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The method
of inserting and positioning your implant will depend on your anatomy
and your surgeon's recommendation. The incision can be made in the crease
where the breast meets the chest, around the areola (the dark skin surrounding
the nipple), or in the armpit. Every effort will be made to assure that
the incision is placed so resulting scars will be as inconspicuous as
possible. In
this practice it is our preference to place the scar in the crease below
the breast and to make the implant pocket behind the pectoralis muscle.We
believe this allows us to minimize risks and to maximize control over
the cosmetic result.

Working through the incision, the surgeon will lift
your breast tissue and skin to create a pocket, either directly behind
the breast tissue or underneath your chest wall muscle (the pectoral
muscle). The implants are then centered beneath your nipples.

Some surgeons
believe that putting the implants behind your chest muscle may reduce
the potential for capsular contracture. This placement may also interfere
less with breast examination by mammogram than if the implant is placed
directly behind the breast tissue. Placement behind the muscle, however,
may be more painful for a few days after surgery than placement directly
under the breast tissue.
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