Introduction
Endoscopic double - plane breast augmentation is a highly sought - after cosmetic procedure that combines the benefits of endoscopic techniques with the strategic placement of breast implants in a dual - plane approach. This method offers more natural results, better implant positioning, and potentially fewer complications. In Albany, there are several institutions known for their expertise in this field. This article aims to provide a comprehensive overview of endoscopic double - plane breast augmentation, introduce some strong - performing institutions in Albany, and offer in - depth information about the procedure, doctors, and related aspects.
Understanding Endoscopic Double - Plane Breast Augmentation
What is Endoscopic Double - Plane Breast Augmentation?
Endoscopic double - plane breast augmentation is an advanced surgical technique. The “endoscopic” part involves using a small camera, called an endoscope, to guide the surgeon during the procedure. This allows for more precise incisions and dissection, reducing the risk of damage to surrounding tissues. The “double - plane” refers to the placement of the breast implant in two different anatomical planes. Typically, the upper half of the implant is placed under the pectoralis major muscle, while the lower half rests over the muscle. This placement provides several benefits, such as hiding rippling in the upper poles of the breasts, filling out volume in the lower breast poles, and creating a more natural - looking and sensual “tear - drop - shaped” contour. (Source: Gryskiewicz Twin Cities Cosmetic Surgery)
Benefits of Endoscopic Double - Plane Breast Augmentation
- Enhanced Aesthetic Results: As mentioned above, it can create a more natural breast shape, with better cleavage and a youthful positioning of the breasts. It can also address mild breast sag without the need for a traditional breast lift in some cases.
- Reduced Complications: By placing the implant in the double - plane, the risk of implant malposition and rippling is reduced. Additionally, the endoscopic guidance helps in minimizing damage to blood vessels and nerves, potentially reducing postoperative pain and swelling.
- Faster Recovery: The precise nature of the endoscopic technique and the dual - plane placement can lead to a quicker recovery time compared to some other breast augmentation methods. Patients may be able to return to work and normal activities sooner.
Choosing the Right Implant for Endoscopic Double - Plane Breast Augmentation
There are several types of breast implants available, and the choice depends on various factors such as the patient's body type, aesthetic goals, and medical history. Here are the main types:
Saline Breast Implants
These implants are filled with sterile salt water. If the implant shell leaks, the saline will be absorbed and naturally expelled by the body. Saline implants are FDA - approved for augmentation in women age 18 or older. They provide a uniform shape, firmness, and feel. Structured saline implants, which have an inner structure, aim to make the implant feel more natural. (Source: American Society of Plastic Surgeons)
Silicone Breast Implants
Filled with silicone gel, these implants feel more like natural breast tissue. If the implant leaks, the gel may remain within the shell or escape into the breast implant pocket. Women who choose silicone implants need regular check - ups with their plastic surgeon, often including ultrasound or MRI screenings. Silicone implants are FDA - approved for augmentation in women age 22 or older. (Source: American Society of Plastic Surgeons)
Gummy Bear Breast Implants
Also known as form - stable implants, they maintain their shape even when the implant shell is broken. The silicone gel inside is thicker than traditional silicone gel implants, making them firmer. Shaped gummy bear implants have more projection at the bottom and are tapered towards the top, but if they rotate, it may cause an unusual breast appearance that requires a separate procedure to correct. Their placement requires a slightly longer incision. (Source: American Society of Plastic Surgeons)
Round Breast Implants
These implants tend to make the breasts appear fuller. Higher profile options can achieve more projection. Since they are the same shape all over, there is less concern about them rotating out of place. (Source: American Society of Plastic Surgeons)
Smooth vs. Textured Breast Implants
Smooth breast implants are the softest feeling and can move with the breast implant pocket, providing more natural movement. However, they may have some palpable or visible rippling under the skin. Textured breast implants develop scar tissue to stick to the implant, making them less likely to move around inside the breast. Texturing also offers some advantage in diminishing the risk of a tight scar capsule. It's important to note that breast implant - associated anaplastic large cell lymphoma (BIA - ALCL) occurs most frequently in patients who have breast implants with textured surfaces. (Source: American Society of Plastic Surgeons)
Preparing for Endoscopic Double - Plane Breast Augmentation
Consultation with a Surgeon
The first step in the process is a consultation with a qualified plastic surgeon. During this consultation, the surgeon will discuss the patient's goals, examine the breasts, and take measurements. Based on the patient's anatomy and desired outcome, the surgeon will recommend the appropriate implant size, type, and placement. The surgeon may also use tools like the scientifically - designed Mentor breast implant sizing system, allowing the patient to “try on” different implants and get a feel for how they look and feel. Some clinics, like Deluca Plastic Surgery, also utilize 3 - D computer simulations based on breast photos and advanced AI algorithms to simulate the new breast size and shape, helping the patient make a more informed decision. (Source: Deluca Plastic Surgery)
Medical Evaluation
The patient will undergo a comprehensive medical evaluation, including a physical examination, blood tests, and possibly imaging studies. This is to ensure that the patient is in good health and suitable for the surgery. The surgeon will also review the patient's medical history, including any previous surgeries, allergies, and current medications. Certain medications, such as blood thinners, may need to be stopped before the surgery to reduce the risk of bleeding.
Pre - operative Instructions
The patient will receive pre - operative instructions, which may include not eating or drinking for a certain period before the surgery, avoiding smoking, and arranging for someone to drive them home after the procedure. It's important for the patient to follow these instructions carefully to ensure a smooth surgery and recovery.
The Endoscopic Double - Plane Breast Augmentation Procedure
Anesthesia
The surgery is usually performed under general anesthesia, which means the patient will be asleep during the entire procedure. The anesthesiologist will monitor the patient's vital signs throughout the surgery to ensure their safety.
Incisions
The surgeon will make small incisions, typically in the breast fold or at the border of the nipple. When using the endoscopic technique, the incisions can be more precisely placed to minimize visible scarring. In endoscopic double - plane breast augmentation, the surgeon creates a pocket for the implant, partially behind the muscle using the double - plane approach. (Source: Deluca Plastic Surgery)
Implant Placement
The chosen breast implant is inserted into the pocket using a minimal - touch technique to avoid contamination. The surgeon adjusts the pocket to ensure the implant fits properly and achieves the desired shape and position. The upper part of the implant is placed under the pectoralis major muscle, while the lower part is over the muscle. After the implant is in place, the skin is closed with absorbable sutures, and the breasts are supported in a post - operative bra. (Source: Deluca Plastic Surgery)
Procedure Duration
The endoscopic double - plane breast augmentation procedure usually lasts between one and two hours on average, but the actual time may vary depending on the complexity of the case and the surgeon's experience. (Source: Deluca Plastic Surgery)
Recovery after Endoscopic Double - Plane Breast Augmentation
Immediate Post - operative Period
After the surgery, the patient will be taken to a recovery area where they will be monitored until they wake up from the anesthesia. They may experience some pain, swelling, and bruising, which are normal reactions to the surgery. The surgeon will prescribe pain medications to manage the pain. The patient will also be given a post - operative bra and possibly a superior strap to support the implants while they heal.
Activity Restrictions
It's important for the patient to follow the surgeon's instructions regarding activity restrictions. In general, patients should avoid physical activity for a few weeks after the surgery. They may be able to return to work the day after surgery if they work from home, and a couple of days later if they go into the office. More active jobs require 7 to 10 days off. Exercise and strenuous activity should be avoided for 21 days. (Source: Gryskiewicz Twin Cities Cosmetic Surgery)
Follow - up Visits
Follow - up visits are scheduled after surgery to monitor the patient's healing process and ensure that no complications develop. The surgeon will check the incisions, the position of the implants, and the overall appearance of the breasts. They may also give the patient additional instructions on incision care and post - operative exercises.
Potential Complications of Endoscopic Double - Plane Breast Augmentation
Implant - related Complications
- Implant Leakage or Rupture: Although rare, both saline and silicone implants can leak or rupture. In the case of saline implants, the implant will collapse, and the saline will be absorbed by the body. Silicone implant leakage may require further evaluation and possible replacement.
- Implant Malposition: The implant may shift out of place, which can cause an uneven appearance of the breasts. This may require a secondary surgery to correct.
- Capsular Contracture: This occurs when the scar tissue around the implant tightens, causing the breast to feel hard and possibly change shape. Treatment may involve surgery to remove the scar tissue or replace the implant.
Surgical Complications
- Infection: There is a risk of infection at the incision site or around the implant. Symptoms may include redness, swelling, pain, and fever. Infections usually require antibiotic treatment and may sometimes require removal of the implant.
- Bleeding: Excessive bleeding during or after the surgery can lead to hematoma formation. In some cases, a second procedure may be needed to drain the hematoma.
- Nerve Damage: The surgery may damage nerves in the breast, leading to numbness, tingling, or changes in sensation. In most cases, the sensation returns over time, but in some cases, it may be permanent.
Strong - Performing Endoscopic Double - Plane Breast Augmentation Institutions in Albany
Albany has several medical facilities and doctors known for their proficiency in endoscopic double - plane breast augmentation. Healthgrades has identified many doctors in Albany who perform breast - related surgical procedures. Here are some of the highly - rated doctors in the area:
Doctor's Name | Rating | Location |
---|---|---|
Dr. Susan Gannon, MD | 4.60 out of 5 stars | 455 Patroon Creek Blvd Ste 101, Albany, NY 12206 |
Dr. Gabriel Kaufman, MD | 4.70 out of 5 stars | 317 S Manning Blvd Ste C364, Albany, NY 12208 |
Dr. Todd Beyer, MD | 4.80 out of 5 stars | 47 New Scotland Ave, Albany, NY 12208 |
Dr. Meera Menon, MD | 4.40 out of 5 stars | 50 New Scotland Ave, Albany, NY 12208 |
Dr. Jonathan Canete, MD | 4.90 out of 5 stars | 50 New Scotland Ave, Albany, NY 12208 |
Dr. Francis Cullen, MD | 4.80 out of 5 stars | 5 Palisades Dr Ste 110, Albany, NY 12205 |
Dr. Jerome Chao, MD | 4.30 out of 5 stars | 13 Century Hill Dr, Latham, NY 12110 |
Dr. Edward Lee, MD | 4.50 out of 5 stars | 50 New Scotland Ave, Albany, NY 12208 |
Dr. Matthew McDonald, DO | 4.90 out of 5 stars | 7 Southwoods Blvd Ste 2, Albany, NY 12211 |
Dr. Eugene Hoffert, MD | 4.90 out of 5 stars | 250 Delaware Ave Ste 207, Delmar, NY 12054 |
These doctors have been rated based on past patient experiences and their overall performance in breast - related surgical procedures. When choosing a doctor for endoscopic double - plane breast augmentation, it's important to consider their experience, training, and patient reviews. You can also schedule a consultation with them to discuss your specific needs and goals.
Cost of Endoscopic Double - Plane Breast Augmentation
The cost of endoscopic double - plane breast augmentation can vary widely depending on several factors. These include the type of implant chosen (saline, silicone, gummy bear, etc.), the complexity of the procedure, the surgeon's fees, the location of the surgery, and any additional fees such as anesthesia and facility fees.
While it's difficult to provide an exact cost, patients can expect to pay a significant amount. Some clinics offer financing plans to help patients cover the cost of the procedure. It's important to have a detailed discussion with the surgeon during the consultation to get an accurate estimate of the total cost. (Source: Deluca Plastic Surgery)
Conclusion
Endoscopic double - plane breast augmentation is an advanced and effective procedure for enhancing the size and shape of the breasts. It offers numerous benefits, including more natural results, reduced complications, and faster recovery. In Albany