Over the next few posts, I will discuss many of the options available to women interested in cosmetic breast augmentation. This post will review incisions for breast augmentation. There are four incision choices that women may select for breast augmentation including axillary, peri-areolar, inframammary, and trans-umbilical.

incisions for breast augmentation at Galumbeck Plastic Surgery

Incisions For Breast Augmentation

Inframammary
The inframammary incision for breast augmentation is the most commonly used approach. The incision is placed in the crease of the breast. For breast augmentation with saline implants the incision approximately 4 centimeters, for breast augmentation with silicone implants the incision is approximately 5 centimeters to 7 centimeters. As with all incisions for breast augmentation, incisions are smaller for saline implants as these implants are inserted deflated and filled after placement in the breast pocket while silicone implants are pre-filled and thus need a larger incision for placement.

Advantages

  • Hidden in clothes and bathing suits
  • Easy access for the plastic surgeon to shape the breast
  • Can be used again for revision surgery

Disadvantages

  • incision may be visible when lying flat

Peri-Areolar
The peri-areolar (around the nipple) incision for breast augmentation is a very common incision used for breast augmentation. This incision is made at the junction of the areola and breast skin and follows the curve of the areola. Because of the color change between the darker areola and lighter breast skin, the scar blends well in this area. This may not be an option for women who have a very small areola and select a large silicone implant. While scientific studies vary, it appears that a peri-areolar incision does not increase the risk of decreased nipple sensation or inability to breast feed postoperatively.

Advantages

  • Hidden in clothes and bathing suits
  • Easy access for the plastic surgeon to shape the breast
  • Can be used again for revision surgery

Disadvantages

  • If scar becomes thickened postoperatively, it is very noticeable when topless

Axillary
The axillary (armpit) incision is a third commonly used incision for breast augmentation. This incision is made in a crease in the armpit. While this incision leaves no scar on the breast, the incision can be seen when the arm is raised. As this incision is farther away from the breast, an endoscope is used to assist in the creation of the breast pocket and placement of the implant.

Advantages

  • No incision on the breast

Disadvantages

  • Visible in tank tops and bathing suits when arms are raised
  • An endoscope should be used for the plastic surgeon to shape the breast
  • A peri-areolar or inframammary incision is needed for revision surgery
  • May leave a small area of the arm permanently numb

Trans-Umbilical
The trans-umbilical (belly button) incision is an uncommon incision for breast augmentation. The incision is made in the upper side of the belly button and a tunnel is made to the breast. The breast pocket is created and the implant is placed. This approach is not recommended by the implant manufacturers. At Galumbeck Plastic Surgery, I do not perform this approach.

Advantages

  • No incision on the breast

Disadvantages

  • An endoscope should be used for the plastic surgeon to shape the breast
  • A peri-areolar or inframammary incision is needed for revision surgery
  • Not recommended by breast implant manufacturers

Breast augmentation incisions are one of the options women have when undergoing breast augmentation. In Virginia Beach most women either go under the breast or around the areola. There is no right or wrong incision. Each incision has advantages and disadvantages. Discussing all of the options with your surgeon and choosing those you feel most comfortable with will ultimately give you the best cosmetic result.

About Dr. Matt Galumbeck

With over 20 years of clinical experience and having performed over 5,000 cosmetic surgery procedures, Dr. Matthew Galumbeck has the experience and skills to deliver outstanding cosmetic surgery outcomes.

A native of Virginia Beach, Matthew Galumbeck, MD received his undergraduate degree from the College of William and Mary, and his medical degree from Duke University. He trained in general surgery at Case Western Reserve University, and in plastic surgery at Eastern Virginia Medical School. Further study includes advanced training in body contouring in Paris.

View All Posts
Pin
+1
Share