"Scarless" Breast
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Real Patients, Real Results
Dr. Diehl - Meet Our Patients
"My daughter, Jill Nicolini, recommended me to Dr. Diehl, and I have been very happy being his patients for years."
-Michelle Nicolini
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Real Patients, Real Results
Dr. Diehl - Meet Our Patients
"With Dr. Diehl, there are NO scars on my breasts at all, and that's the way to do it!"
-Linda Poirier

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Dr. Diehl - Meet Our Patients
"I searched all over Long Island for the cosmetic surgeon, and I found Dr. Diehl. He is amazing. Thanks to Dr. Diehl I feel beautiful.!"
-Jill Nicolini
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Dr. Diehl - Meet Our Patients
"I can wear clothes now that I’ve only dreamed about for years. Dr. Diehl changed all that with his expertise and caring hands."
-Carol Southard
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"I decided to take the plunge, and I made the consultation appointment. It was the best decision of my life."
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Dr. Diehl - Meet Our Patients
"When you are with Dr.Diehl, you become the most important person in the room."
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Dr. Diehl - Meet Our Patients
"As a fellow physician, I cannot thank Dr. Diehl enough for introducing me to what I've labeled 'The Game Changer'"
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Why You Should Choose the "Scarless" Breast Augmentation

Linda demonstrates her Scarless Breast Augmentation by Dr. Diehl

Scarless Breast Augmentation, Dr. Gregory Diehl’s unique approach to breast augmentation, is not available by every plastic surgeon. With Dr. Diehl’s tried and true “Scarless” technique, performed for over 15 years, a breast augmentation is performed without leaving scars as NO incisions are made on or under the breasts. So why have permanent scars on your breasts when you can avoid them?

See Before and After photos of Dr. Diehl’s Scarless Breast Augmentations

What is a "Scarless" Breast Augmentation? 

Scarless Breast Augmentation is Dr. Gregory Diehl’s preferred method of breast augmentation.  The breast implants are placed via the axillary (underarm) incision endoscopically (using a scope). Whenever possible the axillary approach should be used because it leaves NO SCARS on the breast whatsoever, as the only incision is in the underarm.  The underarm incision is ideal as opposed to anywhere on the breast, because there is already a crease which perfectly hides the scar.  The underarm incision is virtually invisible because the incision sits right on the crease, whereas on the breasts, even though inframammary incisions can be reasonably concealed in the breast crease, they are still visible when the arms are raised or when seen from below at the lower fold of the breasts. This is most important when the patient is young with small breasts to start with.  In these cases there is less crease formation and the scars here can be very obvious.

For Dr. Diehl, the only reason to use the inframammary approach (incisions under breasts) is where there is ptosis (sagging), which requires the dual-plane approach (see below), which must be performed from the inframammary crease. In these cases, the crease under the breast is already deep and suitably hides the scar.  Dr. Diehl does not use the peri-areolar (dark skin surrounding the nipple area) incision because everyone heals differently, and there is always the chance that you might heal with a wider scar than average.  The area of the nipple/areola is a delicate landmark, highly visible on the breast, and it is not a place that you would want even a slightly widened scar.

What is the recovery like for the “Scarless” Breast Augmentation?

The recovery from the scarless breast augmentation is same as any other breast augmentations, and with Dr. Diehl's gentle technique and extensive experience, in just a few days most patients are able to return to their normal daily routine and do not require more than over-the-counter pain medications.

Scarless breast augmentation by Dr. Diehl

What is a "Dual-plane" Breast Augmentation? 

The “dual plane” breast augmentation is an excellent innovation for breast augmentation.  Simply put, it means that the implant is under both the muscle and the breast to give the breast the most natural shape.
 
There are three places that a breast implant may be placed.
1: Under the breast only (sub-glandular)
2: Under the pectoral muscle only (sub-muscular), and
3: Under both the breast and the muscle: The upper part of the implant under the muscle and the lower half is under the breast (hence, “dual-plane”).  The dual-plane is used when the breast has some ptosis (the nipple/areola has dropped below the level of the breast crease).
 
It is a clever concept.  Basically the implant has to always be positioned behind the nipple/areola for the breast to look right.  If the breast has drooped a little, then the implant has to also be a little lower to match its position.  This means that the lower part of the implant will be placed below the lower edge of the pectoral muscle, and will be behind the breast itself.  

To create natural looking breasts, the breast implants need to be under the pectoral muscle, because the muscle gives a great slope to the top of the breast.  The muscle curves right over the implant, so there is no “step-off” of the breast which used to happen with implants that were put under the breast only.
 
But, to make or sagging breasts look fuller and beautiful (which is common after pregnancy or weight loss, for example), the implant is placed a little lower to line up with the lower position of the nipple/areola.  This means that the bottom of the implant is a little lower than the bottom edge of the pectoral muscle, so that it is now under the breast tissue.  So the upper ¾ or so of the implant is in the usual position under the muscle, and the bottom ¼ sits under the breast.  Thus the implant is now in two planes.  This gives the best roundness and looks the most natural.

Who Can Benefit From Breast Augmentation?

If you are in good health, but dissatisfied with your breast size, you may be a good candidate for breast augmentation.

    Breast augmentation can:

  • Increase breast volume
  • Create a more balanced appearance
  • Improve body proportion to achieve symmetry
  • Restore volume in the breasts after weight loss or pregnancy
  • Achieve contour enhancement for personal desires
  • Improve the shape of sagging breasts
  • Provide a foundation or improve the appearance of a breast that has been removed or disfigured due to trauma, heredity or breast cancer

Choosing your Breast Implants

Today's breast implants are filled with saline or silicone gel. Each implant type offers distinct benefits. Although there is only one fundamental difference between the two types of implants, the U.S. Food and Drug Administration’s extensive research has proven both to be safe for use. While saline implants contain a sterile solution of water and salt, silicone implants have a rubber shell filled with a cohesive gel. The most significant difference lies in how the implants feel to the patient. At your appointment Dr. Diehl will discuss which implant will be best for you as choosing the implant is an individual choice based on varying needs.
read "Silicone vs. Saline Breast Implants"

read "What is Gummy-Bear Breast Implants?"

After Your Breast Surgery

After your breast augmentation surgery with Dr. Diehl, your breasts will appear more proportionate with the rest of your body. They will be fuller and more prominent, but retain their sensitivity and ability to breastfeed. Your results will be immediately visible after surgery. Some swelling and bruising may obscure the final results for a few weeks. Your chest will be wrapped with surgical dressings. You will be able to walk around immediately following the surgery, but should rest for at least a day or two. Surgical dressings will be removed in a few days, and stitches after about a week. Normal activities can usually be resumed in a few days, but intense physical activity should be postponed for a few weeks. Your chest should be protected from accidental impact and sun exposure for a few months.

Ready to Take the Next Step to Enhancing Your Breasts?

As breast augmentation continues to be one of the most requested cosmetic procedures in the U.S., Long Island plastic surgeon Dr. Gregory Diehl believes in providing his patients with the most trusted products for breast enhancement procedures. Using Mentor brand saline and silicone breast implants, as well as the new Sientra cohesive gel “gummy-bear” breast implants, Dr. Diehl restores his patients’ self-esteem while providing a natural-looking, long-term solution to complementing their body’s existing shape.

If you are interested in learning more about breast augmentation with Long Island plastic surgeon, Dr. Diehl, please contact us to schedule a consultation. Your consultation is an excellent time to address any questions or concerns you may have about your breast procedure, view our archive of patient photos, and discuss other important details.

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