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The Breast Implant Incisions

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The Breast Implant Incisions

j Inframammary Incision (crease or fold incision)
k Peri-areolar Incision (nipple incision)
l Transaxillary Incision (transax or armpit incision)
m TUBA Incision (belly button, navel, or transumbilical )

In a breast augmentation procedure, incision preference is ultimately left up to the woman undergoing the procedure. There are different benefits and drawbacks to each of the four incision options, which should be discussed in detail with your surgeon. Incision preference will also be related to the type of implant that you desire, as some incisions do not allow for the use of certain implants.

Incision preference is also tied to the surgeon’s level of skill and experience. Most surgeons also have their own incision preference, or one technique they are most comfortable and experienced in performing. If you do not have a strong incision preference, it is probably wisest to go with the technique your surgeon is most confident in and  experienced with. Conversely, if you do  have a strong incision preference, it is important to find a qualified surgeon who is comfortable and experienced performing the procedure you desire.

There are four different types of incisions that can be made to achieve breast implant surgery:

j Inframammary Incision (crease or fold incision)

The inframammary incision is a very popular surgical option for breast augmentation. The inframammary incision is made in the fold under the breast, making the scar relatively inconspicuous after surgery. Like the periareolar option, the inframammary incision allows for placement of the implants both under the muscle and the glandular tissue. If there are any postoperative complications, the surgeon will typically be able to re-use the inframammary incision without needing to make any additional incisions.

The scar from the inframammary incision is not as conspicuous as the scar from nipple incision. A major benefit of the inframammary option is that women typically experience less difficulty breastfeeding after breast augmentation. The inframammary incision bypasses the milk ducts, posing less risk of damage to those areas. This surgical option also does not require the protective sleeve when placing the implants.


Peri-areolar Incision (nipple incision)k Peri-areolar Incision (nipple incision)
Periareolar incisions are among the most popular incisions used by surgeons to insert implants during breast augmentation. The periareolar incision is made around the edge of the nipple where it meets the surrounding breast tissue. The scar from a periareolar incision is virtually invisible, as it blends well with the natural change in skin color.

Benefits of Periareolar Incisions
In addition to being the most easily concealed incision, the periareolar option has several other benefits.

  • The periareolar incision allows the surgeon to place implants under the muscle or under the glandular tissue.

  • The periareolar incision also gives the surgeon the greatest degree of precision due to the close proximity of the incision to the treatment site.

  • If there are any subsequent complications after the initial breast augmentation surgery, an additional incision will not typically be required. The surgeon is usually able to go in through the original periareolar incision, eliminating the risk of gaining additional scarring from breast augmentation or corrective surgery.

  • During breast augmentation using the periareolar incision, the implant is rolled up into a protective sleeve before being inserted through the passage into the implant pocket. The protective sleeve prevents the implant from coming into contact with bacteria that could later cause a local infection. The sleeve is removed after the implant is correctly placed.

Risks
On the downside, the periareolar incision is associated with the highest degree of difficulty breastfeeding after surgery. Loss of sensation in the nipple area is also another risk associated with the periareolar incision.

Next : l Transaxillary Incision (transax or armpit incision)
m TUBA Incision (belly button, navel, or transumbilical )

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