How to make a suture after mammoplasty as invisible as possible: secrets of surgeons
There are three main types of access for installing implants: through the armpit, through the areola and through the fold under the breast. It must be said that everything is not limited to these types of cuts. If we correct the shape of the breast and reduce it, then additional incisions are made directly on the chest. The type of incision that is chosen for implant placement is largely neither the patient's choice nor the surgeon's preference. Each type has its own indications.
Underbust incision
If the breasts hang down and the lower fold under the breasts is pronounced, then the surest way to access is to make an incision under the breasts. If there is no such fold under the breast, it is small or high, “girlish”, but the size of the areola is at least 3-3.5 centimeters, you can place implants, gaining access through the areola. A large areola, by the way, is an indication to go through it.
Axillary access
The axillary approach is indicated for petite girls with a small areola and small breasts. Some time ago, the axillary approach was at the peak of popularity. Everyone wanted it, highlighting as an advantage the fact that there would be no scars on the chest. In my opinion, scars in the armpits can hardly be called invisible. After all, ladies wear T-shirts and open dresses more often than topless.
The axillary approach is highly respected by many of my colleagues. But we must understand that such an operation is performed “remotely.” We form a subcutaneous tunnel and, guided by the camera, perform manipulations with special instruments. In case of access through the areola or fold under the breast, there is a chance to correct something with your hands, make sure that everything is even and symmetrical. I can’t say that it is impossible to adjust the position of the implant using axillary access, but the risks increase. Hands are safer in this sense.
In general, this whole story with sutures is becoming more and more unconvincing every year: modern suture materials are of such quality that sometimes, a month after the operation, I am already looking for scars, straining my vision and memory. Operations with access through the armpits are very popular in China and Korea. These are the features of the Asian phenotype: fragile, small, breastless girls. Often the size of the areola does not allow for an implant, and there is a risk of excessive contouring, that is, a situation in which this implant will scream that it is it. Here, the axillary approach will allow you to install the implant under the pectoral muscle and smooth out the severity of the forms.
