Sub muscular Breast Augmentation through Axilar approach
Placing a breast implant mammary by means of an axillary approach has, as main advantage, the location of the incision in axillary fold. The implant is placed below the pectoral muscle providing an adequate filling, volume and projection to the inferior pole. The submuscular plane is preferred when the patient has a small mammary gland or is very thin, thus avoiding that the edge of implants could be evident in the superior quadrants of the breast and limiting the potential for injury to nerves to the skin and nipples
Get a Breast implant with out any scar in your breasts
Surgical Technique
an incision of 2 inches is placed in the axillary fold. The dissection continues until finding the edge of the major pectoral muscle. The inferior aspect of the muscle is approached reaching the subpectoral plane. The plane between major pectoral is released leaving the minor pectoral intact. The insertions of the major pectoral muscle to 4ª, 5ª and 6ª ribs are released with a blunt dissector. Hemostasis is controlled and the regularity and symmetry of the created pocket is controlled. The implants are placed by the same incision which is sutured in the most imperceptible way. A bandage will maintain the implant in place avoiding rotations or displacement. This bandage will stay for 3 weeks. The patient will need to rest face up during the first after the intervention. We have obtained highly satisfactory results in the patients operated with this technique since the look of the breast is very natural and soft to the tact. With the implants placed in the subpectoral plane we obtained a natural aspect with suitable projection of the mammary inferior pole and good filling of the superior quadrants. These implants have fewer tendencies to the capsular contracture and, thanks to the axillary approach we are able to hide the scar that is more noticeable with the periareolar or the submammary approach. The subpectoral plane also reduces the incidence of capsular contracture and allows a better covering of implants in very thin patients. |
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