Breast Implants -- Through the Armpits
By C. Downey © 2008
PlasticSurgery.com Staff Writer.
When M.A. starting thinking about getting breast implants, she remembered a co-worker who once had the same procedure. (M.A. asked to remain unidentified for medical privacy.)
A 30-year-old, single working mom of a seven-year-old son, M.A. watched as the co-worker searched the Internet for just the right Las Vegas plastic surgeon with impressive training and the best possible before and after pictures of his work.
Before M.A. had a child, she was a full D cup. But child birth and nursing naturally cause changes in the body, and her bust line shrunk to a full C and then to a full A.
“Breast augmentation was something I wanted to do just for myself”
"Breast augmentation was something I wanted to do just for myself," says M.A. who, inspired by her friend's experience, turned to the Internet. There, she found a discussion group that explained what breast augmentation was like from the very first consult to final healing. She also watched each and every episode of Dr. 90210 with a hungry eye.
Moreover, M.A. has a special medical consideration and kept an eye out for a Las Vegas plastic surgeon who has some extra experience with her particular condition.
"My ethnic background is Philipino and I know from past experience that my scars will be keloid." (Read more about scar revision.)
Keloid scars result from an overgrowth of tissue at the site of a surgical incision or other skin injury. Keloids are firm, rubbery lesions or shiny, fibrous nodules, and can be lighter or darker than the surrounding skin. (Read more about keloids.)
"Due to the keloid scarring, the surgical incisions to place the implants could only be in my armpits where they would be hidden," she says.
Breast Augmentation Photos
Patient M.A. at age 29 before her breasts implant procedure (left), and three months after the procedure (right), M.A. is a full D cup.(Photos, courtesy of Dr. Cambeiro, M.D.)
Breast Implant Surgery
Being ever the wise consumer, M.A. arranged consults with several Las Vegas plastic surgeons. Her continuing research kept bringing her back to information about a board certified Las Vegas plastic surgeon, Arthur Cambeiro, M.D., who appeared to be the only local board certified plastic surgeon with patients who were also subject to keloid scarring. She saw a second surgeon and made a non-refundable deposit on a breast enlargement.
"While waiting for the appointment, I continued researching and was constantly referred back to Dr. Cambeiro," she says. "Eventually, I decided to go with him, even though I had to forfeit the deposit with the second surgeon."
After the procedure, M.A. was delighted with the results. However, the keloids did, as expected, develop on her incisions.
M.A. chose saline breast implants, placed under the chest muscle, and inserted through the armpit (this method reduces the visibility of scaring). She had the procedure on a Friday and returned to work the following Tuesday, wearing loose, flowing clothing. She reports feeling pain only in her back from sitting up while sleeping during recuperation. It was such an effort to get back up after reclining, she decided to just sit on her couch for a while.
“I continued researching and was constantly referred back to Dr. Cambeiro”
"Even though I wanted breast enlargement, I'm still shy and modest and did not want to show off my new bust line with a plunging neckline and the like," she says. "Happily, nobody at work noticed I had the enhancement done."
Next, Dr. Cambeiro worked over the next year to lessen the appearance of her keloid scars and made sure that they were even with the rest of her skin. Untreated keloids scars almost always bulge above the surface of the surrounding skin.
"The scars are now just a little darker and rougher than the rest of my skin but are completely hidden," M.A. says. "The people who've seen me in a bathing suit, and knew me before I got pregnant, tell me the implants are just the right size for me and that I look totally natural.
"I couldn't be more pleased!"