Breast is the secondary sex characteristic of female and a way to display feminine side. Despite the sizes of breasts, garments and other embellishments can be used to accentuate the positive qualities of body shape as long as the breast curve is present. However, a small group of female has underdeveloped breast with chests which are similar to male, except the difference in nipples. Partners for this group of female frequently mock at their flat breasts, which has a severe impact on the females’ confidence. Furthermore, females with flat breasts usually cannot find bra and under garments which fit their body. Consequently, they are isolated from attractive and sexy garments. Most of these patients would try every possible approach just to shape a bigger breast and get rid of unpleasant eyesight from the others!
Flat-chestedness is defined as lack of development in mammary gland, which is also generally known as breast with size cup “A-”. This type of patients is frequently very thin and bony. Besides, food therapy and autologous fat injection cannot reach desired cup size. Therefore, mammaplasty has become the only and fastest choice. Regularly, this type of patient shows the following breast characteristics:
1. Tight and thin skin on frontal chest.
2. Ribs can be easily seen, or have developmental issues of sternum (such as pectus carnatum or pectus excavatum)
3. Vague position and edge of chest, usually only nipples are obvious.
People with characteristics mentioned above are different with others when undergoing mammaplasty. There are more difficulties in this type of patients because their skins are tighter and most of them are nervous about the post-operative pain. Moreover, the size of implants is frequently limited due to the inborn criteria of these patients. If the patients have chest deformity, asymmetrical breasts or other abnormalities, results and satisfaction of the surgery will be affected. Hence, it is depended on the conscientious assessment and experience of the surgeons to make appropriate suggestions and relief the uncertainty of patients. Presently, the latest endoscopic surgery can greatly reduce the pain and discomfort of mammaplasty. Mammaplasty nowadays has very short and rapid post-operative recovery period (approximately 2-3 days). In addition, issues with post-operative care and maintenance for patients with tight skin are overcome by inserting the implants at subfascial layer. The author perceives subfascial augmentation mammaplasty via axillary incision as the most suitable breast augmentation for flat-chestedness. There are several distinctive features of this latest surgery such as the followings:
|
1. |
Subfascial implants eliminate the compression and constriction from subpectoral, hence reducing pain in patients with tight skin. |
| |
| 2. |
Subfascial augmentation mammaplasty is almost painless during massage and the position of breasts can be secured rapidly, which effectively shortens the post-operative caring period and discomfort. |
| |
| 3. |
Subfascial and breasts can completely bind with breast implants. Therefore, it is easier in sculpting breasts with tear-drop shape. |
| |
| 4. |
Since the subfascial layer is not linked with subpectoral and has no other inborn structural limitation, it is possible to design optimal breast position and size (less limitation of implant sizes). |
| |
| 5. |
There are less nerves and blood vessels at the subfascial layer, thus fewer post-operative swelling lumps and no drainage tube is required. |
| |
| 6. |
As similar to subpectoral augmentation mammaplasty, implants can be inserted through axillary incision and issues such as areola scars and reduction of areola sensitivity in traditional approach can be prevented. |
|
