Breast Implant Incision | Breast Augmentation Scar

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Incision Location for Breast Augmentation

In our practice, we use the infra-mammary, per-areolar and axillary incisions for breast augmentation. Either a saline implants or silicone implants can be placed through the three types of breast augmentation incision locations, with some limitations that we'll discuss below. The recovery time for breast augmentation is about the same for each incision type. Let's look at each of the three breast augmentation approaches in detail.

The infra-mammary incision

The Infra-mammary incision is made under the fold of the breast. It is designed to rest directly into the fold of the breast, which helps conceal it. The main advantage to an infra-mammary incision is that it provides the most direct access to the sub-pectoral space, where most implants are placed. Within reason, any sized saline or silicone implant can be placed through an infra-mammary incision. The location of this incision provides easy access for future implant replacement or other revisional breast surgery. The infra-mammary incision also has the lowest rate of capsular contracture (scarring around an implant). When properly placed, the infra-mammary incision rests in the fold beneath the breast, and is only visible when unclothed, with hands held above the level of the head. The incision is well concealed beneath a bikini top or bra. This is by far the most common type of incision used for breast augmentation.

The peri-areolar incision

The peri-areolar incision takes advantage of the distinct difference in coloration between areolar skin and breast skin. The incision is placed directly on the transition between the two skin tones. The result is a scar that is 'hidden in plain sight'. Because of the minimal tension on this scar, it tends to heal with minimal widening or thickening. The length of the peri-areolar scar limits the size of silicone implant that can be placed through it which is why it is not a very common approach for placement of moderate to large breast implants. The peri-areolar incision can be incorporated into a breast lift (mastopexy) pattern for combination mastopexy-augmentation procedures.

The axillary incision

The axillary (armpit) incision is not a common approach for breast implant placement since scars in the armpit are often visible when the arms are elevated. A breast augmentation done through an axillary incision is facilitated by the use of a video-endoscopic retractor, which allows accurate positioning of the implant relative to the pectoral muscle. Due to the limited size of incisions that can be made within the confines of the axilla, only smaller silicone implants can be placed. In our experience, only silicone implants of 275 cc or less can be placed through axillary incisions.

The umbilical incision

Saline breast implants can be placed through an umbilical incision. The TUBA procedure (which stands for trans-umbilical breast augmentation) has a few problems. The first issue is that only an unfilled saline implant can be placed through the umbilical incision. The second issue is that the preparation of the implant pocket is not done under direct vision. For these reasons, we seldom perform the TUBA umbilical breast augmentation procedure in our practice.

Breast Augmentation Photo Gallery

This photo gallery contains representative before and after photos of breast implant procedures. Click on any of the thumbnails to enter the slide show. The text accompanying the photos describes the details of the procedures performed, including the size and style of implant.

Click on thumbnail to begin viewing slide show.

I am interested! What do I do next?

If you are considering this procedure we encourage you to schedule a consultation with Dr. Burnett. During this visit she will listen to your concerns and discuss your options. She will tell you whether you are a suitable candidate for a breast augmentation procedure and inform you of the potential risks of the procedure. There is a great variety in breast shapes and features and each breast implant procedure must be custom tailored for the patient to get the best possible result. You will also have a chance to view before and after photo albums of her patients who have undergone breast implant surgery similar to what you are considering.

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Naficy Plastic Surgery & Rejuvenation Center     1110 112th Ave NE Suite 150 Bellevue, WA 98004     (425) 450-0880