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.
Breast Implants Incision Types
Doctor Answers (23)
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
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 implant from a tummy tuck..it can be done, however, I would not recommend this approach. I beleive it does not provide the same exposure to place the implant, which is critical in acheiving a nice result.
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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 scarring (some ethnic groups have a propensity for hypertophic or even keloid scarring), pre-existing anatomy (e.g. Is a given patient’s areolae large enough for placement of a pre-filled silicone implant?)
Surgeon specific factors tend to include the biases and experience of the surgeon, which should not be discounted or taken lightly.
My personal experience after over 3000 breast augmentation is that inframammary and peri-areolar incision give the most control over the breast implant pocket and that transaxillary and trans-umbilical incision have a higher revision rate.
Web reference: http://www.hankinsplasticsurgery.com
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
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 you're risking opening up the inframammary crease too much. I'm not normally a fan of this approach.
That being said, some surgeons do like it and if you're convinced that that's what you want, you should go around until you can find one or more surgeons who will do this.
I hope that this helps, and good luck,
Web reference: http://www.bodysculpture.com
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.
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.
Web reference: http://www.nyplasticsurg.com
These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.
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