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 breast implant is inserted. The pocket is then carefully modified to accommodate the breast implant. The incision is then closed with sutures.
The pocket for the implants can be placed either:
- Submuscular: under the pectoralis muscle, or
- Subglandular: on top of the muscle, behind the breast tissue.
The positioning of implants over or under the pectoral muscles is controversial amongst Plastic and Cosmetic Surgeons. Dr Goldman now almost exclusively places implants over the muscle, not beneath. 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. Please read the informative blog Under vs Over the muscles; Important Issues.
There are three possible incisions methods that can be used in Breast Augmentation (Breast Implants) surgery:
- Transaxillary : under the arm
- Inframammary : under the breast just below the breast fold
- 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.