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Ｑ：Which is better, endoscopic breast augmentation below fascia or below pectoralis major?

Ａ：The location of breast augmentation placement is simply at the location above and below the muscle. It is not distinguished by fascia or pectoralis major. Many surgeons have fabled both procedures, because fascia is like a layer of thin film on the muscle, as if a sheet of toilet paper covers the breast implant. It does not make much difference as far as the sense of touché goes. Pectoralis major on the other hand is simply the muscular layer. A suitable location for each customer is not determined by the surgeon’s skill, but the body size, form, and chest shape.

Ｑ：Why is endoscopic breast augmentation more costly than traditional surgery?

Ａ：There are several reasons endoscopic breast augmentation is more costly than traditional breast augmentation:
1.The surgical time is longer, about one or two more hours longer than traditional breast augmentation, hence the added anesthesia and surgery costs.
2.The most important are the greatly diminished postoperative pain, speedier recovery, minimum bleeding, fewer complications, and natural shape.
3. During the saline solution bag placement process in traditional surgery, surgeons mostly perform surgery solely based on experience and feeling, thus the likelihood of bleeding, never injury, and other complications. Endoscopic breast augmentation is dffenret. Surgeons can gain a clear view of the breast augmentation process with the help of the endoscope, bypassing the nerves and blood vessels and minimizing bleeding. The likelihood of sequelae is also significantly reduced, making augmentation surgery safer.

Ｑ：How should the right size be selected?

Ａ：Breast implant bags are calculated in ml (cc). The calculation is in reference to height, weight, chest width, original breast size, and personal intent, and the size is based on the evaluation of the figure.

Ｑ：Can I breastfeed after undergoing breast augmentation surgery?

Ａ：Breast implant surgery involves placing a breast implant bag below the pectoralis major of the breast, instead of inside the breast tissue. Therefore, the breastfeeding function is not affected. As long as one becomes pregnant after the breasts become tender and natural more than half a year after surgery, breast swelling should not be too unbearable. In addition, most patients who became pregnant after breast augmentation believed that the touch and shape of their breasts after delivery were even more ideal than before they became pregnant.

Ｑ：Is massage necessary after breast augmentation surgery?

Ａ：Postoperative massage is a must. We demand strict compliance of postoperative chest massage, as it can reduce capsular thickening and contracture. Starting the third day after surgery, moderate breast massage should be done. You are requested to return to the clinic for a re-visit every other day for massage therapy, for 20-30 minutes each time. Your surgeon or nurse will guide you through the hand massage. You must also develop the habit of massaging at home, preferably for at least 3-6 months.

Ｑ：How long can breast augmentation last? Can I feel it?

Ａ：Breast augmentation is for life. With proper postoperative care, it may last forever. Breast implant material is generally undetectable. However, if you are too skinny, you might vaguely feel the creases on the water bag at the lower edge of the breast due to the excessively thin subcutaneous fat layer.

Ｑ：When lying down, will my augmented breasts erect like magnolia missiles?

Ａ：It will not happen if capsular contracture does not take place. However, the proximity of augmented breasts to natural breasts has something to do with the following factors:
1.The better the patient’s own conditions (the bustier the breasts and the thicker the subcutaneous fat), the more natural the augmented breast shape will be.
2.The more frequent the massage, the more natural the result.

Ｑ：Is surgery painful? How long will the pain persist?

Ａ：Since endoscopic surgery can clearly bypass the nerves and blood vessels, postoperative pain can be greatly reduced. However, due to the squeezing of the water bag and stripped wound after surgery, slight pain is inevitable. Painkillers may be used to ease the pain in this case.

Ｑ：Is massage needed after surgery? For how long?

Ａ：Commence massage as early as possible until the capsule matures (about 3-6 months).

Ｑ：Do breast implants have a shelf life? When should they be replaced?

Ａ：They can be used for a lifetime. There is no need for replacement if no special circumstances arise.

Ｑ：Is there a need for drainage tube placement after surgery?

Ａ：There is no need for drainage tube placement, because the surgical process is carried out using an endoscope. There will not be much bleeding during the process. Hence, there is no need for drainage tube placement.

Ｑ：When can I resume a normal lifestyle after breast augmentation?

Ａ：Since it is endoscopic breast augmentation surgery, if your work requires no lifting of heavy weights but office work, you may return to work after two or three days. However, in case rigorous activity is needed, especially locomotion of upper arms, it is recommended that you begin work after two or three weeks. We advise you to refrain from sexual activity during the first week after surgery. You may engage in sexual activity thereafter, but you are advised to be gentle to the breasts within the first month to avoid causing unnecessary pain.

Ｑ：Where are the scars that result from endoscopic breast augmentation? What care is needed ? Is cosmetic tape needed?

Ａ：The endoscopic lens is an elongated lens. Therefore, the wound resulted from endoscopic breast augmentation is found at the crease of the armpit. Suture can be removed about 7-10 days after surgery. Prior to suture removal, apply wound ointment in the morning and evening. Avoid contact with water. After suture removal, use anti-scar cream or pigment lightening cream as wound care.

Ｑ：Will rupture or leading result after surgery? If so, will it collapse?

Ａ：Unless one is subject to strong external collision, undergoes chest acupuncture, or applies inadequate massage, resulting in the capsular contracture being too adhesive, breast implant rupture will be result. In case the saline bag ruptures, saline solution leakage may result in collapse. However, if jelly silicone is used, the chest will not collapse, but deformation maybe likely. This is because silicone itself is sticky like mochi (rice cake). Even if the breast implant is cut in half, leakage will not result due to the adhesiveness of the silicone.

Ｑ：Can I still undergo surgery knowing that I have no time to massage?

Ａ：Breast augmentation is for life. You must be mentally prepared that postoperative massage is a must before deciding to undergo surgery. Without postoperative massage, the chest will appear unnatural, feel as hard as stone, or become unleveled, looking more unnatural and unsightly.