Which Breast Augmentation Incision Is Right for You?

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Now that you’ve decided to go ahead with your breast augmentation, there are a number of decisions you have to make about how you want the procedure done. Once you have a rough idea of the size of the implant you want and whether you want to have silicone gel implants or saline implants, your next important decision is which incision is the best one for your breast augmentation surgery. There are four common incision sites for breast augmentation surgery:

  • Inframammary–in the fold under the breast
  • Periareolar–just below the nipple/areola
  • Transaxillary–in the armpit
  • Transumbilical (TUBA)–in the belly button

If you have decided to get a silicone gel implant, you cannot have breast augmentation via the transaxillary or transumbilical incisions. Otherwise, the main factor to consider in making this decision is about where you would prefer to have your scars from the operation.

For most women, the inframammary incision is the best option. It allows for maximum flexibility in terms of implant insertion, is least likely to result in complications like interference with breastfeeding or loss of nipple sensitivity, and is generally well concealed.

Women with a history raised or highly visible scars should consider the periareolar incision. The incision is well concealed in the natural transition between the breast and the areola, and the scars tend to heal slightly better.

Women who want to make sure they have no scars on their breasts can opt for either the transaxillary or transumbilical incision. These procedures are performed with an endoscope, a long narrow tube that allows Dr. Hartog to perform the surgery using a distant, small incision. Since these incisions are smaller, so are the scars. On the other hand, the transaxillary incision site in particular is in a prominent location, so if you tend to have highly visible scars, it might not be a good option. The main drawback to these endoscopic procedures is that there is a higher incidence of asymmetric results.

The incision you choose for your breast augmentation is an important part in ensuring you get the results you want. During your consultation, Dr. Hartog will discuss your options in detail and help you make the decision that best suits your goals. Contact the Bougainvillea Clinique today to set up your consultation.