During surgery, some patients prefer heavy IV sedation with local anesthesia, while others require general anesthesia. As a patient of Peninsula Plastic Surgery, you have the luxury of undergoing surgery in the most private and convenient of settings – the operating room suite located inside our Salisbury office complex. This operating room has the distinction of being fully accredited by AAAHC and certified by Medicare.

​During breast augmentation, Drs. Perrotta and Luppens place their incisions inside or just above the inferior mammary creases (breast folds) or around the areolas of the nipples. Both of these approaches provide excellent exposure for the surgeon and increase the likelihood of perfect results. Some surgeons place incisions inside the arm pits or use the belly button as the site of entry. Unfortunately, these entry areas do not provide good exposure that would allow the surgeon to do the best possible job.

​Drs. Perrotta and Luppens then create a pocket under the pectoralis major muscle to receive the implant. This approach allows for a more natural look and reduces the risk of capsular contracture, allowing the implant to remain intact long-term. For an accentuated look, the occasional patient will request to have the pocket created above the muscle, however. in order to limit the length of the skin incisions, and therefore the eventual scars, Doctor Perrotta also offers the Keller Funnel.

​To reduce the risk of infection, Drs. Perrotta and Luppens soak all implants in antibiotic solution. The incisions are then closed with multiple layers of stitches, after which the nursing staff applies dressings and a post-operative garment.