What is the best incision For Breast Augmentation?

Posted by Andrew Jimerson II, M.D. on Sunday, January 31, 2010 at 8:53 pm 

If you were to poll ten plastic surgeons, you would get ten different answers. Each plastic surgeon has their own philosophy. My best advice is to make your decision after talking to your plastic surgeon decide. This is a big decision and you must consider not only the positives, but also the negatives.

The only advantage to the transaxillary incision is that you don’t have a scar on the breast. There are, however, many negative to this approach: (1) a scar in the axilla can be seen when raising the arms, (2) if the scar becomes hypertrophic it may interfere with shaving, (3) the implants have a tendency to ride high because of the dissection during implant placement, (4) it is hard to place large silicone implants through this approach, (5) surgery time (and hence, your cost) tends to be longer, and (6) subsequent surgeries tend to require a second incision. In other words, when it’s time to have your implants replaced, it is unlikely that your plastic surgeon with use this approach again – especially if you needs a breast lift or capsulectomy. The result is that now may end up with two incisions.

The periareolar incision is a good approach, especially if you need a small lift at the same time. When it heals well it looks great. But there are a few things to consider. This approach puts the incision right on the breast. Therefore, if the incision doesn’t heal well (scar hyperthrophy, widening, darkening) you will see this every time you looks in the mirror. There is also an increased risk of infection. Nevertheless, if you have dark, moderately sized areolas, this could be a good approach.

Usually, I recommend the inframammary (under the breast) approach because it is quick, straightforward and the scar is well hidden when looking at the breast straight on. It is also easy to perform a revision through this approach. When I combine this approach with a dual plane breast augmentation (for ladies with some sagging after children) this gives a very nice predictable result.

Hope this helps
Dr Jimerson

How much does a Mommy makeover cost?

Posted by Andrew Jimerson II, M.D. on Sunday, January 17, 2010 at 9:24 am 

It is impossible to give you the exact cost of a Mommy Makeover because it entail so many variables. If your breast lack fullness, then you may only need a breast augmentation; but if they are saggy or your nipples point downward, you may also want a breast lift. Some people only need a c-section scar revision, while others need a full tummy tuck and liposuction in various places. The bottom line is that everyone is different. Before going to see you plastic surgeon, figure out what bothers you and rank them according to importance. Next, find a plastic surgeon who you feel comfortable with. Look at their before and after photos. Remember, Choose your plastic surgeon based on technical skill, bedside manner and patient outcomes. Never pick a surgeon based on price.

Hope that helps
Dr. Andrew Jimerson II

Natural Looking Breast Implants

Posted by Aziza on Friday, October 30, 2009 at 1:11 pm 

Dual Plane Breast Technique

If you are lacking fullness in your breast, than Breast Augmentation is a great procedure to help accomplish this goal. Breast Augmentation helps to fill out the breast with implants. Breast Augmentation does not in general change the shape of your breast or improve significant sagging.

There are several ways to place the implants. Dr. Jimerson performs the Dual Plane technique due to the fact that this technique is fantastic at achieving very realistic and natural looking breast.

 
What is Dual Plane?

 

 

 

 

 

 

Patient 6 weeks and 3 months after dual plane procedure. Very natural looking breasts.

With dual plane Dr. Jimerson positions the implants partially below the pectoralis major muscle (submuscular) which covers the upper half of the implant, and leaves the bottom half of the implant free to descend under the natural breast (subglandular) at the same time hence the name dual plane.

This technique gives the implant better coverage, especially if you have little to no breast tissue, and gives the breast a more natural look. It also can help lift breast that have a very mild case of breast sagging (ptosis). This method will not help lift breast with significant sagging. This requires a breast lift.

Another advantage of this approach is that it allows for practically no rippling, decreases the likelihood of the breast falling of the implant and a lessens the risk of capsular contraction. With the placement of the implant partially under the muscle it gives the implant more support than a subglandular placement.

The first picture shows a patient who came to Dr. Jimerson for implant removal/replacement and a lift, due to the fact that her breasts were falling off her current implants.

                             

The second picture shows the patient 6 weeks after Dr. Jimerson performed a lift and removed and replaced her old implants performing the dual plane technique

The dual plane technique creates very natural and realistic looking breast. By partially placing the implant below the muscle it helps to hold the upper half of the implant up, creating a realistic natural slope and the lower half of the implant is able to slide into the breast pocket creating natural roundness and fullness on the lower half of the breast. This approach creates beautiful natural looking breast instead of obviously enhanced breast.

Call us at 678-205-8400 and ask us about our Breast Augmentation specials running through Decemebr 31, 2009.