Breast Augmentation: Q&A

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Armpit Incision for Breast Augmentation Because Nipples Are Small?

What is recommended going through the armpit or the nipple for a 350cc silicone implant? I have very small nipples that are very round and on the darker side. please let me know the pros and cons.

The Dr. recommended the armpit because my nipples are small. I am concerned about the scar size on my armpit and I am worried that it will be visible. I don't want to have to worry about these scars showing in the summer time. please let me know your opinions. Photo attached.

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64 Doctor Answers | Asked by Kinzie in Illinois

Doctor Answers (64)
Community Comments (2)

Incisions for silicone breast enhancement

Silicone implants require, per the manufacturers, an incision of approximately 5 cm in length. Small areolas don't allow for an incision of this length. Armpit incisions are okay but unfortunately symmetric incisions are a classic sign of surgery. So you'll never be able to wear sleeveless tops. The inframammary incision is the only incision that hides better than the others and causes the lease amount of damage to the breast. I make the incision 1cm below the fold... more

Breast Implant Incision Under Breast Best for Silicone Gel Implants

Thank you for your question. As you can see from the posted answers opinions vary greatly. The most important issue is choosing an experienced, Board Certified Plastic Surgeon who does a lot of Breast Augmentation and follow his/her advice. Generally, Silicone Implants require a larger incision which is easlily accomplished through an Infra-mammary Incison underneath the breast in the Infra-mammary Fold. In my experience, the need for pocket revision or a secondary procedure... more

Incision location for breast augmentation

With 350 cc implants, I would opt for an infra-mammary incision (within the crease of your breast). Every surgeon has his or her own preference, but placing such large silicone implants through the armpit and nipple can be quite challenging, and in some cases there is a risk of damaging the implant. If your surgeon has a lot of experience with the armpit incision, he or she should be able to show photos of other women's scars. This will allow you to choose the best approach for your... more

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Best incision for Breast Augmentation

Hi there- I personally would not recommend the armpit incision to you- especially because of your concerns... With an incision under your breast, you can expect it to remain hidden from view unless you are hiding nothing from view.... Armpit scars are NOT invisible, and the fact that you will have one on each side of your body just makes them even more conspicuous and attention grabbing. Furthermore, I do not believe that most experienced and skilled surgeons would agree that the shape of the br more

Incision options with small areola

Hi Kinzie, There are several things to consider when deciding on which incision you use to perform your surgery. Cosmesis and the resulting scar are certainly an important consideration. Another consideration is the risk for capsular contracture. When a foreign body is placed in the body, the body reacts by forming a capsule of tissue around the foreign body. In the case of breast implants, this capsule can be soft or it can become hard and even painful... more

Best Incision for Silicone Implants?

Really you forgot to mention the incision that will have the least problems in your case: inframammary. From your photo, you have developed inframammary folds. With silicone implants this gives the advantage of having the incision off the breast, gives direct visualization of the pocket, and typically heals well. The disadvantage of the inframammary incision is that sometimes the scar can migrate up or down if not placed correctly or closed correctly. The armpit incision for this size... more

Armpit incision very dependent on surgeon experience

You will have scars for the rest of your life whatever your choice of incision. You need to decide where you want your scars based on your favorite activities and clothing. You do not want armpit scars if your hobby is ballroom dancing. You may not wish prominent breast scars if you like going topless. I do a great number of transaxillary (armpit) breast augmentations and do not agree that the final shape is any different than an augmentation through a breast incision... more

Breast Implant Incisions

Breast implants are placed into the pocket behind the breast through a variety of incisions. Some approaches, like those in the bellybutton or axilla (under the arm) are felt to be somewhat more problematic and less precise by many plastic surgeons. These approaches have more concerns with respect to poor positioning of the implant- these incisions are very remote from the area where the breast implant pocket needs to be meticulously created, and less visualization through these... more

Incision Options for Breast Augmentation

You have many options when considering the incision location for your breast augmentation surgery. Aside from axillary or periaerolar incisions, you should also seriously consider an inframammary incision. This incision will be well concealed within the creases beneath your breast, and also has many added benefits as compared to your other options. Because the location of the incision is much closer to where your surgeon will create the pocket for your implants, the direct access can give... more

Armpit incision for breast augmentation

There are several options for implant placement: inframmary, periareolar, armpit/axillary, and TUBA (incision around the belly button). No matter where you have the incision, you will have to have a scar. The inframmary incision and periareolar incision are two more common incisional placement by plastic surgeons. the armpit and TUBA are not commonly practiced. Not many plastic surgeon perform these incision. There are risks of complications regardless of where you place the incision.... more

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Comments (2)

KCmama
1 month ago

I have the armpit incision -love it! Didn't have to worry about loss of nipple sensation, and the scar hides in the fold under my arm. Love my results. Perfect symmetry, no signs of cc, etc. its my surgeons preference.

samwisb
5 months ago

wow, your twins are like twins of my twins!! and i want 350cc silicone through the armpit!? crazy, good luck with everything :)

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