Breast augmentation is a popular procedure that enhances the size and shape of the breasts using implants. Each procedure is unique, offering patients a choice of five types of incisions. In this blog post, we’ll discuss these incisions—inframammary, periareolar, transaxillary, transumbilical, and transabdominal—to help you decide which best suits your preferences for breast augmentation.

Inframammary Incision

Location

Underneath the breast, in the fold where the breast meets the chest.

Advantages

The inframammary incision provides excellent access for the surgeon to place implants precisely. This method is versatile and accommodates several implant types and sizes. The scar is well-hidden in the natural crease under the breast, making it less noticeable.

Disadvantages

While the scar is concealed, it can be visible when lying down or raising the arms. This scar position may be a consideration for patients concerned about visible scarring.

Periareolar Incision

Location

Around the lower half of the areola (the dark area surrounding the nipple).

Advantages

The periareolar incision offers a discreet scar that blends with the areola’s natural pigmentation change. This method allows direct access to the breast tissue and implant pocket, enabling precise adjustments.

Disadvantages

There is a potential risk of changes in nipple sensation and possible difficulties with breastfeeding. The risk varies depending on the individual’s anatomy and Dr. White’s recommendation during consultation.

Transaxillary Incision

Location

In the armpit.

Advantages

The transaxillary incision avoids scarring on the breast itself, placing the scar in the natural creases of the armpit. This approach can be preferable for patients who do not want any scars on their breasts.

Disadvantages

This method is more challenging for the plastic surgeon and can limit precision. As the incision site is farther from the implant pocket, implant positioning can cause potential complications.

Transumbilical Incision (TUBA)

Location

Through the belly button.

Advantages

The transumbilical incision leaves no scars on the breast or armpit, offering a scar-free breast augmentation.

Disadvantages

Due to the nature of the procedure, TUBA is only suitable for saline implants. Surgeons have limited control over the final implant placement, and the method’s complexity can lead to higher complication rates.

Transabdominal Incision

Location

Through an abdominal incision commonly used during a tummy tuck.

Advantages

This incision can be an excellent option for patients undergoing a tummy tuck simultaneously, as it avoids additional scars. It combines procedures to enhance overall body contouring.

Disadvantages

The transabdominal approach is less common and is usually part of more extensive surgery. It is not performed as a standalone procedure for breast augmentation.

Choosing the Right Incision for Breast Augmentation

The type of incision used in breast augmentation significantly affects the surgery’s outcome. Surgeons consider various factors when recommending an incision type, including the patient’s anatomy, implant type and size, and their preferences regarding scar visibility. While patients can express their preferences, the final decision is made in consultation with the surgeon to achieve optimal results.

Scarring is a key concern for many patients. Although all surgical procedures result in some scarring, the goal is to minimize visible scars and create incisions that are as discreet as possible.

Post-operative care plays a crucial role in scar management. Patients should follow guidelines on wound care and topical treatments and avoid activities that may stress the incision sites.

Consult With a Board-Certified Plastic Surgeon

Dr. White, a board-certified plastic surgeon specializing in breast augmentation, prioritizes collaboration with patients. She works with you to understand your desired outcome, considering factors like body type, clothing preferences, and lifestyle, to recommend the best surgical techniques and incision type for a personalized procedure.

Contact Us to Learn More

Considering breast augmentation in San Antonio, Killeen, or Austin, TX? Schedule a consultation with Dr. White today and explore your options for achieving your aesthetic goals.