DURING THE PROCEDURE
Breast augmentation surgery is performed under general anesthesia and it usually takes about two to three hours depending on the volume of the surgery, as sometimes in combination with breast augmentation - breast asymmetry is corrected with breast lift and sprain. During the procedure an incision is made on the area through which the implant will be placed. You select the most suitable incision for you with a surgeon, considering the lowest possibility of the scarring and individual breast structure. There are three most common options for incision, all of them are small, so that there would be lesser marks after the surgery:
Incision made under the breast in their natural groove – it is perhaps the most common choice, since the area under the breast is covered by it, so even a small scar will be hidden.
Around the lower edge of the nipple – this area is also often selected, incision is semi-circle-shaped, negligible.
Incision in underarm area – incision is made through the axillary line.
Implants can be inserted in two different areas – above the pectoral muscle (under the breast gland) or under the chest muscle (deeper, above the ribs).
Implant formation above the chest muscle does not harm or disrupt the chest muscle, therefore there will be no discomfort, and recovery will be a lot faster. Breasts will also be less swollen, so right after the surgery it will look a lot more attractive. However, there is a higher risk of postoperative complications – the formation of capsular contractures, ptosis (especially with larger implants), and also it's more difficult to perform a high-quality mammography examination.
Implant formation under the chest muscle has a bit more advantages– lower risk of complications (capsular contracture, infections, ptosis), also less problems during a mammogram. However, it is important to note that in this case greater pain, swelling, and longer postoperative period and recovery time is needed.
There is another option when the implant is formed partly under the gland and partly under the muscle – implant is under the gland in the lower part of the breast, it lifts and stretches the breast, and in the upper part of the breast it is under the chest muscle.