Location implant - a question that has always interested in women. The implant can be installed under the mammary gland, i.e. subglandular, can be installed under the pectoralis major muscle fascia (subfascial), or under the pectoralis major muscle (submuskulyarno). To achieve the most natural result, the implant should be properly covered with soft breast tissue. Failure to comply with this criterion edge of the implant can be seen or felt.
Installing the breast implant under the mammary gland . This method has considerable drawbacks, especially when the thickness of the soft tissue cancer is not sufficient for full coverage of the implant. The defect may be noticeable visually or by palpation. In addition, complications may occur, such as fibrous capsular kotraktura, waves, violation of the sensitivity of the nipple.
Install the implant under the pectoralis major muscle It became popular when it became clear that it avoids the shortcomings of the implant under the gland. Disadvantages implants under the pectoralis major muscle is a big trauma surgery, postoperative period is more severe than in the implant under the breasts, as well as the fact that the reduction of the pectoralis major breast may flatten or deform. If surgical techniques in the pectoral muscle will be executed correctly, the implant can be shifted upward or downward and outward.
Install the implant under the pectoralis major muscle fascia . Today this method Breast Augmentation - Optimal. The implant is placed under the fascia, does not threaten the deformation of the breast, as the fascia of the pectoralis major is a well-defined layer. It covers the implant securely, reliably conceals it under the skin, and the implant is completely sheltered soft tissues. The fascia acts as a soft tissue layer between the implant and the skin, it increases the elasticity of the covering tissues, thereby reducing the degree of visualization of the implant edge.
When the implant under the fascia postoperative chest will not deform while reducing the pectoralis major muscle. Complications in the form of displacement of the implant under the influence of the reduction also avoided, breasts look beautiful and natural as possible.
Subfascial implant placement: as it happens
Install the implant under the fascia of the pectoralis major muscle can be accessed through the armpit - the so-called transaksilyarny method. Either in the crease under the breast - (submammary method), or at the lower edge of the areola (periareolar method). The choice of method depends on the patient's desires, its anthropometric characteristics and number of pregnancies.
Endoscopic breast augmentation through the axillary access ideal for women with small breasts, as well as for women with flabby skin, but without the omission of the mammary glands. The advantage of endoscopic breast augmentation through the axillary approach is that it avoids the scarring on the breast.
Access to the crease under the breast It allows you to install larger implants. When breast augmentation through the axillary access or access through the crease under the breast parenchyma of the breast is untouched.
Access via the areola for patients with minimal breast ptosis poured as if the areola.
Features postoperative care
After Breast Augmentation it is recommended to wear a special compression underwear for 1 month. If you have performed an endoscopic breast augmentation through the axillary approach, recommended to wear a compression elastic bandage at the upper slope of the breast for 10-14 days, let that hold the implant in the correct position. After one month, movement of hands are settled in full.
Possible complications
One of the complications of breast augmentation is displacement of the implant . Offset implant down may occur in patients with loose skin. Displacement of the implant up characteristic of endoscopic breast augmentation through the axillary access. Other complications such as capsular contracture, hematoma, decreased sensitivity of breast asymmetry, seroma, infectious complications are rare.
What is significant: after the research plastic surgeons have come to the conclusion that the least amount of complications encountered during the installation of implants under the pectoralis major muscle fascia.
Commented plastic surgeon Alexander Grudko :
Install the implant under the fascia of the pectoralis major muscle for breast augmentation to create a natural breast shape and provide good coverage of the implant tissue. In addition, the fascia of the pectoralis major muscle eliminates the possibility of damage to the implant while reducing the pectoralis major muscle. The frequency of possible complications are not higher than that with other methods installation of implants for breast augmentation. Compared with the installation of the implant under the pectoralis major muscle, subfascial technique allows to create a better contour of the breast, and the result looks more natural. The incidence of long-term complications, capsular contracture, which is typical for subglandular implants, when applying this technique is much lower.
Plastic surgery
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