Our Summary

The research paper discusses advancements in breast augmentation techniques that have resulted in safer procedures and better aesthetic outcomes. One of these techniques combines the axillary approach (through the armpit) with a subfascial pocket (under the tissue that wraps around muscles), which helps to avoid scarring on the breast and the issue of breast movement caused by muscle contraction.

Another improvement is the use of a patient’s own fat, combined with silicone implants, in a procedure known as hybrid breast augmentation. This approach provides a more natural look and feel, as it allows for better volume and cleavage, while also hiding the edges of the implants. Additionally, grafting fat can reduce the gap between the breasts and create a smaller, smoother transition between them.

The article also includes step-by-step instructions and videos on how to perform a hybrid breast augmentation using the subfascial axillary approach, to ensure predictable and improved surgical results.

FAQs

  1. What is the benefit of using the axillary approach combined with a subfascial pocket in breast augmentation?
  2. How does hybrid breast augmentation provide a more natural look and feel?
  3. What resources does the article provide on how to perform a hybrid breast augmentation using the subfascial axillary approach?

Doctor’s Tip

A helpful tip a doctor might tell a patient about breast augmentation is to carefully follow post-operative care instructions, including wearing a supportive bra and avoiding strenuous activities that could impact recovery. Additionally, it’s important to attend all follow-up appointments with your surgeon to monitor healing progress and address any concerns. Remember to communicate openly with your doctor about your goals and expectations for the procedure to ensure the best possible outcome.

Suitable For

Patients who are typically recommended for breast augmentation include those who are unhappy with the size or shape of their breasts, have asymmetrical breasts, have lost breast volume due to weight loss or pregnancy, or have undergone mastectomy. Additionally, patients who desire a more natural look and feel, with minimal scarring and a smoother transition between the breasts, may benefit from advancements in breast augmentation techniques such as the hybrid approach with fat grafting and silicone implants.

Timeline

Before breast augmentation:

  1. Consultation with a plastic surgeon to discuss goals, expectations, and options for breast augmentation.
  2. Physical examination to assess breast size, shape, skin quality, and overall health.
  3. Decision-making process regarding implant size, shape, material, and placement.
  4. Pre-operative preparations such as stopping smoking, avoiding certain medications, and arranging for post-operative care.
  5. Surgical procedure under anesthesia, which may involve the axillary approach and/or hybrid breast augmentation technique.
  6. Recovery period with instructions on post-operative care, pain management, and follow-up appointments.

After breast augmentation:

  1. Immediate post-operative care in the recovery room, with monitoring of vital signs and pain management.
  2. Discharge from the surgical facility with instructions on wound care, medication management, and activity restrictions.
  3. Follow-up appointments with the plastic surgeon to monitor healing, assess implant position, and address any concerns.
  4. Gradual return to normal activities, including exercise and work, as advised by the surgeon.
  5. Long-term follow-up to monitor the results of the breast augmentation, address any complications, and discuss potential revision surgeries if needed.

What to Ask Your Doctor

Some questions a patient should ask their doctor about breast augmentation include:

  1. What are the risks and potential complications associated with breast augmentation surgery?
  2. What type of implants do you recommend, and what are the differences between saline and silicone implants?
  3. Can you explain the hybrid breast augmentation technique using a subfascial axillary approach and how it differs from traditional methods?
  4. What kind of results can I expect from the hybrid breast augmentation procedure in terms of size, shape, and natural appearance?
  5. How long is the recovery process, and what kind of post-operative care will I need to follow?
  6. Can you show me before and after photos of previous patients who have undergone hybrid breast augmentation?
  7. Are there any specific instructions or precautions I should take before and after the surgery to ensure optimal results?
  8. How long do the results of hybrid breast augmentation typically last, and are there any maintenance procedures that may be needed in the future?
  9. What is the cost of the procedure, and does it include all necessary follow-up appointments and care?
  10. Are there any alternative options to consider for breast augmentation, and how do they compare to the hybrid technique in terms of safety and effectiveness?

Reference

Authors: Munhoz AM, Neto AAM, Maximiliano J. Journal: Plast Reconstr Surg. 2023 Aug 1;152(2):264e-269e. doi: 10.1097/PRS.0000000000010216. Epub 2023 Jul 27. PMID: 36727793