How is the procedure done & Where will I have scars?

There are different incision options for inserting and positioning the breast implants. The incisions can be made in the armpit (axilla), on the lower aspect of the areola (periareolar), in the crease where the breast meets the chest (inframammary), or in the belly button (periumbilical). The method you choose will depend on where you want the incisional scar, as well as which incisional approach Dr. Mezrow discusses that you are a candidate for. The implants may be placed above (subglandular) or below the chest muscles (submuscular-subpectoral). Dr. Mezrow and most physicians are currently placing the implants under the muscle or partially under the muscle (sub-pectoral) in the majority of patients.

The muscle provides an extra layer of padding coverage to give a more natural appearance especially in patients with small breasts. In addition, placing the implants under the muscle may decrease the chance of firm or hard scar tissue formation around the implant (capsular contracture) and also allows for greater ease in reading mammograms. Body builders are an example of patients that may choose to have the implants over the muscle (subglandular) instead of submuscular because of risk of decrease muscle strength and altered chest aesthetics in competitive poses. After choosing an incisional approach and submuscular or subglandular placement of the implants, a pocket or space is created for the implant.

The procedure is performed as an outpatient. The procedure typically takes approximately one hour to perform. Most patients recover within 1 to 2 hours after surgery and are discharged home. It is important to arrange for someone to drive you home after surgery and to stay with you for at least the next day or two.