Endoscopic Breast Augmentation

Subpectoral Breast Sugmentation

It is currently the most common method of breast augmentation and is ideal for Asian women who often have relatively slim body types. This procedure places implants under the pectoralis major muscle and can be performed using transaxillary, periareolar, or inframammary incision or transumbilical breast augmentation (TUBA). Patients can freely choose between silicone gel or saline implants, both of which have smooth surfaces, or textured implants that require less massage. However, if one chooses TUBA, then only saline implants can be used. Dr. Chuang utilizes the latest high-definition endoscopy throughout the procedure to ensure the completeness and stability of tissue separation and to avoid possible complications such as nerve damage or bleeding that are associated with the traditional separation method. […. More]

Subfascial Breast Augmentation

Subfascial placement is a new type of procedure whose popularity has increased in recent years with the widespread use of endoscopy. Implants are placed in the subfascial layer under the mammary gland tissue but on top of the pectoralis major muscle. The fascia is very thin in this area, only approximately 1–2 mm. Complete dissection in this plane would be very difficult to achieve without the aid of endoscopy; thus, the precision and complexity of this procedure are much higher than those of subpectoral surgery. It is a more advanced method of breast augmentation. The advantages of subfascial placement are that no crucial blood vessels or nerves are involved and that there is less damage to the muscle or tissue compared with that in the case of subpectoral placement. Thus, the recovery period is shorter, and there is much lesser pain after surgery. It is a modern and user-friendly breast augmentation procedure complying with human physiological characteristics and is ideal for patients afraid of pain. […. More]

Dual Plane Breast Augmentation

It is also known as “partial subfascial, partial submuscular” breast augmentation and is a more complicated subfascial placement procedure. It is ideal only for patients who meet specific requirements. It is called “partial subfascial, partial submuscular” because the lateral two-thirds of the implant near the outer rim is placed under the fascial tissue layer, whereas the medial one-third near the cleavage or lower half of the breast is placed in or under the pectoralis major muscle. The purpose is to utilize partial muscle coverage to increase the thickness of the thin skin near the cleavage, completely enveloping implants near the midline with soft tissues. This not only reduces the chance of visible or palpable implant rippling but also creates a deeper cleavage. This method also extends the benefit of painless subfascial placement to those with thin skin or breast tissue who no longer have to go through the traditional submuscular placement, which is more painful and harder to maintain. Moreover, it could create a deeper V-shaped cleavage, add more elasticity to the area of subfascial placement, and incorporate the advantages of submuscular placement. […. More]

Hybrid Mammoplasty

Hybrid mammoplasty is a surgery that integrates breast augmentation using implants with autologous fat transfer and has the advantages of both. This approach has the following aims: to increase the thickness of chest skin or breast tissues by autologous fat transfer so as to enhance the natural look and touch of breast implants, to reduce the risk of ball-like appearance or implant rippling, and to overcome problems associated with traditional autologous fat transfer alone such as fat cell loss or absorption through the placement of implants to effectively maintain breast size and firmness. Because the compression or massage of the breast should be avoided after fat transfer to prevent fat cell loss and absorption, hybrid mammoplasty mostly uses textured implants that do not require postoperative massage. This surgery is primarily used for those with severe inadequate congenital indications for breast implants, those with a history of repeated breast implants, those who prefer textured implants but that may show an unnatural touch and look, or those who would like large implants and achieve natural breast shape at the same time. Dr. Chuang combines autologous fat transfer with the latest teardrop breast implants, allowing not only the creation of a perfect cleavage and peach-shaped breasts but also the natural look and touch of the breasts. […. More]

Teardrop Implants

Teardrop or anatomical implants are the latest approved breast prosthetics. They are designed to be pyramidal, narrow at the top and wide at the bottom, resembling the shape of a water or tear drop. The surface of implants is made of multilayer processed textured material; therefore, they are also called “textured peach” or “gummy bear” implants. Their fillers are cohesive type III silicone gel, which are harder than the common silicone gel used for smooth implants but better for the maintenance of breast form and firmness. These fillers allow the breasts to set into the teardrop shape of implants faster after the procedure and save a lot of efforts in terms of postoperative massaging and shaping. Thus, they have become the preferred choice for many patients undergoing breast augmentation procedures in countries such as Europe, America, Japan, and Korea. […. More]