Breast Implants in Tampa, Brandon, Lakeland, Riverview, FL

Trans Axillary Breast Augmentation

Breast Augmentation via Axillary Incision

Either saline or moderately sized silicone implants can be placed through a small underarm incision into a sub muscular pocket. This type of Augmentation Mammoplasty avoids any breast scars and allows for earlier breast massage and activity.

The implants are situated beneath the muscle which helps to minimize any palpable or visible implant wrinkling and affords a natural contour and breast shape.

Breast enhancement via a concealed underarm incision is particularly well suited for the women with little or no breast tissue and small or faintly colored areola.

The lack of a natural breast fold or strong areola contrast makes incisions either beneath the breast or around the nipple complex difficult to conceal.

Typically there are two or three natural underarm creases or folds which can be utilized for trans axillary breast augmentation. These incisions allow the breast implants to slide directly beneath the chest muscles without violating the breast gland. Often the musculature can be elevated and stretched to accommodate the implants limiting the need for muscular alteration.

In Tampa, Florida, you can ask your surgeon about breast augmentation performed via Axillary incision. Patients in the Lakeland, Brandon, and Riverview areas can also learn more about a breast augmentation by scheduling a consultation with Dr. Shienbaum.

Asymmetrical Breast Augmentation

Breasts are seldom perfectly even or symmetrical. The natural boundaries may differ with breast folds at different heights. Nipples and areola may be spaced unevenly on the chest wall and project in separate directions.

Irregularities in the underlying rib cage will often be accentuated by the addition of implants. Perfect symmetry in these circumstances is difficult to achieve. Patients in Lakeland, Brandon, and Riverview can ask Dr. Shienbaum if an assymetrical breast augmentation fits their desires.

Choosing an Implant size

Bras are measured in two dimensions – the cup size and the body circumference around the rib cage. It takes approximately 200 cc of implant volume to bring about a one full cup bra size increase. Because of differing bra styles and manufactures patterns the dimensions of a particular cup sizes are not necessarily uniform.

Some women may prefer a tight and revealing cup while others desire loose and full cup coverage. Plastic surgeons are therefore reluctant to predict a particular cup size after augmentation.

In order to provide a fuller appreciation of each implant’s potential effects, our office offers special implant sizers. When placed in soft loosely paneled sports bras which mimic the natural response of breast tissues and covered by a thin camisole top ,the sizer system allow a very popular visual clue to the anticipated results.

Generally one should select a slightly larger implant for sub muscular placement to account for the flattening. tendency of the overlying muscle Over time normal atrophy breast tissues as well as compression by the implants may result in an apparent loss of size and a somewhat smaller outcome. In Tampa, plastic surgeons can offer many different sizes. To help you choose the right option for you, Dr. Shienbaum can weigh your desires with the realistic results of an implant. Lakeland, Brandon, and Riverview residents can turn to Dr. Shienbaum for his expert opinion.

Saline Implants

Saline Implants are popular because they are considered safe. In the event of leakage the saltwater content will absorb naturally into the body. The change in volume will be immediately noticeable.

These implants require only a small incision as the saltwater filling is added only after the implants are in position. The implant volume can be adjusted at the time of surgery to help balance any unevenness in the breasts.

Saline Implants have a tendency to form ripples from folding of the implant shell. Due to the fluid movement of saltwater they may feel less natural than silicone implants. Surgeons will typically position saline implants beneath the muscle to soften and conceal the implant outline . Mammography will be aided by the muscular plane of separation between the implant and gland.

Sub muscular Implants

Placing implants behind the muscle (sub muscular) will provide the additional coverage to conceal and soften the outline of the underlying implants. This is essential in small breasted women with thin and minimal glandular tissue.

The muscular coverage helps conceal the potential ripples and folds inherent in saline (saltwater) implants, however, strong pectoral muscle activation in athletic or muscular women can produce implant movement and contour changes. This can range from momentary contour distortions to eventual lateralization of the implants.

Sub muscular placement beneath the pectoral muscles provides only partial coverage as the muscle is not large enough to enclose the entire implant. The outer lower one third of the breast will have no muscle reinforcement.

The placement of these implants will be determined by your surgeon. In Lakeland, Brandon, and Riverview, different surgeons may use different placements for your results.

Breast Implant Profiles

Breast implants come in different shapes and contours. Low profile or moderate implants: These implants are typically under filled to achieve a softer more pliable contour.

Medium Profile or moderate plus implants are designed to have greater height and firmness where increased projection is desired.

High profile implants afford maximum projection and shape retention but may appear somewhat round and unnatural.

Teardrop or Anatomically shaped implants are most commonly used in breast reconstruction following mastectomy.

Deflated Breasts

Loose and deflated breasts with minimal sag or ptosis are ideal candidates for breast implants.
Simply restoring the breast to their original volume will give immediate results .

Whether from weight loss, breast feeding, pregnancy or the aging process , breast implants can provide a return of the natural shape, projection and fullness of the breasts

These loose and pliable breasts tissues can readily accommodate higher profile implants for increased cleavage and projection.

Breast Cleavage

Cleavage after breast augmentation depends on many factors including, the structure and shape of the chest wall , the relative position of the nipples , the thickness of the surrounding breast tissues as well as the type and size of implants used.

Women generally request maximum projection combined with the tight cleavage produced with push in bras.

If your breasts are widely separated, either from a broad or prominent breastbone (sternum) or outwardly positioned nipples this type of cleavage will be difficult to achieve.

Altering the normal breast boundaries by sliding the implant closer together under the thin skin of the sternum can result in both palpable or visible rippling at the cleavage line. The chest wall is not flat but cylindrically shaped with curved ribs and outwardly pointed breasts. A prominent breastbone (pigeon breast ) will accentuate this outward effect while a indented or sunken breastbone (pectus excavatum) will allow for deeper cleavage but with somewhat inwardly pointing breasts.

Deviating from the natural contour lines of the breast by overly releasing the normal skin or muscle attachments at the midline can lead to less than desirable results. Implants must be centered under the nipple complex ? positioning the implants closer to the center midline can result in outwardly pointing nipples.

Overly thick breast and chest wall tissues will conceal the contour enhancements provided by implants, Thin skin and breast tissues will often require muscular coverage to pad and soften the breast outlines. Adding larger volume implants will not necessarily correct all cleavage issues .

Periareolar Breast Augmentation In Tampa, FL

Breast implants can be placed through an incision around the pigmented areola margin. Large areola with full coloration and texture offer a distinct border to conceal potential incisions.

This approach is commonly used with ptotic or sagging breasts and allows for direct internal repositioning of the nipple areola complex. Implants may be placed subfascial or either below or above the chest wall muscles.

Saline implants of any size can be placed through a relatively small incision as they are inserted unfilled. Silicone implant size, however, is limited by the diameter of the areola and the associated incision length. The full volume of the silicone implant must pass through a longer and larger opening.

Silicone Implants

Silicone Implants have a more natural feel due to the viscous quality of the silicone Compared to the rapid rebound and movement of saline the thicker silicone offers a slower and more compliant feel which more accurately mimics normal breast tissue.

Any leakage is similarly difficult to detect as silicone is not absorbed and the breast volume remains unchanged. An MRI may be needed to detect this silent leakage.

Periareolar Augmentation Mammoplasty
Internal Breast Lift

Because they come pre filled with silicone they require a somewhat larger incision , Moderately sized silicone implants can be placed thru a specially designed axillary incision.

Unlike saline implants, the volume or size of the silicone implant cannot be adjusted to accommodate breast asymmetries at the time of surgery

Silicone implants come in a variety of shapes and profiles and shell texturing. Currently you must be at least 22 years old to receive these implants.

Periareolar Augmentation Mammoplasty
Internal Breast Lift

Breast Revision Implant Exchange Mammoplasty

Capsule Contracture

With all breast implants the body forms a capsule ? a thin tissue layer which surrounds the implant. This capsule will typically remain soft and pliable

When this capsule tightens and shrinks around the implant it is known as a contracture. As a result the breasts may feel firm , appear unnatural and cause discomfort.

Self message and medications including anti-inflammatories , antibiotics and vitamins are probably more effective as preventative measures .

While external ultrasound has shown some promise in softening the capsule , painful or disfiguring implants may require surgical release or removal of the constricting capsule.

Replacing or changing the type of implant – silicone or saline and repositioning to a sub glandular or sub pectoral pocket are the most commonly recommended treatments. Other techniques include tissue expansion or incorporating a dermal lining .

Tubular Breast Augmentation

Tubular Breasts are so called due to their ‘tube like’ appearance.

The brests have a narrow constricted base at the chest wall with a tight skin envelope and sagging overhanging areolar complex.

The breast tissues appear to be pushed forward and protude into the niplle areolar complex As a result the areolar are often enlarged and asymmetic .

The net effect is a drooping and limp barbell shaped breast a which sags and overhangs the natural breast folds with downward projecting nipples.

Correction requires expansion of the narrow base , with isertion of an wide based implant,. Release of the prolapsed areolar breast tissue by internal scoring incisions will allow relaxation and redraping of the abnormal tissues.

A periareolar or donut type mastopexy reduces the enlarged areola and allows for coorection of any assymmetry.

Breast Uplift Mastopexy In Tampa, FL

A Mastopexy procedure is used to lift , tighten and reposition the breast. The natural breast tissue will be preserved to afford fullness and projection. Where there is insufficient tissues an implant may be added to achieve the desired volume and cleavage.

The sagging tissues a re treated by surgically reshaping and repositioning the breast gland and removing the excess skin around the areola.
If there is minimal sag a crescent uplift with removal of the excess skin will elevate the nipple.

For greater degrees of f breast ptosis some combination of either a doughnut, vertical or horizontal incision technique will be required.

Following surgery the breast must be supported by a bra. With normal aging the breasts will eventually droop and loose their shape. Wearing a supportive bra in a regular fashion will help delay this process.The