Help with Breast Augmentation Incision Decision Doctor Answers, Tips
Breast Augmentation: Q&A
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Help with Breast Augmentation Incision Decision

Happy Holidays! I am considering BA to fix my breast asymmetry (as much as possible) and enhance volume. I have consulted a few surgeons but I am still confused as to which incision will work better for me. A couple suggested periareolar (since I don't really have a fold) the other two suggested inframammary. I am of hispanic descent (if that makes any difference in regards of scar healing and such). What is your opinion? Would the transaxillary incision work for me at all? Thank you :)

33 Doctor Answers | Asked by 7080anon in Washington
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Which Incision is Best for Breast Augmentation?

Your breast asymmetry is mild based on this photo with the right breast being slightly larger than the left.  The incisions all have different advantages and disadvantages. Without going into an explanation of all of the advantages and disadvantages I will tell you my preference. I would use a periareolar incision in your case because 1) your areola are a good diameter to accommodate a saline or silicone implant, 2) it gives me direct visualization of the entire implant pocket,... more
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Incision choice in breast augmentation

Incision choice is always a concern in breast augmentation.  If you scar well, it does not really matter.  If you have a history of poor scarring, you have to think about where you would want your scar hidden.   Most sleeveless garments will show a armpit incision.   Some swimsuits will show an inframammary incision.   Some patients do not want thickened scar around their areola. Generally, patients that scar poorly will choose the... more
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There Are Numeroius Factors That Can Affect The Incision Location In Breast Augmentation

Breast implants can be put in through multiple incisional approaches as you know. The incision is not the important part of the breast augmentation operation, the breast implant is. The incision is just a way to get there and most breast implants can be put in through any of the available incisions for the most part. (exception of silicone implants through a small armpit incision) However, in patients with more skin pigmentation, the resultant scar from the incision may make a difference... more

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Breast augmentation for asymmetry

Most women have some asymmetry, and most plastic surgeons should be able to correct such asymmetries through multiple approaches.  I think that you should feel comfortable if your surgeon has explained the options to you, as well as what expectation you should have with each option.  I would feel comfortable with any approach/scar location. 
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Incision location

The incision choice is multifactorial.  If you are having gel implants your areola may not be large enough to place them in that way .  The incision for transax would also be longer as well and possibly more noticeable.  Salien can go through any of the incisions.  Some approaches give better exposure than others.
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Which incision is best for breast augmentation?

Great question! One of the most common questions that we get asked by our clients is which incision is the best for them.  In your case, your breasts are relatively symmetric and so you could really use any of the three incisions available to you.  That being said, keep in mind that there is no perfect incision and this is not only a personal decision for you but also a decision that should be made with an experienced Board Certified Plastic Surgeon so that he/she... more
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Breast augmentation

The best approaches are inframmary and peri-areolar.  With silicone gel implants, infra-mammary would be the best, but per-areolar can be done as well.  If saline, then per-areolar approach for you (based on your photo), only because it would hide the scar better!  This is my opinion only!
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Best Breast Augmentation Incision

Thanks for the question.  You have several options for the breast augmentation incision as I am sure you were made aware of during your consultations. I prefer the peri-areolar incision, as it provides several advantages over the other incisions.  Additionally, the scar blends in the excellently with the surrounding breast tissue. Irrespective of which surgical approach your surgeon uses, you will in all likelihood have a favorable result if the procedure is performed by a... more
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Choice of incision for breast augmentation

From the photo view I would say that the asymmetry is within normal variance and is best ignored. Implants only deal with volume asymmetry.  The issue of incision choice is one that should be best made by the surgeon based on prior experience of the surgeon as well as others. Unlike choice of the implant type and implant profile which should be up to the patient, technical issues and experience count for far more on incision choice.  I would argue that the consensus of... more
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Breast augmentation with implants: incision and scar considerations

AT this point in time the inframammary is the most popular fo several reasons. It is the most direct approach to under the muscle placement without transecting the ducts allowing the placment of a sufficiently lengthy incision for use of silicone gel filled implants. That having been said, in my practice, I am equally divided between the periareolar and the fold incisions. I sometimes favor the peri-areolar incision because it allows minor manipulations or lifts of the... more
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