Breast Augmentation Surgical Procedure

During your consultation Dr. Waltzman will discuss with you the advantages and disadvantages of placing of the implants above the chest muscle or underneath it.  There are several factors which go into making this decision which Dr. Waltzman will be able to determine at your consultation.

The other major decision is where to place the incision.  The choices include:

  • The inframammary fold (beneath the breast)
  • Periareolar (around the areola)
  • Transaxillary (in the armpit)

Each of these approaches has its own risks and benefits.  For the majority of cases Dr. Waltzman prefers the inframammary fold incision beneath the breast.  This incision location provides the best view to Dr. Waltzman while he creates the pocket to hold your implant.  It also has the least chance of damaging the milk ducts and has the lowest infection rates.  When appropriately designed, the inframammary incision heals extremely well and is in a location that is not visible when looking at the breast.  If a patient has had a prior breast augmentation then often times the original incisions are used to avoid placing additional scars on the breast.

The surgery is typically performed as an outpatient under general anesthesia.  This means that you are completely asleep for the surgery and then go home the same day. Incisions are placed in discreet areas, including natural creases, to minimize visible scarring. Most commonly the incision is placed in the fold beneath the breast.  A pocket is then created which will eventually hold the implant, either above or below the chest muscles. Often times a temporary implant sizer is placed in the pocket which allows Dr. Waltzman the opportunity to find the appropriate implant volume before selecting the final implant size.  The sizer is then removed and the permanent implant is placed into the pocket.  The incisions are then closed in layers with absorbable sutures. The results will be immediately visible, although some swelling is normal and expected. Over time the incisions will heal and fade, the swelling will subside, and the implants will settle into their pockets.