inframammary

Q: How to improve breast sensitivity, stop numbness in the nipple and make the area below it feel touch and changes in temperature?

Submitted by Q-A from clee on Thu, 06/09/2016 - 11:43

I went for a breast augmentation -2011(implants over the pectoral muscle/inframammary incision. I felt numbness under the nipple area and loss of sensitivity. After 1 year, no changes. I decided in 2015 to have the implants removed, but the surgeon ended up putting a smaller one not to make big scars or have a saggy breast. my scar is bigger now. I am looking on how to improve sensitivity (stop numbness in the nipple and area below it to feel the touch and changes in temperature.

A: Loss of sensation not likely to improve 5 years following breast augmentation

The nerves giving sensory innervation travel on the external (lateral) border of the breast.  These nerves are not easily seen and often suffer a stretch injury during breast augmentation from the pocket dissection and implant placement.  In the vast majority of patients, the nerves are intact but "stunned" (medically termed neuropraxia) and sensation returns to normal.  This sensation usually returns within 3 months but may require up to 18 months.  Persisting loss of sensation beyond 18 months suggests that the nerves have sustained a greater degree of injury with resulting permanent residual sensory loss.  Regrettably, implant downsizing / removal  are unlikely to alter the state of the nerve damage after your primary breast augmentation.  It would be worthwhile to discuss this prognosis in greater detail with your plastic surgeon.  Wishing you well.

Going under the knife. Where to cut?

Submitted by Liz S Admin on Sat, 09/15/2012 - 10:29

There are various kinds of plastic surgery that can be performed. Ranging from abdominoplasty (“tummy tuck”) to rhinoplasty (“nose job”), but one of the most popular ones, especially among women, is breast augmentation.

Deciding on what type of breast implants to use is not the only difficult decision to make. Plastic surgery after all is a surgical procedure that requires making incisions on the skin. Scaring is typical after an incision is performed and it is unavoidable. Deciding where an incision will be done will determine where the scaring will be located. In a breast augmentation, the three commonly performed incisions are the infra-mammary incision, the peri-areolar incision, and the trans-axillary incision.

The infra-mammary incision is an incision that is done in the breast fold, which is the crease under the breast where it meets the chest. This is the most common incision in that it offers the plastic surgeon direct visual access making it easier to place the breast implants. Both silicone and saline breast implants can be inserted through this incision. If using silicone breast implants, this incision is preferred, especially if they are large sized ones.

The peri-areolar incision is done on the lower border of the nipple, where it will be hidden between the darker colour of the nipple and the lighter colour of the skin. Both implants can be inserted, but the size of silicone implants may be restricted depending on the border and size of the areola. This incision also gives the plastic surgeon direct visual access.

The trans-axillary incision is an incision done in the armpit. The scar can be noticeable when a woman wears sleeveless clothes. Saline breast implants are preferred over silicone breast implants when this incision is done. It is very hard to position large silicone breast implants and there is no direct visual access for the plastic surgeon. Small silicone breast implants are a better option when using this incision.

Regardless of the incision that is made, a scar will follow. It is an unavoidable end result of a breast augmentation but after obtaining the desired breast size, shape, and look, the scaring will be forgotten with time as the new breasts will steal the spotlight.

Q: Pain when Wearing a Bra Post-op

Submitted by Q-A from clee on Fri, 05/13/2011 - 09:23

20 days post-BA (250cc silicone moderate profile unders inframammary). At 14 days with surgical strap I felt the implant edge on the left breast. My PS said to stop wearing the strap and try a supportive sport bra. The sport bra hurts: muscle spasms, tightens up, feels like 'let down' when breast feeding. Some numbness and tingles. Have tried different bras. Am massaging. The muscle is tight and ROM is limited on left side. Sensitive to touch. Can feel the implant over most of the left breast.

A: Common with subpectoral implant

What you are experiencing is very common after subpectoral implantation. I am not fond of massages with textured implants under under the muscle as it may increase your symptoms and does not decrease capusules from forming. Your implants appear to be well positioned so the need for any type of external bra or straps is unnecessary. Just use what makes you comfortable and time will take care of the rest.

Q: SCUBA diving after breast augmentation

Submitted by Q-A from clee on Thu, 05/12/2011 - 01:23

I had silicone breast implants placed 2.5 weeks ago via infra mammary incisions. When if ever, can I resume SCUBA diving? Any depth limitations?

A: Strenuous activity should be limited for 6-8 weeks then no restrictions

After breast augmentation, 6-8 weeks of avoiding strenuous activity is recommended (especially if placed under the muscle). Thereafter, no restrictions on activities are necessary. SCUBA diving is not a problem with your implants. The increased pressure from the depth of the dive does not cause any problems for the implant as these forces act evenly over the entire surface of the implant. A similar analogy is that your skin is not damaged from the pressure of a dive as these forces are evenly applied. In contrast, uneven forces such as may occur from accidental trauma might cause implant damage just as it would to your own tissues.

In summary, SCUBA is fine 6-8 weeks after surgery. Have fun diving!