Breast Augmentation
The Surgery
Dr Goldman performs all Breast Augmentation procedures in an accredited hospital facility, using general anaesthesia. The procedure usually takes between one and two hours. An incision is first made, a pocket is then carefully created and the implant is inserted. The pocket is then carefully modified to accommodate the implant. The incision is then closed with sutures. 
The pocket for the implants can be placed either:
a) Submuscular: under the pectoralis muscle (see Diagram I), or
b) Subglandular: on top of the muscle, behind the breast tissue(See Diagram 1).
As long as the nipples are above the level of the fold under the breast, most patients favor placement of the implant under the pectoralis uscle. This tends to give a softer result over the long term. However, if the nipples have become lower over time (from pregnancy and breast-feeding), and now rest at or below the level of the breast fold, then it can be advantages to place the implant on top of the muscle (subglandular). The sub-glandular placement position lifts low-lying nipples more effectively than the submuscular position. Dr Goldman will explain these positioning aspects in detail during your consultation.
There are three possible incisions methods that can be used in Breast Augmentation surgery: (see diagram II) 
a) Transaxillary : under the arm
b) Inframammary : under the breast just below the breast fold
c) Periareolar : around the lower edge of the areola
In the vast majority of cases, Dr Goldman prefers the Inframammary method as this method has a number of advantages to the patient. Regardless of the approach chosen, the incisions are relatively small and generally heal extremely well.