, or perform any other movements, particularly sudden movements, that will stretch the skin around your wounds.
In addition to Dr. Jugenburg’s expertise at creating beautifully concealed, virtually undetectable scars, we offer the silicone-based skin gel Kelocote to all our patients. Although vitamin E, Bio-Oil and other products are available over the counter, silicone creams and gels are the only substances shown to be effective in scientific studies. Kelocote is applied over a healing scar to promote the flattening of the scar and any discoloring to vanish, thereby minimizing the scarring process.
Massage after surgery, in addition to silicone-based treatments, are likely the best tools to fight more prominent scarring, but you should use these only when informed to do so. Shouldsuch treatments be necessary for your scars, during one of your post-operative follow-up visits at the clinic, you will be advised both on the application of the gel and, if appropriate,on scar massage techniques.
The average length of incision is 3 – 4 cm (1 – 1.5 in), but the length of your scars will depend on your chosen breast implant profile, size and type. Saline implants of all sizes typically require very small incisions, whereas silicone implants require longer incisions and a skilled Plastic Surgeon, such as Dr. Jugenburg, to effectively conceal them.
Following surgery, Breast Augmentation scars are red and normally a little raised, but over 3 – 6 months they usually fade and flatten out, becoming thin, barely visible lines. For all incision placements, the scars are usually beautifully concealed within the natural contours of a woman’s body.
All scars are visible initially following surgery. Thereafter, some patients heal with virtually invisible scars, while others are more prone to prominent scarring. Past scarring from previous injuries and/or surgeries may be indicative of how prone an individual may be to visible scarring and can influence the decision on where best to make the incisions during Breast Augmentation surgery.
Dr. Jugenburg is a highly experienced plastic surgeon who always takes the time to get to know his patients and their needs before committing to any kind of surgery. At your consultation, you will have the opportunity to meet with Dr. Jugenburg, and let him know about the look you want to achieve. The doctor will guide you through the whole breast augmentation process: from the preparations you will need to make, through to the surgical procedure and aftercare. You will have the opportunity to ask any questions and raise any concerns you might have with Dr. Jugenburg and his team of highly qualified and friendly healthcare professionals.
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