Best Incision Site for Droopy (Not Overly Saggy) Breasts? (photo)

I was told that an armpit incision for droopy breasts would cause the implant to sit high and therefore cause the bubble effect. Would like some varied opinions on this subject before I make my decision. My aureola is not highly pigmented so I'm wondering if an incision there would be easily hidden. Thank you.

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8 Doctor Answers | Asked by Perfectionist85 in Vancouver

Doctor Answers (8)
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Breasts and sagging

It is difficult to say what you exactly need without an exam. Your photos angle is a bit from below and it would be nice to see it in person. Sometimes if you need just an areola lift, it can be done in a circumareola fashion.

Steven Wallach, MD

12 reviews

Manhattan Plastic Surgeon

Best incision site

From the one photo you sent, it doesn't seem as though your breasts are too saggy. I believe the most inconspicuous incision site for you, if you are considering breast augmentation, is just above the fold below the breast.

Where to put my Breast Augmentation Incision?

Very difficult to answer without better pictures and a examination. I use the armpit incision and the breast fold incision. I believe that the areola incision can change nipple sensitivity and that it increases the risk of the implants scarring/hardening therefore I do not use it. If your breasts sit low on your chest, I do not usually recommend the armpit incision unless you will be vigorous with your post-op massages and be patient and allow the implants to drop. The breast fold incision... more

Best Incision Site for Droopy (Not Overly Saggy) Breasts?

Thanks for the posted photo. The edge of your areolar and the breast skin is not easily seen, therefore there is a possibility that an circum areolar incision could be noticeable. Also with the risk of decreased sensitivity and issues with breast feeding make using that exposure a risk. While you are correct in axillary incisions lend to poor inferior/medial dissection causing higher riding implants. Thus I come to infra mammary incisions as in your case a very good choice. But any of the 3... more

Droopy breasts & implant incisions

You should be able to get great results with the axillary (armpit) incisions, if the surgeon doing your surgery is experienced in that technique. Whatever plastic surgeon you choose, be sure to follow his/her advice, since their experience will dictate what he/she feels most comfortable doing. Hia/her experience will affect your results. Any incision should be OK for you.

Sagginess and breast implants.

The photos are helpful, but a direct exam is needed to give you a definitive answer. It is also highly dependent on what size implants you choose. I would not recommend going with a larger implant to give the lift, but stick with the size that fits your body the best. Using an inframammary (below the breast) incision would hide nicely in the crease and shadows of the breast while allowing a biplanar technique that helps the breast lift better and potentially negate the need... more

Best Incision for Breast Augmentation?

Thank you for the question and picture. It is not possible to give you precise advice without direct examination and a full communication of your goals. One of the concerns I would have with patients in your situation, is if breast lifting would be helpful. Much of this decision-making will depend upon your physical examination. My personal preference would be to use an incision under your areola if breast augmentation alone is decided upon. Otherwise, I am concerned about... more

Any incision will work - the bubble effect is related to the implant diameter

Thank you for your question. I assume that you are referring to the double bubble effect. This is not related to the incision. Any incision will work. Doube bubble is caused by an implant that has a larger diameter than the overlying breast. If you chose such an implant, when you lift your arms, your breast tissue lifts and you would see the wider diameter implant below. It looks like a "double bubble". There are so many implant options... more