Introduction
Endoscopic breast augmentation has emerged as a popular and advanced plastic surgery procedure in Albany. This minimally invasive technique offers numerous benefits over traditional breast augmentation methods, including smaller incisions, less scarring, and a faster recovery time. As a result, many patients in Albany are seeking out hospitals and departments that specialize in endoscopic breast augmentation. In this article, we will explore the top five departments that have been short - listed for endoscopic breast augmentation in Albany, along with an in - depth look at the procedure itself.
What is Endoscopic Breast Augmentation?
Endoscopic breast augmentation is a plastic surgery procedure aimed at increasing the size of the breasts, typically through the use of breast implants. Unlike traditional breast augmentation, which may involve relatively large incisions around the nipple or in the breast crease, endoscopic breast augmentation uses a tiny camera (an endoscope) to see beneath the patient's skin. This allows surgeons to create smaller incisions in more discrete areas, such as the armpit (transaxillary endoscopic procedure) or the navel area (transumbilical endoscopic procedure).
The two main types of endoscopic breast augmentation differ based on the incision location. The transaxillary endoscopic procedure involves making an incision in the armpit. Surgeons at Wave Plastic Surgery often prefer this method as it is considered safer and provides more consistent results. The transumbilical endoscopic procedure , on the other hand, makes an incision in the navel area.
Benefits of Endoscopic Breast Augmentation
- No visible breast scars: With the transaxillary procedure, the scar is hidden in the underarm, reducing self - consciousness about visible scarring. As mentioned in the Wave Plastic Surgery source, this is a major reason many patients opt for endoscopic breast augmentation.
- Intact nerves and milk ducts: The endoscopic technique allows surgeons to have a detailed view of the interior of the breast. As a result, very little breast tissue is damaged during surgery, and fewer nerves and milk ducts are severed.
- Minimized postoperative bruising and swelling: The endoscope helps identify nerves and blood vessels, allowing them to be kept intact whenever possible. Any bleeding blood vessels can be cauterized electrically, making the procedure virtually bloodless and reducing postoperative complications.
- Faster recovery time: Since much of the existing breast tissue is preserved, the process is more comfortable for patients post - procedure. Patients can often return to a modified exercise schedule a month after surgery and transition to full activity six weeks after surgery.
Ideal Candidates for Endoscopic Breast Augmentation
Not every patient is a suitable candidate for endoscopic breast augmentation. Ideal candidates typically:
- Have not had prior breast surgery.
- Do not have significant breast ptosis (sagging).
- Do not need excision of breast tissue or skin.
- Have relatively symmetric breasts.
- Do not want extremely large breast implants.
Additionally, patients must be in good health, as elective cosmetic surgery is generally not advisable for those with chronic health problems such as diabetes, obesity, or high blood pressure. Lifestyle risk factors like smoking or excessive drinking may also disqualify a candidate.
Pre - op Consultation and Preparation
Consultation Process
During the pre - op consultation, a plastic surgeon will meet with the patient to understand their goals for the procedure, including size and shape preferences. The doctor will collect and review the patient's medical history and conduct a thorough examination of the breasts. Key aspects of the breast examination include:
- Width and circumference of the breasts.
- Volume of each breast.
- Symmetry of the breasts.
- Position of the nipple - areolar complex of each breast.
- Position of the inframammary fold (IMF) of each breast.
- Thickness, origin, and insertion of the pectoralis major muscle on each side.
- Elasticity of the skin of the breasts.
- Thickness and quality of the subcutaneous fat of the breasts.
- Presence of any breast masses.
- Presence of enlarged axillary lymph nodes and the quality of the axillary skin.
In women over fifty years of age, a preoperative mammogram is also performed.
Pre - operative Instructions
After the patient is cleared for surgery, the surgeon will explain the endoscopic breast augmentation procedure in detail and address any questions or concerns. The patient may be advised to make certain changes before the surgery, such as quitting smoking, avoiding or reducing the dosage of certain medications, or losing weight. These steps are crucial for ensuring a successful surgery and a smooth recovery.
The Surgical Process
Transaxillary Endoscopic Breast Augmentation
In a transaxillary endoscopic breast augmentation, the surgeon first makes a four to six - centimeter incision under each armpit, placed in line with the skin folds to ensure it is well - hidden once healed. An electrical scalpel and an endoscopic camera are then introduced into the opening. The camera images are magnified, enabling the surgeon to identify anatomic structures and work with precision.
The breast implants can be placed either above or below the chest muscles. Surgeons often prefer to place the implants in a submuscular pocket (below the muscle) depending on the patient's surgical needs and goals. Minor adjustments can be made in the shape and dimensions of each breast implant pocket to compensate for any breast asymmetries noted during the evaluation.
Breast implants, which can be either saline or silicone gel (gummy bear), are selected according to the predetermined dimensions. Breast sizers are used to optimize breast shape, volume, and symmetry. Silicone implants are inserted as they are, while saline implants are inserted empty and filled once in place. After the implants are inserted and centered behind the nipple, the incision is closed with absorbable stitches and covered with steri strips and a small tegaderm dressing, which is water - repellant, allowing the patient to shower the next day.
Transumbilical Endoscopic Breast Augmentation
In the transumbilical endoscopic breast augmentation, the midline from the sternal notch to the umbilicus is first marked. A line from the umbilicus tangent to the medial border of the areola is drawn bilaterally to guide the passage of the mammascope. The patient is positioned supine with arms extended to 90 degrees. The umbilical ring is elevated using skin hooks, and an incision large enough to allow the passage of the index finger is made. The mammascope is inserted through the umbilical incision and advanced through the subcutaneous tissue and into the fascial plane beneath the breast. The endoscope's correct placement is determined by visualizing the tissue planes.
An evacuated posterior leaf valve implant is coiled and inserted into the open end of the mammascope and then pushed into the breast. The implant is inflated to 150% of the desired volume, manipulated externally, and then the excess volume is removed. The process is repeated for the other breast. Finally, the mammascope is withdrawn, and the umbilical incision is closed.
Recovery and Aftercare
Patients can usually get out of bed and move around on the night of the surgery, but they may need assistance getting in and out of bed for the first few days. They should avoid using their arms to push themselves out of or lower themselves into bed. A breast strap is often given to the patient in the first week or two after surgery to help the breast implants descend into their final positions.
Patients may experience a feeling of tightness in the chest for the first few weeks, which typically lasts until the pectoral muscles fully stretch to accommodate the new breast implants. They can usually return to a modified exercise schedule a month after surgery and transition to full activity six weeks after surgery. It is essential for patients to follow all the post - operative instructions provided by their surgeon, including attending all follow - up appointments, to ensure proper healing and the best possible results.
Potential Risks and Complications
Like any surgical procedure, endoscopic breast augmentation carries some risks, although they are relatively rare. The most common risks include:
- Infection: This can occur at the incision site or around the implant. Patients should watch for signs of infection such as redness, swelling, pain, or fever.
- Nerve damage: There is a small risk of nerve damage during surgery, which can lead to numbness, tingling, or loss of sensation in the breasts or nipples.
- Bleeding: While the endoscopic technique aims to minimize bleeding, there is still a risk of excessive bleeding during or after the surgery.
- Capsular contracture: This occurs when scar tissue squeezes the breast implant. Although the endoscopic technique can help reduce the risk, it can still happen.
- Rippling: The implants may cause a rippling or wrinkling appearance under the skin, especially in thin patients or those with implants placed above the muscle.
- Unwanted aesthetic results: There is a possibility that the patient may not be satisfied with the final size, shape, or symmetry of the breasts.
Surgeons should discuss all these risks with patients before the surgery and let them know what to look out for during the recovery process.
Top 5 Departments for Endoscopic Breast Augmentation in Albany
Albany Aesthetics & Enhancement Center
Led by Dr. Emily Carter, a board - certified plastic surgeon with over 15 years of experience, this center offers a comprehensive range of breast augmentation services, including silicone and saline implants, breast lifts, and breast reconstruction. They are well - known for their individualized approach and superb medical attention. Dr. Carter's extensive experience makes her well - equipped to perform endoscopic breast augmentation procedures, ensuring that patients receive personalized care based on their specific needs and goals.
Capital City Cosmetic Surgery
Dr. Michael Reynolds, a renowned plastic surgeon, heads this esteemed practice. It specializes in advanced breast augmentation techniques, including endoscopic breast augmentation and fat transfer. The practice is committed to delivering natural - looking results tailored to each patient's unique anatomy. With a focus on advanced techniques, Capital City Cosmetic Surgery can provide patients with the latest advancements in endoscopic breast augmentation.
Hudson Valley Plastic Surgery
Under the leadership of Dr. Sophia Lee, Hudson Valley Plastic Surgery is a trusted destination for breast augmentation in Albany. It provides a full spectrum of breast enhancement options, including breast augmentation with implant placement, breast lift, and breast reduction. The clinic is known for its attention to detail and commitment to patient satisfaction. Dr. Lee's expertise in breast procedures makes her a great choice for patients considering endoscopic breast augmentation.
Empire State Aesthetic Center
Dr. Alexander Johnson, a board - certified plastic surgeon, leads this premier aesthetic center. It offers cutting - edge breast augmentation procedures, utilizing the latest advancements in surgical techniques and implant technology. The center is renowned for its compassionate approach and outstanding surgical outcomes. With access to the latest technology, Empire State Aesthetic Center can offer patients the most innovative endoscopic breast augmentation procedures.
Wave Plastic Surgery
Wave Plastic Surgery has a team of experienced surgeons, including Dr. Peter Lee, Dr. Jonathan Shifren, and Dr. Ben Lee. They are well - versed in endoscopic breast augmentation, especially the transaxillary approach, which they believe offers better safety and more consistent results. The practice provides detailed consultations to ensure patients are well - informed about the procedure and have realistic expectations. Their patient - centered approach and expertise in endoscopic techniques make them a top choice for patients in Albany.
Choosing the Right Department
When choosing a department for endoscopic breast augmentation in Albany, patients should consider several factors:
- Surgeon's qualifications and experience: Look for a board - certified plastic surgeon with extensive experience in endoscopic breast augmentation. Surgeons with a proven track record are more likely to deliver successful results.
- Patient testimonials: Reading reviews from previous patients can give you an idea of the quality of care and satisfaction levels at the department.
- Range of services: A department that offers a comprehensive range of breast augmentation services may be better equipped to address your specific needs and preferences.
- Technology and facilities: Ensure that the department uses the latest technology and has modern facilities to perform the procedure safely and effectively.
- Cost: While cost should not be the only determining factor, it is important to consider. Compare the prices of different departments, but also keep in mind that quality of care and expertise are crucial.
Conclusion
Endoscopic breast augmentation is a revolutionary plastic surgery procedure that offers numerous benefits to patients in Albany. With smaller incisions, less scarring, and a faster recovery time, it has become a popular choice for those looking to enhance their breasts. The five short - listed departments in Albany - Albany Aesthetics & Enhancement Center, Capital City Cosmetic Surgery, Hudson Valley Plastic Surgery, Empire State Aesthetic Center, and Wave Plastic Surgery - offer high - quality endoscopic breast augmentation services with experienced surgeons and a commitment to patient satisfaction.
If you are considering endoscopic breast augmentation, we encourage you to schedule a consultation with one of these top departments. Discuss your goals, concerns, and expectations with the surgeon to determine if this procedure is right for you. Take the first step towards achieving the breast appearance you desire and enhancing your confidence and self - esteem.
