This shows a close up of Nipple Reduction done at the same time as a Breast Augmentation. This patient felt that her nipples were a bit too long and I like this technique that makes two circular incisions on the nipple and “telescopes” it down onto itself. It works really well.
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Breast Miscellaneous
This is one of the reasons I do not like placing the incision infra-mammary or under the breast for augmentation. Although admittedly, this is a very rare and extreme example of poor scarring and does not happen in most cases using this approach, I do feel that the thick skin on the chest does scar differently than the paper thin skin of the underarm.
This shows a typical incision close to one year later for the underarm approach I use for Transaxillary Breast Augmentation. It’s difficult to see. I love this technique and very rarely do I get a patient with a scar that needs revision. I am also a firm believer in using the endoscope to allow visualization during the procedure. Without it, I think the implants can have a tendency to sit high and wide…








