Breast Augmentation and Removal of Extra Nipples Surgery27th September 2011
Skin Lesion, Cyst & Mole Removal
Live Breast Augmentation Surgery performed by plastic surgeon Adrian Richards at Aurora Clinics. During the Breast Enlargement Surgery, our surgeon removes 2 supernumerary nipples from the patient's torso and a superficial mole from her left breast by curettage. Additional nipples on different areas of the body are not unusual and they can easily be excised by qualified plastic surgeons leaving a short, thin scar, which will fade in time.
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On this lady, I’m going to do a bilateral breast augmentation. Because she’s slim, I’m going to put the implant half under the muscle. I don’t know if you can see. This is the pectoralis muscle here as it comes down across just under the nipple. What I’m going to do is lift it up from inside and put the implant underneath that layer so we’ve got a much smoother appearance at the top of the chest. I’m also going to remove two accessory nipples. Our patient’s got an accessory nipple here and an accessory nipple on that side. These are quite common. People often think they’re moles. They’re nearly always in this position on one side or the other side. They’re a bit like obviously animals have nipples in lines. Humans can as well. It’s quite common for someone to have what they think is a mole there, but if you look very carefully it is a nipple.
I don’t know if you can see there. On this side, it’s actually larger. It looks more like a nipple, this accessory nipple here. It’s really a mini version of a nipple. I’m just going to remove it, leaving a little scar there.
This is the muscle here, I’m holding in my forceps. I don’t know if you can see that there. So if you go in front of the muscle, you’re going in front there. And behind the muscle, we’re going obviously behind. You can see I’ve released the muscle up to here, and so I’ll be getting a nice lot of muscle over the implant so we won’t get any palpability to the implant in the top portion.
This is a breast sizer, which is a temporary implant which I’m going to use. See, I can blow it up, little by little with this syringe. I’m going to place it in the cavity there and then just blow it up little by little. I don’t know if you can see. I’m just blowing it up there. That’s 50, 100. Our patient wants to be quite full today, so that’s 100, 150, 200. We’ve got to keep counting because sometimes you can lose count. That’s 250. Just make sure everything’s sitting right. 250. 300. And you can see, this gives us really good control of the size.
I just put on some brown iodine betadine solution around the incision so that’s going to reduce our risk of infection. I’ve put in some antibiotics. Our patient today has gone for quite a sizable implant, a high profile implant, which I’m just going to insert now. I don’t know whether you can see. The implant’s in there. I think it looks really good. We’ve got a nice cleavage. I don’t know if you’ve noticed in the photos before, there was a fold here on this lady, which I’ve released from inside to lower the fold, to lower the crease. If you look at the before photos, she had a fold here.
I think we’re going to get a nice result there. Implants always looks a little bit smaller when they’re behind the muscle because they’re more compressed. I think we’re going to get a good result, even though it’s a large implant and a high profile implant. I think she won’t look too enormous at the end.
Our last layer here, I don’t know if you can see that, is just to put some glue on the incision. This just sort of seals it. Then I’ve also just taken off that extra nipple there. I’ll show you how I did that on the other side where it’s a bit bigger. The glue is quite good. It just absolutely seals the incision against any potential bugs getting in. Now I’m going to move on to the other side.
I’ve done the breast enlargement on that side. I’m just going to remove the extra nipple here, and I’ll show you how that’s done. I’m just going to cut around the edges, I don’t know if you can see that, over the nipple there.
I’m just taking away . . . sometimes there’s actually breast tissue underneath there. But in this case, it doesn’t look like it. There might be a little bit. I don’t know if you can see there, there’s a little but of white tissue there. That’s actually breast tissue. Men can get this as well. When you have babies, pregnancy, it can swell up and discharge milk.
I’m just going to use a very fine, deep stitch there. Now, I’m just going to remove this little mole here, which she calls her rice krispy. I’m just using this special curette, which I get from Australia. She calls it her rice krispy, because it’s like a rice krispy has fallen when she’s eating them. That’s gone now. We just put a little dressing there because it was very superficial.
I don’t know if you can see, I’ve sewn up where the extra nipple is. There’s the main incision for the breast enlargement and then the little incision where the extra nipple was.
This is the appearance at the end of the operation. I’ve got a little dressing on where I took the rice krispy away from there. Just moving around we can see it’s nicely filled out on the lower part of the breast. That’s the main incision. That’s where the little extra nipple was and the same on the other side. I think overall a good result from the breast enlargement.
This is the implant I used in this case. It’s a Nagor implant. This is the box of the implant. An IMP, that’s the type of implant. HR means a high profile. 520 is the cc’s. I don’t know whether you can see the dimensions there. The width is 12.9 centimetres, and the height 5.6 centimetres. So 12.9 centimetres in width and 5.6 centimetres in height. I think that fitted really well with her. Of course, I have measured her before to check that it fit satisfactorily.