Breast Implant Placement
Breast implants can be Under or Over the muscle.
The Scar – Incision Placement
Incision placement depends on a number of factors including your preference for the location of the incision scar, your body shape, the proposed size of the implants, and the preference of the surgeon for a particular approach.
There are four incision sites used in breast augmentation, with the most common being the inframammary incision (in the crease below the breast).
The different incision sites have their own advantages and disadvantages which your surgeon will discuss with you during your consultation.
The most common incision site is in the breast crease. This method involves an incision on the underside of the breast, tucked in near the fold. The technique is popular because it allows maximum access to create an implant pocket and for the surgeon to manoeuvre during implant placement.
On the negative side, the incision creates a thin scar under the breast which can be longer than the incisions made in other areas and may be visible after surgery when the patient is laying on her back.
Periareolar and Subareola Incision
Around the edge of the areola is a common incision site for patients who are also undergoing a breast lift and will have scarring in this area in any case. As the size of the areola varies from patient to patient, there may be insufficient space to insert a pre-filled implant. In patients with darker skin, the incision method can also cause raised hypertrophic scarring.
An incision is made in the armpit area, into which the implant is inserted and guided down towards the breast. This is a popular technique for patients who are concerned about the risks of scarring and would rather have any scar located in the armpit area. This is an excellent incision location for hiding all traces of your breast augmentation, however, there are two major downsides to the approach.
- There is a higher chance of asymmetry problems between the left and right implant, as the surgeon has impaired access to the region.
- Incisions in this area are associated with a slightly higher chance of infection. Note: all surgery carried a small risk of infection, which is why you will be prescribed antibiotics.
The least common incision site, which gives the surgeon the least ability to manoeuvre and place the breast implants, is an incision in the belly button. The implant is then guided into the breast area and inserted into place. This method will not work with silicone breast implants.