Breast Augmentation Access Incision Choices

Posted On 17 May, 2017 - By Robert Hardesty - With 0 Comments

Breast Augmentation Access Incision Choices

Breast Augmentation Access Incision .png



There are advantages and disadvantages to all access incisions.

1. Periareolar (nipple)


Advantages

  • Incision blends with pigmented areolae
  • Revisions can be accomplished

Disadvantages

  • Limited incision length (larger silicone implants difficult to place)
  • Slightly higher rate of long-term capsular contracture (when internal scar tissue forms a tight or constricting capsule around the implant, contracting until it becomes misshapen and/or hard)

2. Inframammarybreast-augmentation-incision-location Riverside.png


Advantages

  • Lowest chance of developing long-term capsular contracture
  • Incision length not limited (can extend as necessary)
  • Revisions can be accomplished

Disadvantages

  • Scar on breast

3. Axillary (armpit)


Advantages

  • No scars on breast

Disadvantages

  • If revision is needed, it is difficult to use this incision scar
  • Technically more challenging
  • Limited size of larger silicone implants 

4. Umbilical (tummy button)

Umbilical Incision.png Advantages

  • No scars on breast

Disadvantages

  • Can only use normal saline-filled implants
  • Impossible to use this incision for revisions
  • Sometimes a large incision around the umbilicus needs special instruments

Unfortunately breast augmentation requires an external incision. The length of the incision can be minimized if you choose normal saline-filled implants, because they’re inserted in the deflated state and then filled in contrast to silicone-gel implants — which are pre-filled and sealed thus requiring a larger incision to insert.

 

Bottom line: The scar is worth the improvement in breast appearance, shape and size.

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