Breast care|Breast surgery

The implant may be placed under the breast tissue (subglandular augmentation mammoplasty) or under the muscle (submuscular augmentation mammoplasty). 

The submuscular technique involves the insertion of an implant into a pocket created under the muscle over which the breast sits and has been the preferred technique for a number of years. 

The submuscular technique tends to be more popular because the breasts look and feel more natural, have natural cleavage, and the incidence of subsequent breast hardening is dramatically reduced as compared to the subglandular approach

Breast Replaced surgery and the submuscular implant, however, has drawbacks as well. 

There tends to be more surgery.  On contraction of the chest wall muscle (pectoralis major), the implant underneath the muscle is squeezed flat and pushed sideways.  Some women find this unattractive. 

Submuscular implants affect the performance of such athletes as competitive swimmers and professional weight trainers, who depend on the pectoralis major muscle.

Breast Replaced surgery and a new technique for inserting the implants has revived the popularity of the subglandular augmentation. 

The transumbilical breast augmentation (TUBA) technique involves the feeding of the implant up to the breasts through an endoscope which is inserted into an incision in the belly button and fed up to the breasts under the skin. 

The scar is virtually undetectable and the surgery itself is less invasive than the other techniques. 

The disadvantage is that accurate placement of the implant may be difficult to achieve.

What is the size of the implant?

Breast care and Size is determined by the woman’s desires and the surgical possibilities.  The size of the pocket in which the implant in placed is determined by the size of the breast and chest wall.

The implant must fit comfortably into the packet.  An oversized implant is not stuffed into a small pocket and a small implant is not placed into a large pocket.  The implant must fit the breast. 

Breast Replaced surgery and this will normally create a breast in keeping with the patient’s build and chest wall size. 

Women who request a breast size larger than average will require exceptionally large pockets fashioned under the muscle with subsequent insertion of an oversized implant.  The result may not be very attractive in Breast care.

What is the procedure for surgery?

• The incision for breast enlargement may be made in the inframammary fold under the breast where it attaches to the chest wall, around the nipple (known medically as peri-areolar), from the outer edge of the armpit (the transaxillary approach) or directly across the nipple areola. 


• The most common incision is a cut 4 centimeters (1 ½ inches) in length along the inframammary fold.  This makes it easy to create the implant pocket under the muscle, does not disturb the breast tissue too much, and the resulting scar is inconspicuous. 
  
  The transumbilical (TUBA) technique places the incision in the umbilicus of belly button.  The pocket for the implant is created through an endoscope and the silicone bag is put in place.  Then saline solution is pumped into the bag to achieve the desired size and shape.

• Once the implant is in place the incision is usually closed with absorbable sutures and skin tapes.  It is then covered with a light dressing, and a soft elastic bra is placed over the breasts.

• Some surgeons ask their patients to massage the breasts 3 or 4 times a day during the post-operative period, although this is not usually necessary if an adequate pocket has been made for the implant.

• After one week most swelling and bruising of the breast has subsided.  It is not advisable to purchase a new bra in a larger size for at least 3 weeks after surgery to ensure that all swelling has disappeared.  A final check of the breasts is made at 6 weeks.

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