Breast augmentation can be achieved in many ways depending on patient preferences and their unique anatomy. Here are three examples:
Patient 1: She is a great candidate for over the muscle because she has many favorable factors. These include ample baseline tissue volume, breasts that are close together, and small implant size preference.
Patient 2: She is an example of the most common approach widely practiced: silicone implants placed under the muscle through an incision in the crease under the breast.
Patient 3: Postpartum patients do best with silicone implants due to the thin breast tissue remaining after breast feeding. The crease under the breast had to lowered in this case to accommodate the implant diameter of the size she selected. This is important so that the implant is centered on the nipple to create optimal breast aesthetics. Using an incision around the lower areola edge is the best way to lower the crease position with control and accuracy in cases like this.
There are many combinations of factors that include incision location; implant type, size, and profile; pocket plane either above or below the muscle; and patient aesthetic preferences that mandate an individual approach for each patient. There is no single technique that will yield the best result in all patients.
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