Incision Decision: What You Need to Know About Breast Augmentation Incisions

Women who consider breast implants to enhance their figures have many decisions in front of them. The type, size, and shape of the implant will have a significant impact on how their breasts will look. However, one decision many women seem to overlook is where their surgeon will make their incisions. This choice will have a direct impact on how well your surgeon can visualize implant placement and how visible your scars will be.

Different considerations affect the thickness of the capsule that eventually forms around the implant. Sufficient blood flow will safeguard the proper width for the capsule, so the breasts won’t feel too hard. Dr. Landis will need to see the entire breast pocket during surgery to confirm there is no bleeding.

Also, healing is different for each patient, which affects the scarring that occurs naturally. The implant type will determine the incision length and the visibility of scarring.

Board-certified plastic surgeon Dr. George Landis uses three incision techniques for breast augmentation. These options include endoscopic axillary, peri-areolar, and inframammary. This article will explore all three.

Under the Arms

Although the axillary incision can leave the surgeon blind concerning the pocket, Dr. Landis uses a tiny endoscopic camera to provide optimal visibility. This incision approach eliminates any scarring on the breast, restricting it to within the skin folds in the armpit.  Although this technique has advantages in hiding the incision, it is not suitable for all breast implant surgeries. It can also make breast revision more complicated if the patient is not satisfied with the outcome.

Around the Nipple

The periareolar approach involves making the incisions in the areolas (the pigmented skin around the nipple). The size and type of implant will determine if this technique is right for you. This incision placement is below the nipple, where Dr. Landis can position an empty saline implant. Then, he will fill the empty shell with a sterilized saline solution to the right volume. Alternatively, he may insert cohesive silicone implants through this incision opening, depending on their shape and size.

In the Natural Breast Crease

The inframammary incision is the most common technique. It’s the most versatile and allows excellent access to the breast pocket. Although this approach leaves a longer scar than either the axillary or areola incision, it will hide within the natural breast crease. This incision is perfect for women who heal quickly, with little scarring risk.

The Best Incision Decision

Breast implant surgery is not a cookie-cutter operation. It should take a customized approach. If you are considering enhancing your breasts with implants, and want to understand what the best options are for your unique body type and anatomy, contact Dr. Landis today for a safe procedure that delivers stunning results.

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