My preference for the insertion of breast implants in breast augmentation surgery is usually through an incision along the fold at the bottom of the breast also known as the inframammary approach. There are many advantages for this technique some of which I have enumerated on the website. One that wasn’t specifically mentioned is that the final scars from surgery will always be covered by one’s clothes and that can be important for those at a higher risk for more conspicuous scars.
An extremely small percentage of women state that they don’t want any scars located on their breasts as they will serve as telltale signs of them having had breast enlargement surgery. Instead, they request the transaxillary (armpit) approach for breast implant insertion. If their scars do not heal satisfactorily, they may have more significant issues.
The following patient saw me in consultation having undergone a breast augmentation elsewhere using this transaxillary technique. Thick hypertrophic scars developed that were re-excised by her plastic surgeon only to have them recur. Now she is faced with exposed, prominent scars that are clearly visible when she wears sleeveless tops and bathing suits. Furthermore, she does experience discomfort at times when reaching due to pulling on the thick scar.
View of right armpit revealing keloid that resulted from transaxillary incision. It has already been revised once by her original plastic surgeon.
If, instead, these same thick scars were situated on her breasts, at least they would be covered by her clothes and would not be apparent to anyone else until she removed her clothes. Furthermore, she would not have any restrictions in the clothes that she wanted to wear including sleeveless tops and that can be quite important in Arizona summers with temperatures far exceeding 100 degrees Fahrenheit.
If you have any questions regarding breast augmentations or incision choices, breast revision surgery or on any other plastic surgery procedure that I perform or if you would like to schedule a complimentary consultation with me, please call my office at 480-451-3000.
Steven H. Turkeltaub, M.D. P.C.
Scottsdale and Phoenix, Arizona
A Message Regarding Coronavirus/COVID-19
In light of the coronavirus/COVID-19 pandemic, we would like to let you know of some of the major precautions we are taking in our office to maximize cleanliness and keep the environment as sanitary and safe as possible. Our highest priority is always to ensure the safety of every individual who sees us and we are taking extreme infection-control measures to maintain cleanliness and “sterility” of surfaces and the overall environment.
We will be limiting dates and times for office appointments and consultations due to safety and other issues. Consequently, if you have already made an office appointment or consultation prior to March 18, 2020 to occur at a later time, this may need to be changed.
For anyone considering plastic surgery, we are now offering Virtual Consultations and Telemedicine through Skype. A great number of aesthetic or insurance-related issues can be evaluated via pictures and online video conferencing, making this an excellent way to find out more about particular procedures, determine candidacy for treatment, receive answers to questions and facilitate being able to move forward with care once the government lifts all restrictions.
In an abundance of caution, we are asking all current patients who are experiencing a fever, cough, chills, fatigue or any type of respiratory illness to please delay any upcoming appointments at our practice. We can talk with you by phone or email to establish a new date and time for the appointment.
We are all in this together. Our team urges everyone to follow the guidelines recommended by local health authorities and the Centers for Disease Control and Prevention, which include frequent handwashing for a minimum of 20 seconds, social distancing, staying home if you are feeling sick, and contacting your healthcare provider if you feel you are experiencing symptoms.
For more information, please read our blog – Coronavirus and You: Important Information
For further updates, please check our blog.
If you have any questions or concerns, please contact us by phone or email.