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Scarless Breast Augmentation, Dr. Gregory Diehl’s unique approach to breast augmentation, is not available by every plastic surgeon. With Dr. Diehl’s tried and true “Scarless” technique, performed for over 15 years, a breast augmentation is performed without leaving scars as NO incisions are made on or under the breasts. So why have permanent scars when you can avoid them?
Scarless Breast Augmentation is Dr. Gregory Diehl’s preferred method of breast augmentation. The breast implants are placed via the axillary (underarm) incision endoscopically (using a scope). Whenever possible, Dr. Diehl uses the axillary approach because it leaves NO SCARS on or under the breasts whatsoever, as the only incision is in the underarm. The underarm incision is ideal as opposed to anywhere on the breast, because there is already a crease which perfectly hides the scar. The underarm incision is virtually invisible because the incision sits right on the crease, whereas on the breasts, even though inframammary incisions can be reasonably concealed in the breast crease, they are still visible when the arms are raised or when seen from below at the lower fold of the breasts. This is most important when the patient is young with small breasts to start with. In these cases there is less crease formation and the scars here can be very obvious. The recovery from the "Scarless" breast augmentation is same as any other breast augmentations, and with Dr. Diehl's gentle technique and extensive experience, in just a few days most patients are able to return to their normal daily routine and do not require more than over-the-counter pain medications.
For Dr. Diehl, the only reason to use the inframammary approach is when there is ptosis (sagging), which requires the dual-plane approach, which must be performed from the inframammary crease. In these cases, the crease under the breast is already deep and suitably hides the scar. Dr. Diehl also does not use the peri-areolar (dark skin surrounding the nipple area) incision because everyone heals differently, and there is always the chance that you might heal with a wider scar than average. The area of the nipple/areola is a delicate landmark on the breast, and it is not a place that you would want even a slightly widened scar.
31 years old, 3 months post-operative. Smooth round saline breast implants, placed from under the breast crease. There is ptosis or drooping of breasts present, and the "dual-plane" technique is needed in this case. The drooping part of the breast needs to be adjusted, which relaxes the bottom part of the breast so that it can better match the curve of the bottom of the implant. The "dual-plane" means that the bottom half of the breast implant is under the breast, and the top half is under the muscle. This maneuver cannot be done from the axilla or underarm, and the incision under the breast is needed. The dual-plane technique is used to correct ptosis. In ALL other cases where the breasts are high and there is no ptosis, the axilla is the first choice. Her breasts are symmetric preoperatively. 330cc implants are used on each side. She went from a A-cup to a small C-cup. She is very happy with the size she chose. (read her testimonial)
22 years old, 17 months post-operative. Smooth round saline breast implants. Her breasts are symmetric preoperatively. 330cc implants are used on each side. Her implants are placed from under the breast in the breast crease. This surgery was performed before the endoscopic technique was available. Today this would be done via the underarm (axilla) with the endoscope. She went from a A-cup to a small C-cup. She is very happy with the size she chose.
24 years old, 11 months post-operative. Smooth round saline breast implants. Her breasts are symmetric preoperatively. 350cc implants are used on each side. Her implants are placed from under the breast crease. Her breasts are moderate in size before surgery, and she has a well-formed infra-mammary crease. The incision is well concealed on this line. She went from a C cup to a D. She is very happy with the size she chose. Saline is a good choice when the implant will be well concealed behind ample breast tissue. One cannot tell the difference between saline and silicone implants in this setting.
35 year old, 2 years postoperative. 500cc smooth round saline breast implants, subglandular, with an infra-mammary incision. This patient is very athletic and preferred a subglandular placement. She went from a small B to a large C. Subglandular placement can be performed if the patient has adequate soft tissue coverage for the implant. There is still more chance of visible rippling, however, with a subglandular placement, yet this patient has had no problems with rippling or palpability. Each patient has different desires when it comes to implant type and placement, and these factors are all considered when planning breast augmentation.
40 years old, 6 months postop. 560cc smooth round saline breast implants, dual plane, infra-mammary approach. This is a good example of using a relatively large breast implant to help correct moderate ptosis. The larger implant helps lift the breast and nipple position outward and upward. The dual-plane allows the bottom half of the breast to relax and drape over the implant so that the infra-mammary fold can be lowered. Bra size went from B to D.
24 years old, 4 months postop. 325cc smooth round saline breast implants, placed submuscular. The breasts are very wide apart before surgery. It is very important to recognize this and keep the implants lined up with the nipple/areolae. If the surgeon tries to create more cleavage and place the implants close together, the nipple/areolae will point off to the side, which would not look normal.
If you wish to learn more about Breast Augmentation Surgery, call for a complimentary cosmetic consultation with Board Certified Plastic Surgeon, Dr. Gregory Diehl in Port Jefferson Station, Long Island at 631-476-7300.
To schedule a free consultation please call (631) 476-7300.
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