This content was created by Dr. Babak Farzaneh. This content was uploaded by Dr. Babak Farzaneh. This is a YouTube video titled "Inframammary Incision Saline Breast Augmentation | 2 months post op @TRUECARE COSMETIC SURGERY" created on September 21, 2017. It features a medical professional discussing a patient's progress two months after breast augmentation surgery using saline implants, including details about the procedure, post-operative care, and benefits of saline implants.
Chapters
This is my patient. She is about two months post surgery. She had breast augmentation. We did it through the inframammary incision. It's a small little incision, about less than 2 cm or about 2 cm, which is about this thick under the breast in the crease. She chose to go with saline implants. We'll provide you with a before picture and you see why she was a good candidate for saline implant, but she had some breast tissue to cover the implant. But regardless, she's going to show you how soft the implants are. Can you show us that real quick? The baby, we're just moving them like this so they're actually very mobile. She can easily push them up and down. Any pain? No. Okay. So this is really important for the implants to be about this soft at about two months to three months, and they continue to stay soft. If that is not the case, then sometimes we have to wonder if there is any capsular contracture happening. So it's an important thing for patients to keep keep in mind right now, she does not have any rippling. She does not have a lot of palpability of the implant. But the next most important thing is for her to support the implant within the breast tissue. For the same size implant, a saline implant is heavier than a silicone implant. The bra that she wears has to have some support to it so it can hold the breast up and doesn't allow the weight of the implant to impact the breast tissue as much. Also, at night time, when she sleeps, she needs to wear a sleep bra so that she can keep the implants from pushing against the side of the breast and potentially displacing towards the lateral end or outside end. So it's really important to have them supported. It's really important for the breasts to stay soft with the implant mobile within them. We encourage patients to do some breast exercises. I'm going to demonstrate some. So you essentially push the implant up and you let it stay for about 10 seconds and let it gradually come down. And then you also put them together and sort of expand the pocket that way. In her case, she doesn't really have to do too much of a downward movement because it's already settled. But that's another exercise that we do to stretch the pocket and stretch the capsule. So so far she's doing amazing. And I just show her the side view. Stand up straight so you can see that she has a nice taper and a nice natural slope at the bottom and the same thing on this side. And some people like a little bit of extension of the breast over past the anterior axillary line. So the anterior axillary line would have been right about here. In some patients, they do enjoy having a little bit of a side extension of the implant. And that's a personal choice. So we don't really discourage that. It's always. It's a personal decision and we try to allow everybody to express some of their personal interest. So she's doing wonderful for two months. We're going to continue to follow her with saline implant. One of the benefit is that we don't have to worry about them rupturing or not. If they do leak, the patient knows and they're going to contact me. They all have my cell phone number and they can let me know. And we get them in really quickly and we replace it and the company pays for the implant. So not a huge issue of wondering if they're leaking or not. And that's one of the advantage of the saline implant, because it's salt water and if it leaks the 60%, your body is made of 60% water, so no damage initially. If it replaces it right away. Okay, thank you.
