Dr. Franckle will use the optimal incision and implant placement according to your customized surgical plan. The following are the three primary incision sites Dr. Franckle uses for breast implants:
Areola (periareolar): A circular incision is made following the natural line of your areola, providing a space for saline implants or small to moderate-sized silicone implants.
Breast fold (inframammary): The most common option for silicone implants, a horizontal incision is made underneath the crease of the breast and is hidden from view.
Armpit (trans-axillary): A small incision is made under the arm, and the implant is placed in the chest area using endoscopic equipment.
During your consultation with Dr. Franckle, he will also take exact measurements to determine the ideal placement of the implant once the incision is made. Again, this will be based on your body type and desired results. Under-the-muscle, or sub-muscular placement, means that the implant is situated partially under the pectoral muscle and is usually recommended for women with small breasts and minimal body fat. An added benefit of this option is that patients can more easily image their breasts during a mammogram, and they have a reduced risk for rippling or imperfections in the implant shape. Over-the-muscle, or sub-glandular placement, means that the implant is placed over the chest muscles and is most frequently used for sagging breasts or patients with tuberous breasts.
An alternative is the dual-plane method, which is an innovative technique that creates a pocket in the pectoral muscle to place the implant naturally. Each of these placement options creates a different aesthetic, and the best option for you will depend on the amount of sagging in your breasts, the soft tissue and fat in that area of your body, and your specific body type.