Take a close look at the following ranking of composite endoscope breast augmentation in Albany in 2025!

Introduction

Breast augmentation has become an increasingly popular cosmetic procedure, and in Albany, the use of composite endoscope techniques in breast augmentation is drawing significant attention. This article will provide an in - depth exploration of composite endoscope breast augmentation in Albany, including information on doctors, the procedure itself, types of implants, incisions, and other related aspects.

Top Breast Augmentation Doctors in Albany

Healthgrades has compiled a list of doctors who perform breast augmentation in Albany. These doctors have varying ratings based on past patient experiences.

Patients seeking composite endoscope breast augmentation should consider these ratings and consult with the doctors to determine the best fit for their needs.

Understanding Composite Endoscope Breast Augmentation

Overview

The use of endoscopes in breast augmentation has been a significant advancement in the field of plastic surgery. Endoscopic - assisted breast augmentation aims to achieve the desired surgical outcome with minimal incisional access, limiting surgical consequences and facilitating faster patient recoveries. In breast augmentation, remote placement of access incisions, as seen in transaxillary endoscopic augmentation mammaplasty and transumbilical endoscopic augmentation (TUBA) mammaplasty, is a key approach made possible by endoscope technology.

Instruments using fiberoptics and endoscopic remote manipulation, along with advances in technique, have led to consistently good results in the hands of appropriately trained surgeons. Reticulating endoscopes and high - definition cameras offer new visualization capabilities, increasing enthusiasm for these endoscopic approaches.

Transaxillary Endoscopic Augmentation Mammaplasty

This approach was described in the 1970s. The obvious advantage is the hidden incision in the first axillary crease. However, the blind technique used in the past had some drawbacks. It facilitated direct access to the subpectoral plane but led to a higher incidence of implant malposition as the inframammary crease was altered and the origin of the pectoralis muscle was dissected blindly. The limited exposure did not allow complete division of the prepectoral fascia, resulting in issues like high - riding implants or the double - bubble appearance of the inframammary crease.

The advent of endoscopic plastic surgery in the 1990s changed this. Direct visualization of the dissection through the endoscope obviated many of the previous problems. For example, Howard demonstrated a decrease in the incidence of implant malposition from 8.6% to 2% when the endoscope was used.

However, this technique has a significant learning curve, and more straightforward cases should be considered during the initial experience. It also has limited application in secondary cases.

Transumbilical Endoscopic Augmentation Mammaplasty (TUBA)

The TUBA approach was first implemented in 1991 and described in detail in 1993. It is unique as it uses a remote incision in the umbilicus. Initially, it faced significant criticism, mainly regarding a lack of control of the operative site, especially with regard to bleeding and the plane of dissection. But with improved instrumentation and better endoscopic skills, these criticisms have been proven invalid. The original study by Johnson reported a lower complication rate with less bleeding than other methods.

As more plastic surgeons gain expertise in this procedure, it has become increasingly popular, though it is technically more challenging.

Planning Your Composite Endoscope Breast Augmentation

Consultation

The consultation is a crucial first step in the breast augmentation process. It begins with a discussion of your goals from the surgery and an analysis of your current breast shape and position. Based on measurements of your breast and your post - operative goals, your surgeon will recommend a range of implant sizes and profiles for you.

Some clinics, like Deluca Plastic Surgery, use the scientifically - designed, Mentor breast implant sizing system. Patients have the opportunity to “try on” different implants and get a feel for how they look and feel. Additionally, 3 - D computer simulations based on breast photos and advanced AI algorithms can be used to simulate the breasts in their new size and shape, helping patients decide on the right implant for a more bespoke breast augmentation experience.

Anatomy Considerations

Breast shape varies among patients, and understanding the anatomy of the breast is essential for safe surgical planning. When carefully examined, significant asymmetries are revealed in most patients. Preexisting asymmetries, spinal curvature, or chest wall deformities must be recognized and demonstrated to the patient, as these may be difficult to correct and can become noticeable in the postoperative period.

The base of the breast overlies the pectoralis major muscle between the second and sixth ribs in the non - ptotic state. The gland is anchored to the pectoralis major fascia by the suspensory ligaments, which relax with age and time, eventually resulting in breast ptosis. The lower pole of the breast is usually fuller than the upper pole.

Types of Breast Implants

There are several types of breast implants available for composite endoscope breast augmentation, each with its own characteristics.

Silicone Gel Implants

Silicone gel implants have a long history. In the 1960s, commercially manufactured silicone gel implants were introduced. After a moratorium on gel implants in 1992 due to safety concerns, they returned to the market in the mid - 2000s. The FDA has since allowed varying levels of cohesiveness, resulting in highly cohesive, form - stable implants in both textured anatomic and smooth round designs, as well as cohesive gel in textured or smooth round implants.

One advantage of silicone gel implants is that they can have a more natural feel. However, a silent rupture can occur, where the silicone remains trapped within the capsule and shows no signs of change. This is why the government recommends getting an MRI every two years to evaluate the integrity of the implant, though this is not always followed due to cost and coverage issues.

Saline Implants

Saline implants are filled with a sterile saltwater solution. They were available once shells were used for containing the fill. Saline implants were thought to be safer during the time when gel implants were under a moratorium. They tend to ripple more and have a higher failure rate (estimated more than 75%) compared to some silicone gel implants. However, a rupture in a saline implant is usually obvious as the breast mound will become smaller.

Structured Saline Implants

Recently, structured (bi - lumen) ideal implants have been introduced. They aim to provide the characteristics of a gel implant without the risks associated with silicone gel. Currently, their profile is limited to high - profile styles, and manufacturers are working on introducing a moderate profile in the future. All implant shells are still manufactured from silicone, so exposure to silicone is not completely eliminated.

Breast Implant Incisions

There are several options for breast implant incisions in composite endoscope breast augmentation, each with its own pros and cons.

Inframammary Incision

This is the most popular option. The incision is made along the breast crease under the breast. It is very versatile, giving excellent access to the breast and can be used for virtually all breast augmentation procedures, including challenging cases such as misshapen breasts, tight tissues, and revisions. The scar is hidden in the breast crease, and there is less contamination with bacteria. Fewer nerves are involved, and the breast tissues are usually not cut, potentially resulting in less pain. It can also be used for revision procedures.

Armpit Incision (Transaxillary Approach)

It is a popular choice for women who want to avoid scars on the breast. It is best suited for thin women with little natural breast tissue, desiring a small to medium augmentation, and when there is an insufficient inframammary fold to hide a crease incision. However, it is not a good approach for women with abnormally shaped breasts or those desiring a large or very large enhancement.

Using an endoscope is crucial in this technique as it allows the surgery to be performed under direct vision, minimizing bleeding and creating a precise implant pocket. The traditional non - endoscopic technique using blunt dissection has more complications, such as more bleeding, a less precise implant pocket, and improper release of the pectoralis muscle.

Nipple Incision

This incision is recommended for some patients with underdeveloped or misshapen breasts, such as constricted or tuberous breasts. It is made around the lower part of the areola. However, it requires cutting through the breast tissue, resulting in more pain, swelling, and changes to nipple sensation compared to other incisions. On patients of some races, the scars may pigment and thicken. Also, pushing the implant through the breast ducts can introduce bacteria, increasing the risk of capsular contracture, which is the leading cause of revision surgery after breast augmentation.

Transumbilical Incision (TUBA)

Often called the “scarless option” as the incision is made in the belly button. However, it is generally not recommended as the results are often inferior. The surgeon has less control over creating the implant pockets, increasing the chance of poor results such as poorly positioned implants, asymmetry, and capsular contracture. It is limited to the use of saline implants as silicone implants cannot fit through the incision. The path from the belly button to the breasts can develop noticeable scarring, and a standard breast incision is usually needed for revision surgery.

The Breast Augmentation Procedure

Pre - operative Preparations

Before the surgery, patients need to undergo a thorough physical examination. The surgeon will discuss the potential complications of breast augmentation, especially those unique to the endoscopic approaches, such as implant malposition, axillary hematoma, and lymphadenopathy. The possible need for an additional inframammary crease incision to treat some complications should also be discussed.

The surgeon will mark the location of the proposed incision and draw the position and size of the incision with a surgical marker. Particular attention is paid to the distance from the areola to the inframammary crease and the transverse diameter of the breast to select the appropriate implant size and make fold adjustments.

Transaxillary Procedure

1. **Positioning**: The patient is placed in the supine position with the arms on arm boards at approximately 80 degrees. Adherent drapes are used to ensure sterility.

2. **Incision and Preparation**: A 1:10,000 epinephrine solution is used in the incision and at the position of partial myotomy. A 2.5 - cm incision is made in the first axillary crease well behind the anterior axillary line. Skin hooks are used to spread the subcutaneous tissues until the pectoral fascia is reached.

3. **Endoscope Insertion**: An endoscopic retractor is inserted, followed by the scope. The surgeon uses the endoscope to perform superior retraction and gradually enlarge the pocket. An assistant may hold the retractor during dissection, but this need decreases with experience.

4. **Myotomy and Dissection**: The myotomy of the pectoralis muscle origin is usually performed from the 3 - to 6 - o'clock position approximately 2 cm off the chest wall. Care is taken to avoid over - or under - dissection, as this can lead to issues such as a lack of defined cleavage, superolateral implant malposition, or bottom - heavy breasts.

5. **Implant Insertion**: A deflated saline implant is inserted, rolled toward the center, and then inflated. The lateral, inferior, and medial pockets are refined. The patient is placed in the sitting position to verify implant position and volume requirements.

6. **Closure**: The endoscope and instruments are removed, the fill tubes are capped, and the axillary incisions are closed with a layer closure followed by benzoin and a steri - strip. No drains are used.

Transumbilical Procedure

1. **Marking and Positioning**: The midline from the sternal notch to the umbilicus is marked, and a line from the umbilicus tangent to the medial border of the areola is drawn bilaterally. The patient is placed supine with arms extended to 90 degrees.

2. **Incision and Dissection**: An umbilical ring is elevated, and an incision large enough to allow passage of the index finger is made. Scissors are used to dissect superiorly onto the abdominal fascia.

3. **Mammascope Insertion**: The mammascope is inserted through the umbilical incision, passed through the subcutaneous tissue, and into the fascial plane beneath the breast.

4. **Implant Insertion**: The air is evacuated from a posterior leaf valve implant, which is then coiled and inserted through the mammascope into the breast. The implant is inflated to 150% of the desired volume, manipulated externally, and then the excess volume is removed.

5. **Closure**: The mammascope is reinserted to visualize the implants and confirm integrity and hemostasis. Finally, the mammascope is withdrawn, and the umbilical incision is closed.

Post - operative Care

After the surgery, it is crucial to follow the surgeon's instructions for post - op care and activity restrictions. The surgeon will provide a post - operative bra and possibly a superior strap to support the implants while they heal.

Dry gauze is placed over the wounds for 24 hours, and steri - strips remain until the suture is removed at 10 days to 2 weeks. An upper - pole strap may be worn for several days to several weeks, depending on the tightness of the inferior pocket. Massage of the implant pocket usually begins at 2 weeks.

Follow - up visits are scheduled to ensure proper healing and to detect and address any complications early.

Complications

Although complication rates for endoscopic breast augmentation are comparable with other techniques for breast augmentation, there are still potential complications to be aware of.

Implant Malposition

Most implant malpositions are related to superior displacement, but inferior displacement with bottoming out is more difficult to treat. In the transumbilical approach, inadvertent subpectoral implantation has been reported, which may require an inframammary incision for correction.

Axillary