Breast augmentation procedure includes using silicone implants
or fat grafting to increase the size and shape of the breasts. For women who
are not satisfied with their breast’s appearance, Dr. Ashok Tandon, MS Plastic
Surgery in Delhi is happy to help them achieve more shapely,
equally sized, and symmetrical breasts.
Types of Surgery For Breast Augmentation in
Delhi
There are three types of
conventional incisions for the introduction of the breast
implant: axillary (armpit), periareolar
(areola) or inframammary (breast fold).
Surgical incision and
positioning of the breast implant
Transaxillary (axillary hollow
- armpit)
Absence of scar on the breast.
Endoscopy Technique - Endoscopy
involves introducing a small camera through a small incision that transmits the
enlarged image to a monitor, which allows the surgical technique to be
performed accurately and thus reduce the risk of possible complications.
- Technique used for the majority of the patients
- Reduced risk of infection
- Reduced risk of excessive bleeding
- 2.5 cm scar at the level of the axillary hollows
(little or no apparent)
- Ability to start massages in the first days after
surgery
- Reduced risk of loss of nipple sensitivity (direct
visualization of the nerves)
- Breastfeeding possible after surgery
- In case of complications, such as: hematoma, rupture,
or displacement of the breast implants, it is always possible by endoscopy
to treat the complications by the same scar in the armpit.
- The spacing of the breasts is directly related to the
insertion of the pectoral muscle on the ribs. Therefore, after the
breast augmentation, the
distance between the breasts will be the same as before the surgery,
regardless of the insertion site (axillary, inframammary or
periareolar). However, when the implants are placed behind the
mammary gland, the spacing of the breasts can be decreased
Warning! The technique with
armpit incision without the endoscopy camera is not recommended, as there is an
increased risk of bleeding, mispositioning of breast implants and loss of
sensitivity.
Periareolar (around the
areola)
Non-endoscopic technique.
- Technique that may be associated with mastopexy
- Scar may be visible in some patients
- Increased risk of excessive bleeding and loss of
nipple sensitivity due to poor visualization of nerves
- Increased risk of infection due to passage through
the mammary gland
- Possibility of anomaly in mammography due to
cicatricial sequelae of the mammary gland
- Difficulty with breastfeeding
Inframammary (lower breast
fold)
Non-endoscopic technique.
- Increased risk of infection
- Increased risk of surgical field contamination by the
surgeon during surgery
- Increased risk of loss of nipple sensitivity due to
poor visualization of the nerves
- Increased risk of excessive bleeding
- Scar may be visible
- Possibility of poor positioning of the scar due to
the descent and positioning of the breast implant
- Difficulty with breastfeeding
The location of breast
implants
Whether sub-muscular,
sub-glandular or muscular sub-fascia, check out the pros and cons of implant
placement choices.
Submuscular
For patients with a volume AA / A
or B-
- Better recovery after the procedure of breast implant in
Delhi
- Natural aspect
- Lower risk of palpating folds of breast implants
- Ideal for patients with low mammary glands
- Better visualization of mammary tissue at mammography
- Breastfeeding possible
Disadvantages:
- Patient more suffering
- Increased risk of lateral displacement of implants
- Possible deformation of the breasts when there is a
contraction of the pectoral muscle
- Does not change the gap between breasts (the
difference remains the same before / after surgery)
Subglandular
For patients with a large amount
of breast tissue (volume B + or C).
Advantages:
- Patient less suffering
- Can improve the gap between the breasts
- Absence of deformation of the breasts during
contracture of the pectoral muscles
- Reduced risk of displacement of implants
Disadvantages:
- Non-natural appearance of breast in the long term
- Decreased visualization of mammary tissue at
mammography
- Higher risk of palpating breast implant folds
- Impossibility of breast lift (mastopexy) in
the future
- Possibility of increasing the risk of contracture of
the fibrous capsule
- Difficulty with breastfeeding
Muscular subfascia (novelty)
For patients with a large amount
of breast tissue (volume B + or C).
Same advantages and disadvantages
as the subglandular technique, but may be more natural, because the
muscular fascia could camouflage the contour of the breast implant.
Once the plastic surgeon in Delhi has
made the incision, it is to prepare the cavity to receive the breast implant
using specific surgical instruments. The breast implant with unfilled
physiological saline is inserted and positioned, either under the mammary
gland or under the pectoral muscle. Once in place, the breast implant is
then filled with physiological saline (by aseptic transfer) to obtain the
desired volume. The procedure lasts an average of one and a half hours and
is performed under general anaesthesia. Convalescence for endoscopic
breast augmentation is approximately one week.
ENDOSCOPY
The ultimate dream of the plastic surgeon in Rohini would
be to see disappear under his eyes with a single magic wand any surgical trace
or scar. For now, this aspiration is partly satisfied by endoscopy.
The basic principle of endoscopy is to make an incision
of a few millimetres to insert the instruments and a tiny camera that transmits
on the monitor the enlarged image of the internal structures of the
body. The surgeon thus directly visualizes the work he does without having
to make a large incision for direct vision.
Some plastic surgeon in Pitampura
refuse the technological advancement of endoscopic surgery for lack of
scientific knowledge or for financial reasons since this technique requires a
large investment and high maintenance costs.
