Breast Implant Incision Options

Once you have decided to get breast implants, you still have some choices to make. One of those is where you want the incision to be made. As you will see, the type of incision and the type of filler you want go hand in hand. Discuss all of these options with your surgeon and make an informed decision. Here are your choices:

1. Transaxillary incision site- The incision is made in the armpit and, once healed, the incision is undetectable and no risk of scarring to the breast. You can choose to have placement of the breast implants over or under the muscle. However, because of the distance at which the surgeon is working, there is a chance that symmetry will be off.

Another issue is you are limited to saline only. Because silicones are pre-filled, they can not be inserted and moved all the way over for placement. Salines are filled once inside the tissue. Something else to consider is that the original incision can not be used for revision surgery.

2. Incframammary incision site - This is made in the crease under the breast and is one of the more common techniques. Symmetry is easy to achieve is because the surgeon places it directly where it needs to go without having to maneuver it behind and through a lot of tissue. You can choose over, under or partial-under muscle placement.

Because of the location of the cut, it is practically undetectable. However, if you decide to increase or lessen the volume, it is possible the old scars will be visible because of raising or lowering the crease. This option is not recommended if you are flat and have little tissue to create a crease.

3. Trans-umbilical breast augmentation (TUBA) - This incision is made at the navel. Yes, at your belly button. It is a new technique that is gaining a lot of attention because it doesn't involve cutting around the breast therefore avoiding scarring there. The scar at the navel is very small and shouldn't be pronounced. Recovery time is also reported as shorter and less painful.

Again, because there is no cutting of the breast tissue, there is little risk of damaging the nerves in the area. Placement can be above or below the muscle. However, you are limited to salines because of the distance they must travel. The surgeon has to tunnel them through tissue and though rare, may create track marks up to the chest area.

Symmetry is also a difficult task because of the distance. Because it is so new, there are few surgeons performing the procedure. If you want this incision site, make sure you find one with experience.

4. Areola incision site - This is made around the nipple and is also a very common choice. It has a tendency to heal very well and the scar is easily hidden along the edge of the nipple. It is easy to achieve symmetry from this location and you can choose over, under or partial-under muscle placement.
This is also a great choice if you plan to have a breast lift at the same time because a cut must be made around the nipple for the lift as well. If it doesn't heal properly, the scarring may be quite noticeable and there is a risk of damaging nerves.

If you choose under or partial-under muscle from this location, expect some severe discomfort. The surgeon has to push the muscle and tissue apart for correct placement.

Once you have found a board certified plastic surgeon, discuss all of your options. During your consultation, he will evaluate your body type and tissue mass to help determine the best method. Being informed and weighing your options is the best way to get the results you want.

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