Dr. Barrett rates eight breast augmentation trends. He backs Keller funnels, on-table sizing, and mesh internal bras, but rejects Motiva implants for routine use, saline implants, transaxillary incisions, and 800 cc implants as unnecessary risk.
Hey, Dr. Barrett, love it or leave it, BAM edition. Motiva implants.
Leave it. Motiva are good implants, don't get me wrong, and I do use them for certain situations, but I just don't think that they are to the point where I love it for all my breast augmentations.
Surgical bras.
Leave it. It has been the tradition to use surgical bras all the time, and I do still use them, but for majority of my primary breast augmentations, I don't do that because it causes a lot of swelling to build up, especially if they're very tight. So I encourage to wear something very loose-fitting to allow the lymphatics to drain off and to decrease the squishing of the breast, so it allows more blood flow to the breast so that can heal.
Keller funnels.
Love it.
Transaxillary incision.
Leave it. Transaxillary incisions, they have to come in from the armpit and they disrupt the lateral protection of the breast. So a lot of times implants will get laterally displaced with the transaxillary approach. The medial muscle doesn't get released properly, or you disrupt a lot of the nerves that go to the nipple. They come from this way, so a lot of nerve sensation is lost. They're painful, they're a little more difficult to recover from, and ultimately I feel like they're problem-rich, and that scar isn't super concealed most of the time either.
On-table sizing.
Love it. Gotta make sure it looks good.
Saline Breast filling implants?
Leave it. It's like water balloons.
Mesh or internal bras?
Uh, love it. Certain situations.
800cc enough?
Leave it. Too big. No good.
