Just as there’s a range of implant sizes and shapes to consider when it comes to breast augmentation surgery, there are a variety of incision locations that can affect your breast implant results as well. The three most common incisions are the inframammary, periareolar and transaxillary, and each offers its own set of advantages.
The most commonly used incision, an inframammary incision is hidden in the natural crease below the breast. Surgeons generally prefer this approach as it allows for optimal implant placement and is widely regarded as the best way to ensure symmetrical results.
Another advantage of an inframammary incision is that if you should choose to undergo implant revision surgery in the future, your surgeon can typically use the same incision to minimize additional scarring. An inframammary incision may feel front and center, but is normally hidden by the breasts’ natural curve and position after surgery.
The periareolar incision circles the pigmented skin surrounding the nipple. This is a favorite among surgeons and patients alike, as it heals well, leaving behind a scar that can be virtually undetectable against the darker skin. However, not every woman is a candidate for this incision type, particularly those women with very small areolas.
The transaxillary incision is made in the armpit, and can be an excellent option for women who want to avoid incisions directly on the breasts. However, this approach can make proper implant placement more difficult, as your plastic surgeon’s access to the implant pocket is limited.
Breast implant options may be limited by a transaxillary incision as well, as silicone implants may be more difficult to insert by this method. It’s also important to keep in mind that if revision surgery is necessary, a new incision will likely need to be made.
Dr. Scot Martin concentrates on breast enhancement and body contouring at his practice in Las Cruces, New Mexico. A nationally recognized plastic surgeon, Dr. Martin is a member of the American Society of Plastic Surgeons and the American Society for Aesthetic Plastic Surgery.
He looks forward to meeting you and helping you become the best version of yourself possible.