HOW AN INFRAMAMMARY APPROACH BREAST AUGMENTATION IS PERFORMED

24 December 2017 / / Wonder Breast Channel

When it comes to performing a breast augmentation surgery, surgeons use different kinds of techniques to deliver satisfaction to the patients. There are traditional techniques and there are those that have been developed over the years to deliver a more satisfying and long-lasting result.

Of course, just like any other kind of surgery, breast augmentation requires the surgeon to create an incision. Among the most commonly performed techniques that most plastic surgeons use today is the inframammary incision. Let me give you an idea about this technique.
Once the patient is prepped and draped, the surgeon will create an incision at the inframammary fold. This technique provides a direct access to the breast where the surgeon can insert the breast implant. Of course, prior to the surgery, the incision has been pre-marked. The dissection is made parallel to the chest muscle and it goes down all the way to the breast tissue. Once the chest muscle is identifiable, it will be detached from the lower border all the way to the midline to the side of the breast completely.

The submuscular plane will also be dissected. It is found inside the breast pocket. Essentially, this plane is an avascular plane. There are certain vessels that you will see coming through the chest wall that needs to be cauterized to avoid bleeding and hematoma after the procedure. In case a saline implant will be used, this is where the bag is placed. To irrigate the implant, an antibiotic solution is needed. Only then will the implant be inflated to the desired breast size.

The inframammary incision will be closed in multiple layers. The closure starts from the deep layers all the way to the superficial layers. The incision will be covered with dressings and after a few hours, the patient can be allowed to go home.

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