Recommended incision for breast augmentation for Asian?

Question

Hi, what breast augmentation incision is typically recommended or preferred for Asian patients to ideally minimise and/ or hide scarring as much as possible . I have read about periareolar and the inframmary folder incision and have pros and cons to each

John L. Burns Jr., MD · Answer

when possible I suggest a periareolar incision in asian patients as that incision is much less visible.

Enrique Quiros Lim, MD · Answer

Hi, In general, the best incision for breast augmentation is the one placed in the inframammary fold, it has been associated with less complications in comparison with the periareolar, axillary, or even transumbillical incisions. My advice for you is to contact your plastic surgeon and discuss with him the pros and cons of these incisions.Regards,Dr. Enrique Quiros Lim

Jeffrey Lisiecki, MD · Answer

I generally still recommend the IMF incision for Asian patients, with some exceptions.  The IMF incision allows for precise implant placement, allows for subfascial pocket creation if that plane is desired, and evidence suggests it has a lower rate of capsular contracture comparted to the periareolar incision.

Daniel Barrett, MD · Answer

Dear Affectionate11592,
I tend to prefer the periareolar incision because its the most well hidden. There is a natural border between the areola and the rest of the breast skin the hides the incision extremely well. You have to be completely naked to see it vs other incisions like transaxillary and inframammary are visible in clothing such as sleeveless shirts and bikini tops when extending your arms up. I've also noticed increased rates of bottoming out with inframmary incisions that is not reported. Transaxillary implants are always wide in appearance because the surgeon is not able to dissect medially enough to provide better cleavage. Ultimately, I can perform any of the incisions but I recommend the periareolar. There is no difference in sensation because the nerves that control nipple sensation come in laterally from the back and injury to them occurs when surgeons dissect to far laterally which is why transaxillary incisions have the highest nipple sensation disruption. There is no difference in breast feeding ability. One study did show a slight increase in capsular contracture with use of periareolar but that study was small and did not incorporate modern techniques such as below muscle placement, keller funnel usage and triple antibiotic irrigation. 
Daniel Barrett, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery

Zoran Potparic, MD · Answer

It appears that  IMF incision is used more frequently for breast augmentation around the world. I do not think it is based on racial or any other preference but ease of implant placement, selection of implant plane (above or underneath the muscle), preservation of sensation to nipple and less obvious scar. Hope this helps.

Neil Tanna, MD, FACS · Answer

There are 4 possible incision types for Breast Augmentation:1. Inframammary fold (IMF)2. Peri-areolar3. Trans-axillary4. Peri-umbilical
Inframmary fold and peri-areolar approaches are most common with many studies citing that IMF has lowest complication rate. The correct approach has less to do with ethnicity. Rather, it pertains to the anatomy of the patient. The IMF approach, can be difficult when a patient has a poorly defined fold.

Camille Cash, MD · Answer

You are correct in your statement that there are pros and cons to each incision option for breast augmentation.  The most common incision for my patients is the inframammary fold.  This incision tends to heal well for the majority of patients.  It also allows good access to the breast pocket and carries a lower occurrence of capsular contracture.

Connie Hiers, MD, FACS · Answer

The scar location depends upon what type and size of implant you chose and the size of your areolae. If you are very small, then the underneath incision is used.

Sealtiel Machuca, MD - Account Suspended · Answer

Primero que nada el aumento de senos es un tratamiento individualizado y no tiene nada que ver la raza o las etnias, actualmente pueden ser implantes o incluso infiltracion de tu propia grasa, dependiendo cuál sea tu deseo y tu forma de la mama, que copa quieres ser, si ya tuviste bebés, tú historial médico y de acuerdo a esto anterior y una evaluación en forma determínanos tu mejor opción.

Recommended incision for breast augmentation for Asian?

Answers (9)

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