Breast enhancement is an art. Although it is quite simple for an average plastic surgeon to place a breast implant through a large cut incision – leaving a conspicuous (sometimes ugly) scar and causing a breast bump rather than beautifully shaped breasts, this is not what women desire. Most women dream of beautifully and naturally shaped breasts without visible scars. While the size of the breasts is a uniquely personal decision, the shape, feel, symmetry and lack of visible scars is not. These details are really up to the surgeon.
This is why Dr. Turowski has been perfecting his breast augmentation procedure since 1996. From the beginning, he was looking for the most natural, scarless approach. Although most plastic surgeons discard and avoid the endoscopic armpit (axillary) approach because they find it difficult to achieve predictable results, this seems to be the preferred technique for truly experienced and skilled surgeons.
Throughout his career, Dr. Turowski has successfully performed THOUSANDS of breast augmentations combining the armpit endoscopic technique with saline implants. One reason for this is that, until last year, silicone implants still presented some challenges. While saline implants are inserted as empty bags which are rolled and filled with saline after insertion into the woman’s body, silicone implants come pre-filled and have to be squeezed through a very small incision and a tunnel from the woman’s armpit to her breast pocket. Therefore, Dr. Turowski's preferred incision for silicone implants used to be periareolar (still better than inframmary - under the breast scar).
This issue finally improved in 2012 when a special funnel (Keller funnel) was created to expedite touch-less silicone implant placement. Through this ingenious method, silicone implants can now be placed effortlessly through a minimal, usually invisible armpit incision, which creates beautiful and natural looking breasts without ANY breast scars. Moreover, the Keller funnel avoids any contact between an implant and the armpit skin, which could potentially lower the incidence of capsular contractures.
As a result, Dr. Turowski now performs most of these surgeries (silicone and saline) through a minimally invasive armpit incision (although other techniques are obviously available upon request). Typically, women are back to their daily activities, with minimal swelling and bruising, within 48 hours of surgery.
Another recent development in breast implants is an addition of the Sientra and Inamed shaped form stable implants . These cohesive "gummy bear" implants might be helpful in some cases and Dr. Turowski discusses all of these options during personal consultations.
Before&After Pictures