Types of Surgery For Breast Augmentation in Delhi
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.