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Dr. Palma usually prefers the trans-axillary approach for inserting breast implants, which results in ZERO scars on the breast. He has been using this technique for over 15 years with excellent patient satisfaction. Although not all patients are candidates for this approach, it is an option for most patients. The trans-axillary approach utilizes a very small incision in the axilla (under-arm or armpit) to perform the entire procedure. After a few months, the resulting scar blends in and becomes difficult to see even when the person lifts their arms up. Please visit our Photo Gallery to see typical scars. Breast Augmentation Photos. Likewise, whenever possible, Dr. Palma prefers to insert the implants behind the Pectoralis Major Muscle. This results in a more natural look with fewer post-operative complications. The issue of post-operative pain, which can be a bit scary for some patients, has been addressed by Dr. Palma and his staff so that now most patients have minimal discomfort. Long acting local anesthetics are left around the implants right after surgery and are replaced via special catheters on a daily basis for the first few days after surgery, making the post-operative experience much more comfortable. As of May, 2009, Dr. Palma has been approved as a Principal Investigator by the FDA to insert the ”Ideal Implant”, a new type of saline-filled breast implant which offers the first truly innovative technology in breast implants in the last 20 years. He is one of only a handful of surgeons in the USA approved to insert these new implants. Various choices are available in breast implant surgery. All of these choices will be discussed by Dr. Palma personally with each patient at the pre-surgical visit. The best options for each individual patient will be decided by the patient with Dr. Palma’s advice. The patient will be in control throughout the decision-making process. LOCATION OF INCISION/SCAR - Trans-axillary (See above) - Peri-areolar Around the Areola (the colored area around the nipple) - Infra-mammary On the underside of the breast, near the crease All of these approaches are available and used by Dr. Palma at the pre-operative visit, the pros and cons of each as they apply to each individual patient will be discussed and the patient will be able to decide, with Dr. Palma’s assistance, her choice. TYPE OF IMPLANT TO USE - Saline-filled- A silicone outer bag filled with saline solution (Includes the new "Ideal Implant") (See above) - Gel-filled A silicone outer bag filled with silicone gel - Implant surface The silicone outer bag of all implants can be either smooth surfaced or texture (rough)-surfaced GEOMETRY OF IMPLANTS - Round - Anatomical or “Tear Shaped” - High, Low or moderate profile DEPTH OF IMPLANT PLACEMENT - Behind the Pectoralis Major Muscle - Behind the breast tissue but superficial to the Pectoralis Muscle Although he has his personal favorites based on years of experience, all of the above choices are available and used by Dr. Palma. At the pre-operative visit, the pros and cons of each as they apply to each individual patient will be discussed and the patient will be able to decide, with Dr. Palma’s assistance, her choice. Other important issues such as risks of sensation changes to the breasts and/or nipples, breast feeding and other potential risks and complications will be discussed fully with each patient at the time of consultation, or you may email Dr. Palma with your specific questions. |