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Breast Implant Incision
There are four types of incisions a plastic surgeon can make in a breast augmentation procedure: Periareolar incision, Transaxillary incision, transumbilical incision, and the submammary fold incision. There are also two choices for implants: smooth vs textured implants. If you choose to have breast implants, your surgeon will make an incision for your breast augmentation in one of four places.
Periareolar Incision
The first is around the areola of the nipple. The areola is the colored area around the nipple. The scar blends well and is hard to detect. This approach also allows for precise placement.
Transaxillary Incision
Another approach is through the armpit. This is known as a trans-axillary incision, and while common folklore holds that this scar is not very noticeable, quite often it can be more prominent than other scars, and will be visible when you wear sleeveless shirts.
The belly button, or trans umbilical approach, involves a one to two inch incision at the edge of the belly button. A long metallic tube is then used to place the breasts. This leaves the smallest scar but has the disadvantage of making it difficult for the surgeon to place the implant.
Submammary Fold Inciscion
The surgeon may also make an incision under the breast, where the fold is. It gives the surgeon a lot of control over placement, and the final scar is discreet.
Breast Augmentation Procedure
Breast augmentation can be done in one of several ways. One approach involves the insertion of a silicone bag under the breast. This placement is called “submammary.” Another approach involves inserting the silicone bag under the chest muscle. This is called “subpectoral.” Next, the bag is filled with salt water, thereby expanding the breast area, and giving the patient a fuller bosom, increased cup size, better contour, and more cleavage.
The easiest place for a plastic surgeon to place an implant is under the breast tissue, in the submammary position. The submuscular, or subpectoral, placement is slightly more difficult to perform but is associated with a lower incidence of capsule contracture and slightly lower incidence of rippling. There is typically more postoperative pain than with a submammary placement, however.
Smooth vs Textured Implants
There are two types of implant, smooth and textured. The smooth implants normally require a large pocket and ten percent of the time can cause capsule contracture—a tightening of the scar around the implant, which causes excessive firmness or hardness. The smooth implant can also ripple or wrinkle occasionally, giving the skin above it a wavy appearance. Textured implants are far less likely to cause capsule contracture at only three percent of the time, but far more likely to cause rippling.
Contact a plastic surgeon near you to learn more about breast implants, and find out if you are a good candidate fot the surgery.
