During your ‘sizing’ consultation, Dr. Dolsky and his expert staff will assist you in choosing an implant size. You will also be given a preliminary sizing consultation which will allow you to become familiar with what your new appearance will be. Patients usually find this time to be the most exciting and interesting part of the consultation period. Preliminary sizing is also a good time for patients to really determine if they want to proceed to surgery.
Our office is equipped with a variety of breast implant ‘sizers’ and surgical bras to allow you real life experience of post surgical results. The sizers are placed inside the cups of the bra to give you a realistic idea of what you will look like after your surgery.
You will always be given ample time to make a decision on your breast implant size and this decision is not required at the preliminary sizing. Often patients will request a second sizing to make a final decision.
Dr. Dolsky, offers his breast augmentation patients choices regarding incisions for the insertion of saline breast implants. Each incisional approach has its advantages and disadvantages. All of the incisions are good. None is perfect. If you have no preference, Dr. Dolsky will make a recommendation based upon your physique, pre-operative breast size and shape, and your level of physical activity.
Inframammary (in the fold under the breast): An incision, one to two inches long, is made in the fold in the shadow under the breast. Through this incision, a pocket is made either behind the breast or behind the pectoral muscle. The implant is inserted into the pocket and inflated.
The only disadvantage of this incision is that there may be a noticeable scar under the breast. This would be especially true if there is no defined fold in the breast prior to the operation or there is no ptosis (or hanging) of the breasts overlying the fold. In general, ninety percent of these incisions heal with minimal scarring. To learn more about this type of breast enhancement, contact Dr. Dolsky.
Periarolar (around the lower border of the nipple/areola): This incision is made at the margin of the pigmented portion of the areola and the skin of the breast. Pockets for the implant can then be made either behind the breast or behind the pectoral muscle. The implants are inserted, inflated, and adjusted for symmetry.
This incision produces almost universally excellent scars. In my experience, ninety-nine percent of the periareolar scars are excellent. The periareolar approach allows for the placement of the implant either above or below the pectoral muscle and allows for precise adjustment of the height of the breast during the surgical procedure. In some patients, who either have a very small areola or desire even further camouflaging of the periareolar incision, Dr. Dolsky has developed the zigzag incision. This application of scar revision and diminishing technique to breast augmentation, results in almost imperceptible scars. To learn more about this type of breast enlargement, contact Dr. Dolsky.
Axillary (armpit): The axillary incision is made through a crease in the armpit. The pocket for the breast prostheses can be made in front or behind the pectoral muscle.
The advantage of this approach is that there are no scars on the breasts. This approach tends to be slightly more uncomfortable in the immediate post-operative period. In women with breasts that require significant adjustment of the height of their breasts or lowering of the inframammary fold, this approach is not as precise as the periareolar approach. To learn more about this type of breast augmentation, contact Dr. Dolsky.
Umbilical (belly button): A small incision is made in the belly button. With a special instrument, a tunnel is made from the incision to behind each breast. The breast implants are rolled up like cigars and passed up these tunnels. They are inflated, checked for symmetry, and the incision is closed.
The advantage of this approach is the absence of scars on the breasts. The disadvantage of this approach is the necessity to place the mammary prosthesis in front of the pectoral muscle and behind the breast. In women who are either very thin or have minimal breast tissue, the placement of the prosthesis in front of the pectoral muscle, might result in some visible or palpable folding of the implant edges. To learn more about this type of breast enhancement, contact Dr. Dolsky at his offices near Philadelphia, Pennsylvania.
Breast augmentation can help reverse the effects that aging and pregnancy have on the body, and has provided many women with an enhanced quality of life and a stronger self-image.
People throughout the world, including thousands of our patients seeking superior results have had successful breast augmentation. Our staff’s experience in the breast augmentation procedure will minimize any risks and increase the likelihood that your procedure will be a success. In addition, you will always be given detailed information about the benefits and risks of breast augmentation and any other procedure you are considering.
At our practice, breast augmentation involves the surgical placement of silicon or saline-filled implants behind the breast tissue or muscle for the purpose of increasing cup size. Breast augmentation is performed under general anesthesia. Recovery period varies depending on the patient’s age and the type of implant used. Implants placed underneath the muscle usually require a lengthier recovery period than those placed behind the breast tissue.
