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Dr. Anh-Tuan Truong

One of America’s Top Surgeons in the Field of Cosmetic Surgery

After graduating at the top of his high school class in Denver, Colorado, Dr. Truong was accepted to the University of Notre Dame on a full  academic scholarship. He graduated from Notre Dame with a bachelor’s degree, with a double-major in Pre-Medical Studies and English. He was awarded the prestigious designation of Notre Dame Scholar, given to only the top fifteen percent of each class.

Dr. Truong returned to Denver where he completed his medical studies at the University of Colorado School of Medicine. During his time here, Dr. Truong was encouraged to pursue a surgical career by his professors who saw in him the rare combination of intellect and talented hands that are the hallmarks of an excellent surgeon.

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Breast Augmentation Chicago – The Basics You Should Know

What is Breast Augmentation?

Breast Augmentation, or augmentation mammoplasty, is a procedure in which implants are placed in order to change the size and shape of the breasts. “Augmentation” is a term used in plastic surgery Chicago that means to change or enhance an existing body part. In some cases, however, breast augmentation can also be considered a “restorative” procedure in which breasts that have lost volume or shape due to weight changes, pregnancy, or other causes are restored to a more youthful state. Other, more unscientific terms used are “breast enhancement,” “breast implants,” and “breast enlargement” which essentially describe the same procedure.

The decision to undergo breast augmentation and the surgeon you choose are very important, but the decisions don’t stop there. There are many other factors to consider and choices to make regarding this surgery. During your consultation, your surgeon should discuss these options with you and fully educate you on every option so that you can make the decisions that are right for you. Make sure you are fully aware of the following:

Step 1 – Anesthesia

Breast augmentation is typically done under general anesthesia with an anesthesiologist who will put you completely asleep, using a temporary breathing tube. Very rarely are breast augmentations done under local or tumescent anesthesia with sedation. Not every surgeon has privileges at a facility accredited for general anesthesia so be sure to ask if this is the case with the surgeon you are thinking of using. Medication is administered for your comfort before, during, and after your surgery. In healthy patients with no significant medical history, the risks of general anesthesia are very low and complications from anesthesia are rare.

Step 2 – The Location of Incision

Incisions are made in inconspicuous locations to lessen noticeable scarring. You and your surgeon will go over which incision location options are available for your individual anatomy and desired result. Incision alternatives consist of:

  • Inframammary incision: This incision is ideal for most patients with a well-defined inframammary fold and those who do not want a scar around the areola or nipple. It generally heals very well and is hidden in the fold underneath the breast. It can be used easily for silicone implants and can be used repeatedly for future replacements or revisions.
  • Transaxillary incision: This is ideal for patients who don’t want any scars on or around the breast. The incision may be visible when in a swimsuit or sleeveless dress but only when you raise your arm. It is more difficult to place silicone implants through this incision and also difficult to perform revisions since it offers less direct vision of the pocket. Some surgeons use a camera or endoscope to perform this approach.
  • Periareolar incision: This is also known as the nipple incision and is placed from 3 o’clock to 9 o’clock around the areola. It generally heals very well and can be used to place silicone or saline implants, and can be used for revisions easily as well. Because of the placement on the border of the areola, these incisions are barely visible once healed. There is a slightly higher risk of nipple numbness and a slight increase of incidence of infection with the nipple incision, since the milk ducts do contain a small amount of bacteria.


Not depicted here is the trans-umbilical or belly button incision, which is only done by a few surgeons and can only be done using saline implants.

Incisions differ based on the kind of implant, degree of enlargement desired, your pre-existing anatomy, and patient-surgeon preference. Each incision has advantages and disadvantages, so be sure to discuss all of these options with your surgeon.

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