Breast Augmentation – What Are My Incision Options?

Breast augmentation is one of the most popular elective surgeries in the world. Most people getting the procedure think they can only decide on their new breast size and implant type, but you can also help choose your incision options. There are four commonly used options for a breast augmentation incision, and they all have their own set of advantages and disadvantages.

Inframammary Incision

The inframammary incision is the most popular choice for people getting a breast augmentation. The implant is inserted after making an incision below the breast near the crease. This incision option gives us the most control when inserting the implant, which results in consistent and symmetrical breasts. Breast glands are never cut when using the inframammary incision, so breastfeeding will not be a problem in the future. While the scar is usually small, there will be a visible scar on the underneath portion of the breast. This scar can only be seen when laying down, so it is not visible when standing up topless.

Areolar Incision

An areolar incision occurs when the breast implants are inserted around the nipple. Since the incision is made around the darker portion of the areola, the scar blends in making it very hard to see. We will have a great view when using the areolar incision, which makes placing the implant extremely easy. If another breast augmentation surgery is required or you want to go up another size, then it is extremely easy to go through the same incision.

Some people shy away from the areolar incision because of the possibility of a visible scar on the breast. Cutting through the milk ducts is required with the areolar incision, which can make it tough for some patients to breastfeed in the future. The nipples may also become extra sensitive after the surgery.

Transaxillary Incision

This option involves making an incision in the armpit crease to insert the implant. The biggest benefit to the transaxillary incision is the lack of a scar on the breast. Using a camera also makes it extremely easy and safe to place the implants in the correct location. Since direct access to the breast is not possible with the transaxillary incision, it is still less precise than making an incision on the breast. The armpit scar can also make it tough for some patients when shaving, and there is also a slight risk your underarm is permanently numb after surgery.

Transumbilical Incision

A transumbilical incision allows for the breast implants to be inserted through the belly button. While this is the only way to get a breast augmentation without a visible scar, it is not recommended to patients. A breast augmentation with a transumbilical incision is a completely blind procedure. This makes it much harder to correctly place the implants in the right spot. You will also be required to use saline implants because they are filled after being placed in the breast.

At Wendell Perry MD, we’ll review all of your options with you during your initial appointment. We can determine the safest and most effective method for your needs. We’ll create a treatment plan that’s right for you. Contact Wendell Perry MD today to schedule your consultation.