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Implant Incisions

Most of the patients find it very confusing when it comes to deciding upon the right type of incision. We understand that this should ideally be a surgeon’s thinking process so sometimes our surgeons at Perfect Breast Clinic take up the responsibility of offering you the right judgment. One of the most important decisions that you and your plastic surgeon will need to make before the surgery is the type of incision that should be made for inserting the implant. Many plastic surgeons opt for a particular approach in all cases while others will suggest incision types that are best suited to the individual needs of the patients. Here we take a closer look at the four most common breast implant incision types and the pros and cons of every method.


In the areola method, the incision is created around the outline of the areola which is the brown or pink colored area that surrounds the nipple. The surgeon aims to make the incision in between the dark area of the areola and its surrounding skin which helps in minimizing the visibility of the incision. The drawbacks in this case are that 2-5% of patients lose their nipple sensation and 20% are unable to breast feed as opposed to those who have incisions made in some other part of the breast. Its advantages are that it allows the surgeon to exhibit maximum control over placement of the implant thus leading to better accuracy with its positioning and minimal visibility of scarring.


The transaxillary incision is created in the natural fold of the armpit tissue through a channel from the armpit to the breast with the implant being placed behind the nipple. The surgeon may make use of an endoscope that is a small surgical tube with light and camera that guides the surgeon through the incision. A disadvantage is that 10-15% of patients who undergo the transaxillary incision face a greater risk of asymmetry in the position of their breast implants. Scarring on the breast is virtually absent as it is performed from a distant site of incision.


Performed along the bottom of the breast, the inframmary incision is created along the fold or crease of the breast where it comes together with the skin. The surgeon creates a pocket for placing the implant before sliding it upward through the incision site to place it behind the nipple. The inframmary incision often leaves a scar along the lower breast where the bra strap lies but this is easily hidden under a swimsuit top or bra. A major advantage of this technique is that the surgeon is able to work close to the breast thus enjoying excellent visibility and accuracy in terms of placement of the implant.


The TUBA incision has the cut made on the rim of the navel and underneath the skin through a tunnel of fatty tissue. The endoscope helps in guiding the surgeon through the pathway from navel to breast and a pocket is created where the breast implant can be inserted through the incision site to be placed behind the nipple. Since the TUBA incision is a blind procedure the surgeon is heavily reliant on the endoscope for successfully identifying the placement of the breast implant. This is a challenge for the surgeon in terms of the accuracy while dealing with breast asymmetry. However, the TUBA incision does not involve incisions in the breast area which almost guarantees that there will be no breast scarring.


Irrespective of the type of breast augmentation incision you may feel inclined to choose, this is an important decision that needs to be taken only after you have weighed all the options in consultation with your plastic surgeon.

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