The breast augmentation procedure takes about one to two hours and involves placing a saline or silicone implant to change both the shape and size of the breast. First, anesthesia will be administered for your comfort – usually general anesthesia. Dr. Passaretti will use one of several incision options to place your implants. After the incision is made, an implant is placed into a pocket either above or below the chest muscle. After the implant is in place, the incision is closed with sutures and surgical tape. Although your appearance will improve in the upcoming weeks as any slight swelling goes down, the results of breast augmentation are immediately visible.
Common Types of Incisions
Inframammary incisions are created beneath each breast, in the crease where the tissue meets the ribs. This type of incision can be used to place both saline and silicone implants.
Although saline implants can be rolled or folded up for insertion, and then filled after they are placed within the breasts, silicone implants are pre-filled. Inframammary incisions are the most common type of incision used.
During an in-depth consultation, Dr. Passaretti can help you understand what type of incision is best for your needs.
Although they are generally larger than other types of incisions, Dr. Passaretti is able to conceal any scarring within the natural contours of the breast. Inframammary incisions can be used to place implants either above or below the breast muscle, depending on a patient's goals. This type of incision can be reused in the future for revision augmentation or implant replacement.
Periareolar incisions are created around a patient's areola, which is the colored area that surrounds the nipple. This technique is especially helpful for Dr. Passaretti to carefully hide the appearance of any scarring. The natural change in skin color and texture at the edge of the areola helps to hide the incision. Although periareolar incisions are typically restricted for saline implants, Dr. Passaretti's extensive experience with this technique allows him to safely use silicone implants for a more natural result. Patients are frequently concerned about loss of nipple sensation with this technique, however, if properly performed this should not be an issue. This incision may be the most well hidden of al the incision locations because it is only exposed when a women is fully disrobed. For some patients with a small areola this may not be an option.
Periareolar incisions are located close to where the implants will rest, so Dr. Passaretti is able to place the implant with great precision. Like inframammary incisions, periareolar implants can be used in the future for revision surgery.