What Would Determine Nipple Incision Vs. Under Breast Vs. Armpit Preference for a Person?

Still in discovery and info stage of decision of doing this.doing this? Is it better for anyone one way or another? Dependig on size, chance of losing sensation in nipples or having hyper nipple sensation?, placement?, previous implants? What do I consider in making that choice?

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10 Doctor Answers | Asked by wow63 in Madison, WI

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Breast Augmentation Incision

While all three are acceptable, I find that: 1) all scars typically heal well, but... 2) Under the breast (in the fold) is one the patient almost never sees, whereas the other two they may 3) Under the breast is more versatile (you can't put silicone in through the other two always) 4) Under the breast is often needed in any future surgeries So obviously my bias is under the breast. Also, the only person who ever sees that scar is someone with whom you are... more

Transaxillary or Armpit Breast Augmentation is my preference for all primary cases without ptosis

The transaxillary approach is very misunderstood. It is much more difficult and technically demanding then directly accessing the breast through an infra-mammary approach or through the nipple. This is the main reason that most surgeons think it is too difficult or frankly impossible. In my opinion it just does not make sense to place a scar on the breast in an aesthetic elective procedure unless a lift is needed. For primary augmentations with class I-II ptosis I... more

Breast Implant Incision Site

Breast augmentation incisions are placed strategically so as to be minimally noticeable once the incisions have healed. There are three incisional approaches that are commonly used: at the border of the areola (peri-areolar), in the underarm area (axillary) and in the crease at the bottom of the breast (inframammary fold). Each has advantages and disadvantages, and each is ideal for a particular kind of preoperative scenario. Peri-areolar incision This is made at the border of the... more

Michael Law, MD

17 reviews

Raleigh-Durham Plastic Surgeon

michaellawmd.com

What Would Determine Nipple Incision Vs. Under Breast Vs. Armpit Preference for a Person?

As you can see there are multiple ways and opinions on how to approach this. All have good points but for the record, I use underarm almost exclusively and I use the endoscope for most accurate control of the fold, AND you can use silicone implants, even up to over 500cc by using the Keller Funnel. I can change implants and do a capsulotomy and even add saline through the underarm. More important to find a good surgeon!

Breast augmentation incisions

I spend alot of time with patients in the office reviewing the different incisions, pockets, implant shapes and sizes, etc.. There are positives and negatives to each for many different reasons.

Steven Wallach, MD

12 reviews

Manhattan Plastic Surgeon

Incision choice for breast augmentation

The most common preference for plastic surgeons is inframammary or "crease" incisions for a variety of reasons. This is my general preference as well. Most accurate pocket with lowest rate of implant malposition (creation of symmetric pockets is easiest through this direct approach) Hides well No breast tissue is divided (less likely to effect sensation or breast feeding than some of the others) Easiest to control the shape of the lower pole of the... more

Every approach yields good results and tradeoffs

The choice of incisions for breast implant placement is important to discuss with your surgeon as their experiences with each are valuable. The choice is tied closely to the type of implant being placed, anatomy and patient preference, as is the choice of implants dimensions & volume. Approaches through the nipple & arm pit are harder to do when placing gel implants (can't be compressed) and can give numbness in the nipple and inner arm... more

It's your choice, but a lot depends on the surgeon too

It's your choice, but a lot depends on the surgeon too, my choice is circumareolar. Your nipple needs to be at least 3cm across but at that size I can get almost any implant in. I think that these are the best least conspicuous scars. The tiniest bathing suit will cover a nipple incision, while an inframammary incision will be visible if the suit rides up or is small.

Incision location

There are three common sites for incision placement for a breast augmentation. Most plastic surgeons across the country use the incision in the fold under the breast, which leaves a very inconspicuous scar which is covered anytime you are dressed or in a bathing suit. It has the lowest chance of complications and any additional surgery in the future can be performed through this approach. This is the most straightforward approach for the plastic surgeon. The periareolar... more

Ralph R. Garramone, MD

7 reviews

Fort Myers Plastic Surgeon

Incision placement

If silicone implants are used the incision will depend to some degree on the size of the implants. There is published articles suggesting the periareolar incision has a higher incident of nipple sensation loss. However, having placed thousands of implants over many years, I have rarely (less than 5) had a patient lose nipple sensation permanently. You can lose sensation with any incision approach if the nerve is injured by the dissection inside or underneath the breast.