Types of Breast Augmentation Incisions

According to several online sources, women spent close to $1 billion for breast augmentation surgery in 2009 making it the #1 most requested cosmetic enhancement procedure. Though there are several types of breast implants and sizes to choose from, a woman seeking breast enlargement also needs to decide which type of incision placement she would like and how scar placement will affect the overall look she is trying to achieve.

Through the nipple

Also called a “periareolar incision”, it is the more common breast enlargement incision. The plastic surgeon will create a small opening around the dark skin of the nipple in order to insert the implant. The benefit to this type of incision is less visible scarring and less manipulation on the part of the Doctor of the breast. Possible side effects are loss of nipple sensation and a slightly increased risk that the woman will not be able to breast feed should she become pregnant.

Under the breast

Also called “inframammary crease incision”. With this incision, the plastic surgeon will create a small opening on the underside of the breast where the breast mound connects to the chest; what will ultimately be the crease of the breast. The benefit to this type of incision is less manipulation by the Surgeon and the patient can also opt for the implant to be placed below the muscles in the breast. A possible negative effect is if the patient doesn't have enough breast tissue prior to the procedure, the scar may be more visible.

Through the armpit

Also called “axillary crease incision”. This incision is made on the inside of the armpit and is typically used with an endoscope to allow the Surgeon more visibility when placing the implant. Without the endoscope, unsatisfactory results may occur. The benefit of this type of incision is that there will be no scarring of the actual breast.

Through the belly button

Called “TUBA” or “Trans-Umbilical Breast Augmentation”. The plastic surgeon inserts un-inflated breast implants through a small incision made in the belly button. He then tunnels the implants through the upper abdominal region into the chest for placement. The benefit to this type of procedure is no visible scarring whatsoever. However, the negatives to this procedure should be carefully weighed: to prevent any scarring an endoscope is not used and the Surgeon is basically “blind”. Meaning he is not able to see the breast pocket where the implant will be placed. This can lead to very poor results. There is also additional recovery time associated with this procedure as the surgeon needs to separate more tissue from the belly button to the breast for the breast implants to tunnel through.

Ultimately, it is between you and your Doctor to decide what is going to be the best breast augmentation procedure for you and what you are most comfortable with. A Plastic Surgeon should address all your concerns and answer all your questions during your initial consultation, in addition to assessing you health. Don't be afraid to interview more than one.



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