How It Works
Dr. Ching performs this technique using small instruments and a special camera, called an endoscope, that enables him to look directly into the surgical area where he places the breast implants. With an endoscope:
- All steps of surgery are visualized
- The dissection is done precisely
- Bleeding is completely controlled
While other surgeons may use an armpit incision to place breast implants, most do not use an endoscope. Dr. Ching believes the use of an endoscope is necessary because without it, the surgery is essentially being done “blind” with blunt instruments. This leads to a high risk of unwanted complications such as increased bleeding, pain, and likelihood of asymmetry.
Advantages of the Armpit Incision
Dr. Ching favors the armpit incision because:
- The scar is practically invisible, as the incision is placed at the top of the armpit in a natural crease.
- Sensation of the areola and nipple is usually preserved, unlike when the incision is placed at the lower edge of the areola or next to the nipple.
- Damage to the breast is avoided. Incisions on the breast can damage the ability of the breast to produce milk after childbirth.
- The risk of infection and capsular contracture (hardening of the breasts) is lower.
Dr. Ching is one of the few surgeons who have perfected this advanced technique, in Hawaii or elsewhere.