Dr. Mordcai Blau – Gynecomastia Surgery Blog

Breast Implants Information by Dr. Mordcai Blau

The best outcome in most aesthetic procedures is achieved with a well informed patient. A complete and thorough understanding of Breast Augmentation is relevant and desired by most inquisitive patients. Your questions and concerns will be discussed during a comprehensive consultation, and you will be provided with reading material to help you fully understand this procedure.

The breast implants are saline filled with a silicone rubber shell and a valve for adding saline solution. The size is selected in proportion to your body frame and body shape. Dr. Blau’s prefers periareolar (under the of nipple) insertion of the implant. The length of the incision is kept to about one inch. Scars resulting from the periareolar entry are usually less noticeable than other entry points (circumareolar, axillary, IMC / IMF).

The implant can be placed in the subglandular (under the breast tissue, external to the pectoralis muscle), subpectoal (under the pectoralis muscle), or dual plane position (partially under the pectoralis muscle / partially external to the pectoralis muscle). Each position has unique characteristic more appropriate for certain patients with respect to physical activity, desired breast dynamics, and other factors. Dr. Blau’s location for the breast implant is most often, subpectoral, which placement offers benefits in better concealment of upper pole rippling (unnatural surface appearance sometimes present when moving), and markedly less ptosis (sagging – caused by gravities weakening the Cooper’s ligaments in the breast over time), than subglandular augmentation. The result in most patients, is a more natural look and feel. However, the location of the implant is ultimately determined by the needs of each individual patient.

Nipple and breast sensation is important to most women. A part of the determining factors of the site of entry, implant placement, and implant size is limiting loss of NAC (nipple-areola complex) sensation. Implant volume was found to be highly predictive of sensory outcomes, with an inverse relationship between implant size and the degree of sensitivity within the NAC. While hypoesthesia often occurs initially during recovery, it is frequently transient and normal nipple sensation can be attained during the final phase of healing.

Conclusion

Recovery time varies, despite this variance, many patients are able to return to work within a weeks time. It is very important to avoid strenuous activity like weight training, jogging, sexual intercourse, for a few weeks. The individualized instructions and information packet given to you may be used as a guide prior to and after the operation to maximize the positive outcome of the procedure. The staff and plastic surgeon, Dr. Blau, are accessible and supportive throughout the process.

You will be provided with personal reference numbers upon request. Many former breast implant patients are willing to answer your questions and address your concerns. Provided expectations are realistic, Breast Augmentation can not only enhance the way a person looks (aesthetic enhancement), but also the way she feels about herself (positive psychological and emotional experience).

Figure. Patient preoperative and postoperative photo (1-years time). Notes: Ptotic breast improvement, with markedly fuller upper pole thickness, enhance IMF, enhanced medial cleavage, minimal periareolar scarring, natural appearing breast, breasts dynamics appear realistic and natural (no rippling present), firm upon palpation, patient retains NAC sensitivity.

Please watch Dr. Blau’s lastest YouTube video for more information about breast implants and breast augmentation.