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Information for Performed, Costs, Doctors, Photo
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When the transaxillary incision is chosen, the surgeon may conduct the surgery with or without an endoscope. An endoscope is a small surgical camera that allows the surgeon to guide the implants into the proper breast area. During the breast augmentation surgery, the doctor will make the transaxillary incision and cut a channel from the armpit to the breast area.
One potential drawback of the transaxillary incision is the risk of less
than perfect placement of the implants. This is because the surgeon is
working further away from the actual surgical destination, leaving more
possibility for error. When a surgeon is trained and experienced with the
transaxillary technique, the risk of error in implant placement is very low.
If there are postoperative complications that require a subsequent surgery,
it is generally not possible to reuse the same transaxillary incision.
During a corrective surgery, the surgeon will typically have to use the
periareolar or inframammary technique, adding another scar from breast
augmentation. Some studies have also shown that the transaxillary technique
can cause a loss of nipple sensation after surgery.
m
TUBA Incision (belly button,
navel, or transumbilical incision)

The
transumbilical breast augmentation technique, also known as the TUBA method,
is a less common incision option during this type of cosmetic surgery.
During the transumbilical technique the surgeon will make an incision in the
patient’s belly button or navel in order to insert the implants.
One of the greatest benefits of the transumbilical incision is that there are no scars in the breast area and all other scars are hidden within the belly button area. While it may seem like an extreme surgical option, the transumbilical technique is actually the least invasive of all breast augmentation incisions. Recovery time is also not as great with the transumbilical technique as some other methods.
There are also limitations and drawbacks to the transumbilical technique. A patient who chooses this procedure must receive inflatable implants, since it is not possible to have a pre-filled implant guided through such a small incision into the breast area. If there is a complication with the results and additional surgery is required, the surgeon will not be able to re-use the transumbilical incision and will have to make a periareolar or inframammary incision. The transumbilical technique also has the greatest risk of error because the incision is so far from the actual implant destination.
During the transumbilical technique, the surgeon will make the incision in the belly button area and make a “V” shaped passage from the incision to each breast. In very rare cases, this can actually leave “V” shaped tracks on the patient’s stomach area. This is a very uncommon complication of the transumbilical technique. After the passage has made from the transumbilical incision to each breast, the surgeon will use a small surgical camera called an endoscope to guide the implants into their pocket. Once the implant is in place, a small tube will be guided in to fill the implant to its predetermined volume. Lastly, the transumbilical incision will be closed.
The periareolar and the inframammary incision are most popular, the former being made around the nipple and the latter made within the natural fold of the breast. The transaxillary incision is made in the armpit area. The least common incision preference is the transumbilical incision, where incisions in the bellybutton are used to place the implants.
Back
:
j
Inframammary
Incision
(crease or fold incision)
k
Peri-areolar Incision
(nipple incision)


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