Breast Implants: Q&A

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Breast Implants Incision Types

I'm scheduled to have both tummy tuck and breasts enhancement (incision under boobs) in 2 weeks. Instead of having the incision on the skin. Can my doctor go under the skin for incision during my TT? knowing, I'll have good visual scaring from the TT I want to eliminate having another if possible.

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23 Doctor Answers | Asked by CallMeSue in washington, dc

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Breast implant incision wuestion

This approach has been used but is not a standard surgical incision for placing breast implants. The three most used incisions are breast fold incision, peri areola and arm pit. While my favorite is the arm pit incision using an endoscope this is an advanced procedure needing specific training and specific equipment. Your doctor will recommend what he or she works best in their hands. Good luck and please see the consultation of a board certified plastic surgeon.

Breast implant scars

I agree with your plastic surgeon. Going through your tt incision is technically possible but risks issues with violation of the inframammary fold and the ability to carefully and accurately dissect the implant pocket. The IMF incision is tiny, heals well, and will help your surgeon achieve a good and reliable result. Good luck! Dr Kerr

Mahlon Kerr, MD

16 reviews

Austin Plastic Surgeon

Breast implant incisions

There are three commonly used sites for breast implant placement. Under the breast, inframammary Partly around the areola, periareolar Under the arm, transxillary In my opinion this is almost always a preference issue only. The most common incision is the inframammary. I feel this is the most flexible incision to work with the breast, AND I believe it is the least obvious scar. Rarely is a patient unhappy with the scar. As far as placing the... more

Incision choice for breat implants is multi-factorial

Choosing the best incision for breast augmentation There are basically four choices of incision for placing breast implants - Inframammary, per-areaolar, transaxillary and trans-umbilical. Choosing the incision for placement of the implants which is best in any given situation can be affected by many factors – these can be broken down into patient specific factors and surgeon specific factors. Patient specific factors include ethnicity and tendency for poor... more

Implants

I agree with other opinions and would stick to the plan given by your surgeon. The incisions are small and allow better access to the breast

Michael Hueneke, MD

6 reviews

Nashville Plastic Surgeon

Breast Implants - Inserted During Tummy Tuck via Tummy Tuck Incision

Hi CallMeSue in washington, dc, The short answer is - Yes, the implants can be placed in this manner (ie via the TT incision). The more complete answer is that although they can be placed in this manner, I would not normally advise it. It's a long way from that incision to the TOP of where the breast implant would go - and you might need access that high in case there were some bleeding or some other issue. Furthermore, by extending the incision into the breast... more

Best incision breast implants

You should stick with your plan of having the tummy tuck with the breast implants placed through the inframammary approach. This gives your Dr. the most control over the results. The scar should be small and inconspicuous. Also it is probable with what he/she is most comfortable.

Breast implant incisions

While it is possible to do an augment from a TT approach, I do not think that is the best approach. If you are concerned about having a scar on your breast from an augment, then you could use a trans-axillary approach for the surgery. The scar can be placed in the highest axillary wrinkle. Aesthetically, I believe the axillary scar gives the nicest result when compared to a peri-areolar or infra-mammary.

Breast incision

I understand your question and wanting less scar on your body. However, to violate the integrity of the inframmamary fold can be froth with problems. The folds maybe uneven, the implant could migrate down toward the abdomen, and many more. This has been tried with infrequent success. Do proceed with caution. The breast scars heal so favorably do not fear them. Good luck to you.

Incision for breast augmentation with TT

While technically possible, implants can be placed through the abdominoplasty incision. However, most plastic surgeons do not perform this type of surgery routinely, as the visibility is limited, and the control of the crease below the breast is compromised. There are however, several surgeons who have a large series of this type of procedure that maybe you should consult. An incision below the breast is inconspicuous, resulting in a small scar, and I think, with better results. more

Incision for breast implants

Though it is possible to use the tummy tuck approach to place breast implants in without an additional scar, I think the result will be less predictable and any possible future surgery for revision of the breast implants will need a separate breast fold incision anyway. If you were my patient, I would congratulate you on your great idea, and then convince you for the more traditional approach as the main goal is to give you a good aesthetic result.

Anindya Lahiri, MBBS

4 reviews

Birmingham Plastic Surgeon

Avoiding breast implant incision

The consensus opinion here is strong and well supported. The best incision for putting in breast implants has proved to be the inframammary crease incision for both short term control and results as well as the option to return to revise or replace the implant later. For saline implants this incision only needs to be 2 cm and for silicone gel implants about 3 1/2 cm using a Keller funnel. This is well worth the control it gives the surgeon for proper placement of the implant and control of... more

Tummy tuck, breast implants, breast augmentation

Although this is technically possible, it does make the procedure much more difficult to get the implants placed in a proper location. I have done this but I would not do it as a procedure of choice. Good luck

Breast implants through tummy tuck incision

Although possible to do, and advocated by some surgeons, I think it is not desirable. It is much more difficult to control the breast implant pocket (and therefore the position, symmetry, and shape of the implanted breasts) and therefore the ultimate quality of the result. The more extensive abdominal dissection also runs the risk of interfering with the blood supply to the abdominal skin following a tummy tuck, which can lead to complications and a much worse abdominal scar. more

Breast Augmentation through Tummy Tuck incision......

Yes it can be done, but it is technically more difficult, and impossible to place the implants under the muscle. Also as said, it requires more dissection of your tummy tuck than I would normally do. I've tried this approach, and wouldn't recommend it. Normally the inframammary scars are very minimal once healed. Dr Markmann

For Breast Augmentation Use a More Locally Placed Incision Than The Tummy Tuck

The key to a good breast augmentation is control of the inframammary fold and pocket dissection. While it may be possible to place breast implants through the tummy tuck incision, this is not any easy way to achieve those requirements. Using a high-lateral tension abdominoplasty approach, dissection in the upper abdomen is confined primarily to the central one third, and so the area inferior to each breast is not dissected. And from an accessibility standpoint, the breast is farther away... more

Breast augmentation through tummy tuck incision

While technically possible, the wound created during a tummy tuck usually only extends up to the lower border of your ribs, which is a long way from the folds under your breasts. Placing the implants from within that wound requires continuing your abdominal dissection up over your ribs and then behind the breasts. Not violating the region over your ribs and the increased precision available by having a separate (generally very well concealed) inframammary incision for... more

Breast Implants via Tummy Tuck Incision

While it is technically possible to place breast implants through the tummy tuck plane, this is a very difficult way to control the shape of the breast pocket, which is critical in creating your final result. My personal opinion is that the inframammary incision provides excellent access the the submuscular pocket, is well hidden, and minimizes sensory loss to the nipple.

The best incision for breast augmentation depends on where the implant will be placed

For several years I would put the implants through the tummy tuck incision by tunneling up under the breast. While the results were good it seemed that it was an extreme effort to get a good result. Now days with newer techniques of abdominalplasty I do not elevate the tissue above the belly button except in the small area between the muscles. Regardless of other procedures I now chose the incision on the location of the implant. If it is to be placed under the muscle I put the... more

Incision location breast augmentation

Dear CallMeSue, Your question really is reasonable. My opinion is that the scar burden from your tummy tuck with dwarf any standard breast incision and the predictability of a more direct approach far outweigh any perceived benefit. I would encourage you to discuss these options with your plastic surgeon. Good luck

Breast Augmentation scars are almost never an issue.

Hi. I agree with everything Doctor Rand says. If you are not happy with your breast augmentation, it will not be because of the scars see video

Breast implants through tummy tuck incision

Is it possible to place breast implants though a tummy-tuck incision and avoid additional scars? The answer is yes, it is possible to do it safely and accurately. However, the key is that your surgeon has to be comfortable doing so. Not all surgeons are trained or familiar with this technique and if so, you are better off having it done through the traditional incisions. The important thing is that whoever you finally choose to do your surgery should be certified by the... more

Not a good idea to place breast implants through a tummy tuck IMO

IMO, it isn't wise to do this. Breast implant incisions are short and heal well so the accuracy of placing the implants is better using the standard breast incisions rather than from overly dissecting the abdomen unnecessarily to go through that approach. Besides, you need to anticipate that you might need revision surgery at some time and you will need a breast incision to do that. Sometimes it isn't the best idea to try to get too cute with the surgery but to do... more