In the world of Aesthetic Medicine and breast implants there are numerous possibilities and existing methods. For example, there are surgeons who place the implant in front of the pectoral muscle, while others place it behind. Thus, there are surgeons who make a small incision in the submarine groove, to place the implant from there, and others who do it following a line that passes through the lower part of the areola.
There are also alternative routes, such as the axillary or transmammillary route. Thus, it is clear that if a patient wants to increase her breasts, she will face a real mess to know which is the most appropriate, so consulting with a trusted specialist in plastic surgery will be essential.
How are breast implants placed at FEMM?
At FEMM we opt for the submarine approach; a small incision of between four and six centimeters is made in the submarine sulcus, the area where the breast joins the thorax in its lower part, taking advantage of this natural fold to hide the scar. But why do we use the underwater approach? There are three main reasons:
- By making the incision in the lower part, it allows to place the implants in a cleaner way than other alternatives. In addition, this approach does not allow the prosthesis to rub against the mammary gland, preventing it from becoming contaminated, thus avoiding future complications associated with breast augmentation surgery.
- To locate in a correct way the future height of the submarine grooves, that is to say, so that the breasts are located at the same height, there being asymmetries in the height of the implants.
- The third important reason has to do with healing. If, for biological reasons, a person does not heal normally, a hypertrophic or keloid scar may appear. These scars are very visible or take time to show a normal appearance. For this reason, their vision is avoided by hiding them, to prevent them from appearing, for example, in the center of the breast.
What is the best position for the prosthesis in breast implants?
The implant can be placed above or below the muscle. There is even an intermediate position, below the fascia covering the pectoralis. In FEMM we never use a subglandular plane, since in that case, the prosthesis can cause the breast to sag together with the implant, losing the shape initially achieved in the surgery.
In turn, implants placed in this position, over the years tend to atrophy the fat of the mammary gland, so that the implant would become more and more evident and the breast would look more and more atrophic, giving an artificial result over the years.
In FEMM we reserve the subfascial approach, the next deep plane, that is, in the place between the pectoral muscle and the fascia that covers it, for patients who will use their thoracic musculature, being patients who do not wish to have any decrease in their physical strength, and who care very much that their musculature is at one hundred percent. From this plane, a little more naturalness is achieved than in the subglandular plane.
Finally, we have the subpectoral or retropectoral plane. This plane allows the prosthesis to be deeper, offering a much more natural look. In this case a hole is made under the pectoral muscle, thus protecting the muscle itself to the implant. The downward displacement of the prosthesis is less likely, remaining attached to the body tissues.
FEMM innovation in breast implants
- DUAL FEMM plane: by separating the mammary gland from the muscle before placing the implant under the pectoral muscle, a satisfactory result is achieved, avoiding the so-called “hatchet sign”, which is caused by contracting the pectoral muscle and splitting the breast in two halves: the prosthesis and the gland dragged by the pectoral muscle.
- TRI-planar FEMM technique: with regard to the location of the implant, this innovative triplanar technique is produced in three different surgical planes, which is aimed at avoiding the presence of a double groove. It is therefore a modified DUAL plane technique, which avoids surprises in the final result of the breast augmentation operation.