This procedure is requested very frequently. The incision line and access are decisive factors in the success of the operation. In the manual and video, we present the simplest and safest type of access. This involves making a small incision in the inframammary fold and, with supramus-cular insertion, clean dissection between the fascia and the gland. With submuscular access, the implant is inserted below the pectoral muscle, after this has been carefully detached at the medial and caudal attachment.
The video shows supramuscular access, as this is the easiest surgical technique for novices and provides an aesthetically pleasing result if the skin condition is good.
In a clinical study on our patients, we were able to establish that there is no significant difference in the rate of fibrosis in submuscular and in supramuscular access. The rate of fibrosis among our patients was less than 4% for both these methods.
The choice of implant is also important. Only licensed implants should be used. We would advise against using cheap implants and implants that have not undergone long-term testing.
The concept of breast augmentation described in the manual can be used as a basis. Experience is very important, particularly in breast surgery, as regards the shape of the implant (round, low profile, high profile, anatomical, etc.) and the best position.
In addition to an access incision in the inframammary fold, naturally the incision can also be made above the nipple or via the axilla. This requires additional experience and practice. The wound is sutured intracutaneously with 4.0 Monocryl. The sutures are not tightened and the incision can be treated with a silicone plaster 4 weeks after the operation for 2 months. Usually, there is no residual visible scar.
The procedure is performed under conventional anesthesia and with antibiotic cover. The patient should wear a specially fitted sports bra for 4 weeks after the operation.
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