Thus it is important to maximize blood and oxygen delivery to the healing wounds by quitting smoking several weeks before surgery. A strong anti- bacterial prep is done at surgery with strict avoidance of germ contamination at the time of surgery. Third , during surgery, I avoid incision approaches to the submuscular space that necessarily cut through the breast tissues, since they are known to harbor bacteria within the normal breast tissue ducts, and when contaminants on implants, will lead to a vigorous scar capsule formation, causing firm capsule contracture about the implants. Implants are placed in the sub-muscular position for the natural look, while avoiding wrinkling in a thin patient. Yellow area represents the oversized implant pocket developed at the time of the breast implant placement.
Blue overlay represents the implant in the oversized pocket in the sub-muscular space.
This photo represents the technique of massage of the breast implant, displacing it out of its normal position, up into the excess pocket space above, allowing the pocket to stay widely open, and usually preventing any scar capsule contracture from forming. The same photos showing the appearance of the breast as the implant is displaced. An animation of this process is displayed below. I see all patients back a few days post-op to start the massage, and then every few days until mastery is demonstrated. The process takes a few minutes of well invested time.