Breast Augmentation: Q&A
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What is the Best Place to Insert the Implants for Breast Augmentation? (400 CC Saline)
I have finally chosen my doctor and have scheduled my surgery for Christmas Eve :) When Dr.Kim initially asked where I wanted to do the incision I chose around the areola, but now I am thinking about the armpit..I just want to make sure there are no side effects and which is the best, I also chose for the implant to be placed under the muscle.
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16 Doctor Answers |
Asked by
jessicaluebeck
in Redondo Beach,CA
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Choices for insertion of breast implants
As you have indicated there is no best choice for access to the breast and insertion of the implants. This will vary depending on patient anatomy and surgical indications. The transaxillary incision is a great choice for the right indications.
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Breast implant incisons and placement
Experienced plastic surgeons should be comfortable and experienced with all approaches
transaxillary, periareolar, submammary, and TUBA (belly button)
saline is easily done through TUBA one incision ,, invisible
silcione do well through the armpit.. hard to see
choose wisely
dr H
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Transaxillary Breast incision
If you have picked your plastic surgeon, which it seems that you have, you should use the incision that he feels most comfortable with. You want to be routine on the day of surgery. Many surgeons have not been well trained to do the Transaxillary approach, and so they poo poo it, and well they should because they are not familiar with this approach. Having the largest series reported in the literature, having done more than 2,000 transaxillary breast augmentations, there...
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What is the Best Place to Insert the Implants for Breast Augmentation? (400 CC Saline)
There is no "best place" to insert the implants, only alternatives with advantages and disadvantages. Established pros and cons may or may not materialize in your situation. Surgeon preference is important, your body and breasts, whether or not nipple sensation and breast feeding are important to you, and other factors. Submuscular placement best, in my opinion, for saline implants because of additional soft tissue camouflage the muscle offers.
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Incision for breast augmentation
The incision choice for breast augmentation is multifactorial including your preference, your anatomy, the size of the implant, revision or primary to name a few.
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Incision choice for breast augmentation
Thanks for the question. First of all, I agree both with. The size as well as the sun muscular placement. I am not, however, a fan of going through the armpit for a few reasons. There is a higher incidence of asymmetry and sometime the implants end up too high. Also, if you ever need further surgery, it is hard to do a revision through the armpit. I would suggest the periareoalar incision. Good luck!
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Location of breast implant incision
As you can tell from the answers to your question, there is no one answer that is right for all patients and all surgeons. Surgeons have their preferences based on their experience and patients' anatomy can make also make one approach better than another. I would only add that the armpit scar is potentially visible whenever you raise your arms while wearing something sleeveless. Depending on where you live and what you wear, this can be a concern. Good luck to you.
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Preference for breast augmentation incision - infra-mammary for me
Given the issues with increased rate of capsular contracture using peri-areolar approach and issues with implant malposition using the axillary approach - my preference continues to be the infra-mammary incision. With good planning, the scar can be placed in the breast fold, where it is virtually invisible between aesthetic subunits. I disagree with others that recommend a 'belly button' incision to their patients - not a great surgical approach for a variety of reasons.
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Incision location for Augmentation
The choice of incision is up to the patient and physician comfort. Armpit incision can be more difficult then areolar or inflammatory incisions. Patients choose a site based on their concern for visibility of the scar. the outcome of the augmentation is not effected by the location of scar if the PS is comfortable with that approach. But certain chest shapes are not a good candidate for arm pit incisions, ask your PS what his feelings are about incision location.
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The best augmentation incision is where you want it to be
You can have an excellent breast augmentation through a transaxillary, inframammary, or a periareolar approach. The choice depends on your preference and skin type, and how well you think you can conceal the scar while healing. We like the underarm approach quite a lot though some surgeons are not as comfortable so ask your surgeon if he has a concern.
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Hello
The most popular incision in our practice is around the areola. The skin is thinner and the scar is more forgiving. You can also do the inframmary fold. The risks are the same. It has a lot to do with the technique of the surgeon.
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Breast augmentation incision location - the axillary approach is great with one caveat...
I don't have a lot to add to the other posts, however I would make a distinction regarding technique when considering the armpit (transaxillary) incision. When done with an endoscope, this is a very precise technique, with magnified visualization as good if not better than the traditional approaches. If done "old school" style, with a blunt and blind dissection technique, then I would agree with its detractors and avoid it. So if considering the armpit approach, make sure...
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Incision choice
Dr. Daniels really summarized this well and the fact is that many ladies do not understand that if you look at recent data the remote incisions have much higher rates of problems. Umbilical (belly button) incisions have always been believed to be problematic by most plastic surgeons however axillary (armpit) incisions are really only recently beginning to have more and more data presented at national meetings showing that there is likely a higher capsular contracture rate, higher...
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Incision location
Remote incision locations (belly button, armpit) have the trade off of limiting the precision of implant pocket creation and may result in a higher incidence of malposition. Periareolar incisions violate breast tissue which may lead to a degree of bacterial contamination that may result in a higher incidence of capsular contracture. Discuss these trade-offs with your surgeon. Good luck!
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What is the Best Place to Insert the Implants for Breast Augmentation? (400 CC Saline)
Assuming you are a good candidate for any of the incisions, then it is simply your choice. As far as the surgeon is concerned it is merely an access point. But not all patients are a good candidate for certain incision locations and that answer would come from the doctor who examined you. In my practice most patients choose the periareolar incision, so I have accumulated more than a thousand patients over the last 30 years with that incision and I have seen no problem with that choice. The...
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What is the Best Place to Insert the Implants for Breast Augmentation?
If there really were a best way, there would only be one incision and all surgeons would use that. My preference is for incision in the breast fold. It requires the least tampering with the breast anatomy, and for the occasional patient who gets a noticeable scar, to me it seems the most hidden. On occasion I will use the other incisions--axilla, peri-areolar, navel.
Plenty of excellent surgeons will prefer one of the other incisions.
Most important is to choose your...
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