Augmentation mammoplasty

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  • MD hospital analyzes the characteristics of various implants as well as the body type, constitution and character of individual patients to provide augmentation mammoplasty for creating breasts with beautiful shape and soft texture. The patient can consult with the doctor to decide the type of implant, the place of incision and the size of implant.
  • Implant insertion site
  • Types of incision sites
  • Types of implants

Implant insertion site

The implant can be inserted below (submuscular method) or on top (subglandular method) of the breast muscle (greater pectoral muscle).

  • Case1) Submuscular insertion method
  • As the method for inserting the implant below the greater pectoral muscle, this method is preferred by Asian women with fine breast tissue in that muscles are added on top of the implant to present a more natural water-drop shape from the side. Although patients may experience more pain and take a longer time to recover due to the simultaneous expansion of breast tissue and muscle, this method is normally used in that it presents relatively lower rate of capsular contracture.

  • Case2) Subglandular insertion method
  • This method inserts the implant under the breast tissue on top of the greater pectoral muscle. As this method does not include muscle expansion, surgery is simple and patients experience less pain after surgery. However, this method presents a high rate of capsular contracture and causes a bubbling feeling of implant in Asian women who possess fine breast tissue. Moreover, as this surgical method tends to create unnatural breast shape, it is rarely used. Patients that do not experience pain after surgery or received the surgery through sedation anesthesia are likely to have received surgery through the subglandular insertion method.

  • Case3) Dual plane
  • This method is used for patients with small, drooping breasts that present a short length from the nipples to the inframammary fold. This method creates a natural curve by inserting implant below the muscle for top 2/3 of the breast and lifting the implant above the muscle in the lower 1/3 of the breast.

Types of incision sites

The incision sites for implant insertion include armpit incision, areola incision, inframammary incision and navel incision.

  • Case1) Armpit incision
  • This method is preferred by single women as it does not leave scars on the breasts or touch the subglandular tissue. In particular, the armpit tissue presents relatively good blood circulation to leave fewer scars. As the endoscope-based surgical method became more common recently, it overcome the difficulty of securing a clear view, the weakness of the armpit incision method.
  • Case2) Areola incision
  • This method is appropriate for models or celebrities that frequently expose their armpits as scars are formed in the areola area. Furthermore, it is more suitable for augmentation mammoplasty rather than revision surgery or breast lifting surgery. This method can be used to improve the shape of breast and is useful in the implementation of augmentation mammoplasty that is combined with the multi-layer breast enlargement or breast lift.
  • Case3) Inframammary incision)
  • The scarring left by this method is more noticeable when compared with other incision methods. Although this method is not used in Asian women due to large scarring, it is implemented when difficulties are presented for armpit incision and areola incision cannot be achieved due to the small size of areola.
  • Case4) Navel incision
  • Although this method is advantageous in that scars are formed in the navel area, this method presents difficulties in forming line below breasts and can only insert saline solution. As the cohesive gel is normally used in the present day, this method is rarely used.

Types of implants

The outer layer of the implant used in augmentation mammoplasty is formed of Silicone elastomer and the content includes liquid silicon, cohesive gel, normal saline solution and glucose substance called hydrogel.

Currently used products

  • Cohesive gel
  • First developed in 1993 by the McGhan Company (currently called Allergan company) in the U.S., the cohesive gel is advantageous in that it is difficult to rupture in relation to the solid outer layer formed by the high level of cohesiveness of gel substance. Approved in July 2006 after being experimentally used by 2006, the cohesive gel is a breast implant that is commonly used for its outstanding texture and increased level of safety. Patients can choose from the smooth type or rough texture type according to the quality of the outer layer.
  • Normal saline solution
  • Filled with the normal saline solution identical to human body substances, this product presents high level of safety but unnatural texture. Patients can choose from the smooth type or rough texture type according to the quality of the outer layer. As the saline solution is filled in during implant insertion after the outer layer is inserted, this product presents a smaller incision line when compared with the cohesive gel.