What Is an Areola Incision?

Breast augmentation is through the placement of breast implants of good quality and suitable size, which can increase the volume of the breast, improve its shape and symmetry, and make the breast fuller to create the beauty of young women.

Basic Information

English name

augmentation mammoplasty

Visiting department

Plastic surgery

Common locations

chest

Contagious

no

Breast augmentation classification

Common breast augmentation surgery can be divided into:

1. Artificial prosthesis breast augmentation.

2. Autologous tissue transplantation breast augmentation.

3. Injection breast augmentation.

Breast augmentation surgery

Axillary incision

Before the operation, the patient took an upright or sitting position, and marked the surgical incision and peeling range on the chest skin with gentian violet. The lower boundary should be 1 cm below the submammary fold, the inner boundary is the parasternal line, and the outer boundary is the front axillary line. Regardless of the size of the breast prosthesis, it should be peeled to this range, especially the lower edge of the pectoralis major muscle and the sixth rib and rectus abdominis fascia attachment, otherwise it will affect the breast shape.

According to the preoperative design, cut the skin and subcutaneous tissue at the top of the armpit along the direction of the skin line to reach the deep fascia surface. The incision is 4cm long or the index and middle fingers can be extended side by side. Note: Do not cut the fat pads of the axilla to avoid damaging important structures such as blood vessels and nerves in the axilla. Pull the skin incision inward to reveal the lateral edge of the pectoralis major muscle. Here, the deep fascia is incised and bluntly peeled into the posterior pectoralis major space with fingers. When cutting deep fascia, care should be taken to avoid the small arteries and nerves descending here.

Under the pectoralis major muscle is a potential cavity of loose connective tissue, which is very easy to peel with almost no bleeding. But the finger can only peel off the upper part of the cavity, so special instruments are needed to complete the peeling of the entire cavity.

When cutting the skin, subcutaneous tissue and deep fascia, electrocoagulation can be used to stop bleeding, but no hemostasis or stuffing is required when peeling off the pectoralis major muscle space (do not leave the cotton yarn head in the cavity)

A small gooseneck-shaped hook is used to lift the deep fascia incision. Some skills are required to use the fluidity of the silicone gel solution and the silicone rubber capsule. If done properly, it can be completed in a short time.

2. Trans-submammary fold incision

Most breast augmentation recipients have lower breasts that are too high. To make an incision, draw the incision line 1 to 4 cm below the breast line. The range of peeling can be performed from the upper rib to the second rib, the lower rib to the sixth rib, the medial to the parasternal line, and the lateral to the front axillary line. The incision line is usually slightly curved from the vertical line of the nipple and is about 3cm long.

(1) Cut the skin and subcutaneous fat according to the incision drawing line, deep into the muscle fascia.

(2) Cut the fascia. In most cases, it is just the outside edge of the pectoralis major muscle. After a slight sharp separation, you can use the index finger to enter the deep side of the pectoralis major muscle for blunt separation. Note: The voids that are peeled off must be large enough and free of fiber rope ties.

(3) The space in which the breast prosthesis is implanted. Implantation is often difficult for beginners. The better way is to use the two fingers of the left hand to grip the capsule wall of the silicone rubber capsule and send it into the space. Then squeeze the capsule with the two fingers of the right hand. At the back, squeeze the silicone gel solution in the capsule into the capsule that has entered the gap, and proceed steadily until all the prosthesis has entered the gap.

(4) The incision is sutured in layers.

(5) The bandaging and postoperative treatment at the completion of the operation are the same as the axillary incision.

3. Transom areola incision

Make a semi-circular incision with a length of 3 to 4 cm at the periphery below the areola. Cut the skin, mammary gland, mammary glands, and lactiferous ducts, deep into the fascia on the surface of the pectoralis major muscle. A circular cavity with a diameter of 10-12 cm centered on the nipple was separated between them; a folded empty breast implant was implanted into the cavity, and then saline was injected into the empty balloon to expand the empty balloon to an appropriate level. Volume; finally the incision is sutured.

Nursing after breast augmentation

1. After breast augmentation surgery, the chest usually has pain and bruises, the degree of which varies from person to person, depending on the method of surgery, the nature and the physical fitness of the individual. The pain usually lasts for about two to three days, and can be controlled on time according to the doctor's instructions. Bruising will resolve in about one to two weeks.

2. After two to three days of rest, daily activities can generally resume after two to three days on the surgery day. You can work as usual after the fifth to seven days after the operation. Avoid raising your arms and carrying heavy objects in the first week after surgery. Avoid steam baths and swimming for two weeks. Vigorous exercise can only be performed two weeks after the operation.

3. There will be a simple dressing on the wound after the operation, and a bandage in the middle will fix the breast. After two to three days, go to the doctor for a follow-up examination. If there is a drainage tube, remove the drainage tube. Disconnect after one week. After that, you can take a normal bath.

4. In the first month after the surgery, you should wear any of the fitted soft bust or positioning chest straps according to the doctor's instructions, or let the breast tissue naturally shape without wearing the bust. The breast will feel swollen and not soft at the beginning. After one to two months, the breast texture will be more natural.

5. If you are going to get pregnant, it is best to wait for the breast shape to stabilize six months after the operation. Breast augmentation generally does not affect the ability to breastfeed.

6. After removing the thread, you can do breast massage. As the incision heals, you can gradually increase the intensity of the massage. Doing a local massage early after surgery may be painful. Don't give up because of the pain. One month after surgery, you can do chest expansion, arm lifting exercises, and consciously do more chest activities such as deep breathing. We must persist for more than half a year. The above measures can effectively reduce the degree of muscle fiber bundle contracture, prevent breasts from stiffening, and maintain a good breast feel.

7. Postoperative scars will appear in the first three months after surgery, with normal physiological phenomena such as sclerosis, bulges, and redness, but most of them will fade and fade to insignificant marks after about six months.

8. A small number of patients may feel numbness after surgery, but they will return to normal after a few months.

9. For women with a thin body and weak chest tissue, the edges of the subcutaneous prosthesis may be slightly felt under the touch, especially at the lower and outer sides of the breast. Choosing a silicone prosthesis material and placing the prosthesis under the pectoral muscle can reduce but cannot completely avoid these problems.

10. The material of the breast prosthesis can withstand the general pressure of prone, knocking and squeezing, so don't worry too much about the prosthesis rupture. There is absolutely no problem with flying.

11. The vast majority of women feel satisfied with the results of breast augmentation surgery, and there are no sequelae. However, if you notice that your breasts are not soft, are of different heights, have different shapes, or have scars that are not ideal, you should consult your doctor.