Current mainstream of breast augmentation emphasizes both size and natural look of the breast; so the smoothness of the upper half of breast and the central cleavage determine how superiority the surgery is. Due to this concern, Dr. Chuang usually suggests using a dual- plane dissection method (half muscle – half fascia, or so called sandwich-type of breast augmentation) to patients who are undertaking large breast implants in 2cm minimally invasive breast augmentation. This method can reserve 2/3 of chest muscle (pectoralis major) that sits above the upper breast to cover the breast implant and the lower 1/3 of chest muscle can be partially divided for the implant to be half-exposed underneath the breast tissue or fascia. This can shorten the time for the breast to manifest itself in the tear-drop or peach shape, and effectively prevent the elevation or high ridding movement of implant due to contraction of the pectoral major muscle, or unnatural sense of bouncing of the implant when the patient flexes arms (animation). This should be the most proper solution of breast augmentation for oriental women.  

For those who have thick skin, tubular breasts or sagging breasts, Dr. Chuang may also suggest subfascial breast augmentation. This surgery can also be done through 2cm incision at the inframammary line.

The safety of surgery is Dr. Chuang’s top concern in performing breast implant. He will perform the 2cm breast augmentation only when he is confident in keeping the breast implant intact and not be deformed during the process of implantation. In order to safely insert the breast implant, Dr. Chuang not only innovates the incision design, but also develops his special hand skills in delivering the breast implant through the incision. In most conditions he can safely deliver the large breast implant through such a small incision within 30 seconds. This prevents the possibility of implant deformation, gel fracture or even damage of its outer surface during the process of pushing through the small incision, and ensures the long-term durability of implant to be the same as in traditional breast augmentation! All of this is supported by cumulated experience of Dr. Chuang who has performed thousands of cases in breast plastic surgery. 

Although the 2cm incision is sufficient for safe insertion of Motiva or silicone-gel implants, the incision will undergo substantial tension during operation to make the wound healing slower. It usually requires 10-14 days for the wound to heal completely, and the patient needs to take good care of the wound after the tissue adhesive has been removed. Try to avoid sweat stained or external friction from affecting the wound to prevent slow wound healing, which may cause hypertrophic scars or pigmentation and defeat the perfect result of minimally invasive breast augmentation surgery!

Is the scar also 2cm in 2cm breast augmentation?

It is not necessarily so! There are multiple factors to influence scar formation, such as the severity of breast swelling after surgery, the period of recovery, the healing process of wound, the tightness of skin tension, personal skin quality, with or without scar tendency, or even the method or period of scar caring. Many of these factors cannot be fully predicted or controlled in the operation. If you expect that the final scar will be as short or inconspicuous as the incision, minimizing the incision in the most important step to make it. In addition, taking good care of the scar with patience for at least 6 months under the guidance of Dr. Chuang or our nurses is also important. We believe that most patients can achieve satisfactory results if they can take our advice during the whole recovery period.