Incision Options for Breast Implants

There are three basic options for the incisions used to place breast implants – peri-areolar (around the areola), inframammary (in the breast crease), and trans-axillary (through the underarm). The incision represents how the implant is placed. Each incision has pros and cons. Below is a basic review of the advantages and disadvantages of each approach.

Advantages: well-hidden incision
Disadvantagous: not possible if areolas are very small, possible disruption of milk ducts which can lead to infection and interference with breast feeding, more technically challenging for the surgeon, higher capsular contracture rate than some other approaches, risk for decreased nipple sensation.

Advantages: well hidden incision, technically easier approach for surgeon, no disruption of milk ducts or breast tissue so virtually no risk for interference with breast feeding, lowest risk of infection and capsular contracture
Disadvantages: scar can be visible on underside of breast.

Advantages: hidden scar, no disruption of ilk ducts or breast gland so virtually no risk for interference with breast feeding.
Disadvantages: challenging approach for the plastic surgeon and usually requires use of endoscopic camera equipment, highest risk for infection and capsular contracture, scar may be irritated when shaving underarms, high rate of implant malposition.

As you can see, there are several different approaches for placement of breast implants. Your surgeon will be able to discuss which approach is best for you. It will depend on your preference, type of implant selected, implant size selected, and your body shape and size.

To learn more about breast implants and breast augmentation, or to schedule your consultation with Dr. Schulman, contact us or call 212-289-1851.