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Breast Surgery
many importance point for body volume and line

Breasts augmentation

Shape, size, symmetry and projection need to be considered to make beautiful breasts.
Breasts are one of most important of symbol of feminineness with bottom,
volume and projection is very important in these parts. Shape, projection,
symmetry must be considered for preoperational design
Preoperative check list
01.Enough discussion about implants is necessary.
02.Patients must aware of advantage, disadvantage and types of implant(Silicone or saline)
Recently, cohesive gel is preferred as best implant material, this implant is known there is no
relation with cancer or autoimmune disease.
03.Incision site : Transaxillary Incision, Inframammary Incision, Periareolar Incision
04.Types of anesthetic : General or local with sedation
05.Thickness of skin around breasts
06.Difference between each breast.
07.Degree of sagging
08.Distant between sternal notch to nipples
09.Distant from midline to nipple
10.Diameter of breast tissue
11.Position of inframammary fold
12.Width of shoulder
Most important preoperative check list
01.Type and size of augmentation : In Aone, silicon gel (cohesive gel is used)
02.Positioning of implants : Aone use two positioning in breast augmentation muscle in case of small breasts,
and it is better to place it on muscle in case of big and saggy breasts.
03.Incision site : Inframammary fold approach is usually used in Aone.
Ty pes of Implants
01.Implant with saline solution
02.Implant with silicon gel
It is up to the patient to choose type of implant but silicone implant is a lot softer and looks beautiful Click here to see report of Breast Implants Safety >
Breast augmentation with teardrop implant
Size of implant
Size of implant is depends on patient’s dimension of breast, thickness of tissue and wishes of patients. But the most important thing is length and width of breasts
Surface of implant
There are two types of breast implants, one is smooth type, the other is textured type. It is known that textured one has less shrinkage but is it not proven for sure
Position of implant

1.Subglandular

2.Subfascial

3.Submuscular

Subglandular or subfascial implant is usually used for patient with enough soft tissue but in opposite case it is better to do submuscular implant
InIncision site
01.Inframammary fold incision
02.Periareola Incision
03.Transaxillary Incision
04.Transumbilical Incision

Aone prefers inframammary fold incision with reason below. When it comes to choosing incision site two things are important. Easy access and scar should be less visible. There are many different incision sites as explained above but inframammary fold approach meets two most important needs.

Advantages of inframammary fold approach are direct access, accurate pocket size, bleeding can be controlled. Incision site is not showing unless patients lie down or lifting breast. Also, inframmammary fold can be used only in case of reconstructive, or revisional opration in case of shrinkage or implant rupture. Therefore it is considered the most attractive incision site

Way of surgical operation

Click here to watch breast augmentation

After care
01.Inframammary fold approach doesn’t cause serious pain but it is enough with painkiller.
02.Patients can wear soft bra without wire.
03.It is better not to drive till a week after operation.
04.There is dispute about anti-biotic but it is suggested to take it for a week.
05.Massage is helpful after operation. There are some clinics that their operational method won’t need
massage but it is important to know that massage is helpful for recovery.
06.Severe exercise like aerobic is possible 4 weeks after operation.
07.Pain is not severe with inframammary fold approach but it can be controlled with painkiller.
08.There is no blood drainage.
09.Support garment is needed for a week.
10.In case of round implant, massage can be started after pain is gone.
11.There are 6 week, 12 week, 6 month, and 1 year follow up after operation.
12.Chest inspection is required every two years after breast augmentation.
Post operative massage
Complication
01.Hematoma
02.Infection
03.Capsular contracture
04.Implant exposure
05.Rippling or wrinkling
06.rippling or wrinkling
07.Changed sensation
08.Deflation or rupture

Surgical result

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