Dr. Kremer, I have been considering breast augmentation surgery for quite a while and have a question: do you ever do the armpit insertion, if a patient is suitable. I wish to preserve as much nipple sensation as possible and dislike scars around the nipple. I am 42. Is this too old? Thank You!
Answer from Dr. Kremer:
Breast augmentation in a 42-year-old is not an uncommon procedure. As patient's age, their breasts become more ptotic (droopy) and sometimes an additional breast lift needs to be done. I personally prefer the armpit approach due to my good personal experience with this method while working in the US as this leaves only an almost invisible scar behind.
I almost always use saline-filled prostheses that are being placed underneath the pectoralis muscle. Permanent sensation changes of the nipple hardly ever occur with this method.