CosBeauty Magazine #85

bellamedia

CosBeauty is the #BeautyAddict's guide to lifestyle, health and beauty in Australia.
In this issue:
- The Breast Report - your guide to augmentation
- Put an end to bad hair days
- 24 hour makeup, products that last
- Sex appeal - do you have it?

feature

surgeons also believe it offers them

greater control over the ultimate shape

of the breast.

Round implants come in smooth and

textured shells, but anatomical implants

have textured surfaces only to allow for

better integration with the surrounding

breast tissue. The implant may still flip

or move and distort the appearance

of the breast, so the surgeon must be

experienced with this type of implant.

The polyurethane foam coated

implant provides a texture specifically

designed to reduce rates of capsular

contracture. The foam coating means

the collagen fibres around the implant

do not line up, and are less likely to

slide over each other and contract.

Instead, the fibres assemble in a circular

pattern around the foam and are unable

to form a hardened capsule. There are

some differences in the surgical plan of

foam-coated implants; for example the

pocket size generally needs to be bigger

than usual.

Regardless of the type of implant

women choose, the shape, texture and

size can be customised to reflect her

individual body type and aesthetic goals.

4. Incision site

The three main incision options are the

inframammary crease (under the breast

where it meets the chest), periareolar

(around the nipple) and transaxillary

(inside the armpit).

Inframammary

The inframammary incision is by far

the most common breast augmentation

incision used today, made in the

crease under the breast close to the

inframammary fold. The surgeon creates

a pocket for the breast implant, which

is slid up through the incision, then

positioned behind the nipple.

This incision offers the best exposure

for visualisation and allows the implant

to be placed over, partially under or

completely under the chest wall muscle.

The scar is hidden in the crease under

the breast.

Periareolar

For the periareolar incision, an incision

is made just beyond the areola, which

is the darker area of skin surrounding

the nipple. The incision should be

made at the very edge of the areola

where the dark tissue meets the lighter

breast tissue, which makes the scar

least visible.

Similar to the inframammary incision,

the periareolar incision allows the

surgeon to work close to the breast.

It is possible for the surgeon to easily

and precisely place the breast implants

in various positions in relation to the

chest muscle. However, this is the only

incision that involves cutting through

breast tissue and ducts, and sensitivity

in the nipple may be reduced.

Transaxillary

The transaxillary incision is made

in the natural crease of the armpit

and a channel is created down to the

breast. This may be performed with an

endoscope (a small tube with a surgical

light and camera in the end) to provide

visibility. The implant is inserted and

moved through the channel into a

prepared pocket.

The greatest advantage of an

underarm breast augmentation incision

is that no scar is left on the breasts. The

scar is virtually invisible in the armpit

fold and lack of tension generally makes

for straightforward healing.

The transaxillary site is relatively

far from the breast, where the surgeon

needs to create a pocket for the implant,

so visibility is limited. There is also a

higher incidence of the implant being

positioned too high and a greater risk of

breast asymmetry after surgery.

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