Boob Job Techniques
Boob job is most commonly an outpatient procedure. Boob job is performed either under general anesthesia or local anesthesia with sedation. It takes place in an office-based surgical suite, a free-standing ambulatory or a hospital surgical facility.
An overnight hospital stay is occasionally recommended after boob job surgery especially if the patient has had other procedures performed.
During a boob job the breast implants be placed via various types of incisions. The main four boob job techniques are:
- Inframammary boob job technique: under the breast
- the Transaxillary boob job technique: under the arm
- the Transumbilical boob job technique: belly button
- Periareolar boob job technique: around the areola
Additionally there are other boob job techniques that are variations of the ones mentioned above.
Inframammary Boob Job Technique
The most common boob job technique is the Inframammary technique, which inserts the implant in the fold where the breast meets the chest wall. This boob job technique leaves no visible scars.
In the Inframammary (IMF) boob job technique an incision is placed below the breast in the infra-mammary fold. This incision is the most popular approach to boob job. Although the scars are not on a visible location, this boob job method can leave slightly more visible or thicker scars than other boob job techniques.
The Inframammary boob job technique gives the boob job surgeon maximum access for precise dissection and placement of an implant. This boob job technique is often preferred for silicone gel implants due to the longer incisions required with this type of breast implant.
With the Inframammary boob job technique there is less impact to milk production with this boob job technique because neither the glandular tissue nor innervation is affected during boob job surgery. However, if the breast implant is placed on top of the pectoral muscle, it can exert pressure on the ducts and glands, which may reduce milk production during breastfeeding.
Periareolar Boob Job Technique
The Periareolar Incision boob job technique requires an incision around the areola. This boob job technique is often used by boob job surgeons to hide scarring. However this boob job technique carries more risk that relate to milk production than other boob job techniques.
In the Periareolar boob job technique an incision is placed along the areolar border. The areola is the coloured circle of skin around the nipple. This incision provides an optimal approach when the boob job surgeon requires making adjustments to the inframammary position or also performs a breast lift (mastopexy) procedures during the boob job surgery.
The incision in the periareolar boob job technique is generally placed around the inferior half, or the medial half of the areola's circumference. In some cases it can be placed all around the areolar border. With this boob job technique the placing of silicone gel implants can be difficult due to the length of incision required for access.
The scar from periareolar boob job technique is placed on the edge of the areola making it often less visible than the scars from the inframammary incisions in women with lighter areolar pigment.
The Periareolar boob job technique causes the most problems with breast feeding, due to cutting milk ducts and nerves that lead to the nipple. is a higher incidence of capsular contracture with this boob job technique.
Placement of the breast implant on the areolar border can results in considerable duct, glandular, and nerve damage, carrying significant risk to milk production in the future. Ducts and glands have a high risk of being damaged due to the incision penetrating deeply through the breast tissue. If the breast implant is placed above the muscle, it may further impede milk production functionality by placing pressure upon the glandular tissue.
The best way to make sure that you have a successful boob job surgery is finding a qualified boob job surgeon. Use a boob job surgeon to find a qualified boob job surgeon near you!
Transaxillary Boob Job Technique
The Transaxillary boob job technique requires placement of an incision in the extreme upper, outer region of the breast, near the juncture of the arm to the torso (arm pit) in order to minimize visible scarring. The incision is generally invisible even with the arm raised in boob job performed with this technique.
In the Transaxillary boob job technique an incision is placed in the armpit and the dissection tunnels medially. This boob job technique allows breast implants to be placed with no visible scars on the breast, but is more likely to produce asymmetry of the inferior breast implant position. Subsequent revisions of transaxillary-placed breast implants usually require inframammary or periareolar incisions. Transaxillary boob job procedures can be performed with or without an endoscope (video camera). With the Transaxillary Boob Job Technique breast implants are usually placed below the muscle.
The impact to milk production is usually minimal with the transaxillary boob job technique because the glandular tissue and nerves are largely undisturbed. As with the other boob job techniques, placement of the breast implant above the muscle will result in greater impairment than placement of the breast implant underneath the muscle.
Transumbilical Boob Job Technique
The Transumbilical boob job technique is performed by inserting the breast implant through an incision in the navel (umbilicus) and moving it into place in the breast. In this boob job technique, no incisions are made on the breast or into the breast tissue.
The Transumbilical (TUBA) boob job technique is a less common boob job technique where an incision is placed in the navel and dissection tunnels superiorly. This boob job technique enables breast implants to be placed with no visible scars on the breast, but makes appropriate dissection and implant placement more difficult when compared to other boob job techniques.
Transumbilical boob job technique procedures are performed bluntly, with or without an endoscope (video camera) to assist dissection. This boob job technique is not appropriate for placing silicone gel implants due to potential damage of the breast implant shell if attempting insertion through the small incision in the navel, and as those implants are pre-filled they cannot be passed through that navel incision.
The transumbilical boob job technique also permits placement of the breast implant only above the muscle. Like the Transaxillary boob job technique, the Transumbilical boob job technique preserves glandular function and nerve response. This translates into a minimal impact to milk production. As with the other boob job techniques, placement of the breast implant above the muscle will result in greater impairment than placement below the muscle.
In this type of boob job technique sometimes the breast tissue can be damaged as the breast implant is brought into position. Insertion of the breast implant through the umbilicus makes it difficult to position it accurately, requiring the use of a camera scope although it is not necessary.
This boob job technique is commonly called Transumbilical Boob Job technique (TUBA).
Transabdominoplasty Boob Job Technique
The Transabdominoplasty Boob Job Technique is as a safe, straightforward procedure that is recommended for patients who have completed childbearing, have minimal breast ptosis, and desire a full abdominoplasty. The use of this boob job technique helps avoid scars on or near the breast, maximizes the use of the abdominoplasty incision, and does not add significant surgery time.
The Transabdominoplasty (TABA) boob job technique is a procedure similar to transumbilical boob job technique, where the breast implants are tunneled up from the abdomen into bluntly dissected pockets while a patient is simultaneously undergoing an abdominoplasty procedure.
Areolar Vertical Approach Boob Job Technique
The areolar vertical boob job technique approach is a very similar to the periareolar boob job technique as the incision is the same.
However, the areolar vertical boob job technique leaves a more extended submuscular pocket for silicone gel breast implants than the periareolar boob job technique, through the transglandular section to the top pectoral fascia. The cavity is then drained after being washed with saline solution before the breast implants are placed.
This boob job technique developed in Argentina was proved to have excellent results even after numerous long term surgeries.