Archive for the tag: Transaxillary

Breast Augmentation- Trans-axillary Honolulu Hawaii- Healy Plastic Surgery

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Breast Augmentation Honolulu Hawaii with board certified plastic surgeon Jeff Healy MD http://www.doctorhealy.com/

Patient undergoes breast augmentation by Dr. Jeff Healy. Implants are Natrelle Silicone Inspira Full Profile 415cc. Incision was made in the axilla. Placement was below the muscle (dual plane).

Breast augmentation surgery uses breast implants to increase the size and projection of the breasts or to restore breast volume. The clinical term is augmentation mammaplasty. Breast augmentation has a long track record of being successful and satisfying to women wishing to enhance or restore a balance to their looks. Multiple factors including your anatomy will determine where your breast implants are inserted and positioned. Breast implants can be placed either above or below the pectoralis muscle. Dr. Healy offers three incision choices: inframammary fold (below the breast), peri-areolar (around the edge of the nipple) or axillary (under the arm). There are many factors to be considered as Dr. Healy works with you to customize your surgery to give you the results you want. Contact Dr. Healy for breast augmentation in Honolulu Hawaii today.

Jeff Healy, MD
98-211 Pali Momi Street #103 Aiea, HI 96701
Phone: (808) 487-0076
http://www.doctorhealy.com/hawaiibreastsurgery.htm

This video is about Breast Augmentation-Trans-axillary approach.
#HealyPlasticSurgery #BreastAugmentation #DoctorHealy #Hawaii #Honolulu #BoardCertifiedPlasticSurgeon #BreastImplants #Beauty #Bikini

Breast Augmentation Surgery by Hawaii Plastic Surgeon (Graphic) – Transaxillary & Keller Funnel

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Breast Augmentation Surgery – Transaxillary Surgery Using a Keller Funnel, Hawaii with Dr. S. Larry Schlesinger at The Breast Implant Center of Hawaii, serving Oahu and Kona. Visit us online at http://goo.gl/xC8gFb or call 808-201-0540.

“Ok Jessica, we are all ready to go. You can give hugs and kisses on your way out. And Steve we’ll call you as soon as we’re all finished, ok?”

“Walk on in, and just kind of veer to your left there.”

“This doesn’t put you off to sleep this just makes you feel good.”

“Table up. And we do the inframammary and the lateral area where the intercostal nerves come up. Then we use the curved Metzenbaum scissors to open into the axilla and then now that we’ve made our initial incision nothing else sharp goes inside of Jessica. This is all blunt dissection.”

“See we got Pec Major right here. There’s a fascial plane between the two and it means that when you get into it it’s a soft plane. You know you’re not tearing any fibers. We’re in it right now. I’m above the Pec Minor, below the Pec Major and this is a dissector. The dissector goes in, it creates the space. Open it widely but do not interfere with the insertion of the Pectoralis Major into the fifth rib which occurs about this level right here.”

“Now we’re going to put an endoscope in and we’re going to cut the Pectoralis Major off the fifth rib. This causes no loss in function of the Pectoralis Major. A lot of studies have been done on that this is not going to interfere with pushups, decline bench pressing or anything else.”

“Amacar is a medicine that helps decrease bleeding. Makes these surgeries very nice. Ok, now we’re going to put the sizer in, mimic what an actual implant will look like and we fill it up with saline and see what size looks best. These go in sixty cc increments. That’s sixty, one-twenty, one-eighty, three-hundred. You can see it’s not quite going down to where we want it. Four-twenty, little bit more at the bottom. Five-forty and here’s the extra ten, five-fifty. Five-forty and ten is five-fifty. So we’ll work from that point.”

“Ok, now at this point we’re going to sit the patient up and we’re going to look and see what she looks like in the standing or sitting up position so we know that the implants are in the right location. We want to bring this down right here and I’ll attempt to do it right now. There we go, pretty good.”

“Alright, now we’re going to lavage out the pockets, clean them out so that we can have pretty good chance that they’ll be no post operative bleeding. So we’ll put a drain in to decrease the chance of blood around the implant. And this is a five-fifty cc implant going in through a transaxillary approach. It never touches the skin. And there it is. Perfect. And here’s another Keller Funnel and there is the little area we want on the back that’s why we put it in with this going down. A little air got in there with the implant. And now you can see that this needs to be open a little bit to the side. So we don’t open it to the side until the last minute.”

“Ok, we’re going to put the drains in now. You always have to have a drain. If you don’t have a drain you will have blood around the implant and that will lead ultimately to potentially a hard breast. The first layer of closure is with a 4-0 Monocryl and this is called a subcuticular suture below the skin and these last about thirty days. They give us enough strength to keep things together until scar tissue can take over again, there’s no tension here so literally the patients can lift there arms up right after surgery. They may not want to but they can.”

“Then we do a running intradermal with Prolene. Pulls out very nicely at six days. And this stitch is a running intradermal stitch. This could be left in several weeks because it doesn’t leave any cross hatch marks however, I believe in taking it out at six days so people can put on deodorant and shave and things like that.”

“I put in some interrupted black nylon sutures and the reason I do that is I’m kind of a belt and suspenders sorta guy. I want to make sure that everything stays exactly where I put it.”

“Everything looks good.”

“I think she’ll love it.”

“Definitely.”

“Yeah and we’ve got it all done. So, she’ll probably be about an hour and a half before you’ll be able to go talk to her, she’ll be awake and going home. Make sure they give you some DMSO I’ll talk to them. Because sometimes you get bruises below and you’ve got to spray those bruises. Do it every hour and they’ll be no bruising in the morning.”

“Ok.”

“And if I don’t see you before you leave, I’ll see you at 6:30 tomorrow morning.”

“Thank you.”

Breast Augmentation Surgery – Transaxillary Surgery Using a Keller Funnel, Hawaii with Dr. S. Larry Schlesinger at The Breast Implant Center of Hawaii, serving Oahu and Kona. Visit us online at http://goo.gl/xC8gFb or call 808-201-0540.
Video Rating: / 5

Breast augmentation is a popular cosmetic treatment, with many women opting for breast implants. But are these implants safe? How long do breats implants last? What are the risks? Expert plastic surgeon Mr Venkat Ramakrishnan explains and gives his advice on the best breast implants.

Book an appointment with Mr Ramakrishnan or to learn more about breast surgery, by visiting his Top Doctors profile:
https://www.topdoctors.co.uk/doctor/venkat-ramakrishnan
Video Rating: / 5

Transaxillary Breast Augmentation- 'The Brandow Technique'

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Dr. Brandow is completing a surgical demonstration of his scarless, underarm, Transaxillary Breast Implants using saline implants. He has performed over 3,500 breast implants using this technique.
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Jay H. Lucas, M.D. Premiere Board Certified Plastic Surgeon in Knoxville Tennessee – founder of The Lucas Center Plastic Surgery discusses a rejuvenation case involving breast implants and adding volume and shaping using fat grafting – The process of fat grafting (also known as autologous fat transfer) involves gently suctioning fat through tiny incisions made in areas of the body like the belly, thighs, or back. The fat is removed by liposuction using tiny hollow tubes called cannulas. The harvested fat is then processed and washed in order to remove unwanted substances before being carefully re-injected into another body site. http://www.thelucascenter.com/fat-grafting/

Dr. Lucas has had extensive experience with fat grafting and has honed his technique to yield superior, long-lasting results. By injecting tiny amounts of fat, spread carefully over the target region, he ensures adequate blood supply to the new tissue. This improves the longevity of the results and reduces the incidence of hard nodules or oil cysts that can form when large amounts of fat are injected into a single spot. Spreading out the injected cells also means more of them survive, eliminating the need to “overfill” the target area to compensate for future cell death, as some surgeons do.

The Lucas Center Plastic Surgery
280 Fort Sanders West Boulevard Building 4 #112
Knoxville, TN 37922
https://plus.google.com/+TheLucasCenterforPlasticSurgeryKnoxville/about

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