The advantage to this approach is the small, hopefully near invisible scar. The problem with this approach is that if the scar is not invisible, it is now on the most visible portion of the breast. Unfortunately, no one can control the way you heal and scar, which is in your genetic makeup. This incision site is associated with an increased rate of capsule contracture due the fact that the milk ducts in the nipple are normally colonized with bacteria which can be associated with a low-grade infection of the implant resulting in a capsule contracture, or hardening of the breast.
Umbilical Saline implants may also be placed endoscopically through an incision in the navel. This technique is fraught with more problems such as pain, bleeding and lack of precision. Also, the implant is usually placed above the muscle, which is not my preference.
A transumbilical breast augmentation technique uses a small incision, but requires a lot of blunt dissection on the inside, which is not the same concept as a truly minimally invasive procedure such as a laparoscopic gall bladder removal, where a small incision is created to avoid cutting through the muscles of the abdominal wall. There is a big difference here. Next Topic: Incision Options ». What are the choices for incision location for surgery?
These incisions may be located: Armpit transaxillary — To perform breast augmentation with a transaxillary incision, the incision is made in the natural folds of the armpit tissue. Click on a topic below to learn more:. Related Resources. What is Breast Augmentation?
Breast Implant Manufacturers Silicone vs. Ready to Get Started? Name Required First Last. One con of this incision type is that if you decide to change the size of your implants in the future, the inframammary incision cannot be reused, and a different incision will have to be made. It can also damage milk ducts, so this incision type is typically not recommended for younger women who plan to breastfeed their children in the future. A periareolar incision is typically made along the curve of the bottom of the areola, or nipple, right where the darker colored skin meets the lighter colored skin.
Just like with the inframammary fold incision, doctors like the periareolar incision due to the proximity to the breast that makes creating symmetry easier, and ease of controlling bleeding during the procedure.
Patients typically like how the natural coloring of the areola disguises scars. However, if for some reason the scar has trouble healing, it may appear raised and be more noticeable with a periareolar incision. If you want more information or have any questions, here is how you can get some answers. This under the armpit incision is popular for women getting smaller implants, from about cc to cc in size.
Since a natural fold exists in the armpit, it is easy for a skilled plastic surgeon to create the incision, make a channel to the breast and then a pocket for the implant. Many women like the trans-axillary incision because it leaves the breasts untouched and unscarred. A trans-umbilical incision, also called at TUBA incision, is a popular incision type in which empty implants and inserted through the navel and up to the breast, then inflated. Many patients like TUBA because the scar is hidden in the belly button.
However, some surgeons will warn that since a TUBA incision is working so far away from the breast, that it can be difficult to achieve natural or symmetrical looking results from this incision type. You can read about breast augmentation on the Internet as much as you want, but the best way to know which option is right for you is to talk to Omaha Dr. In the TUBA incision, the surgeon makes an incision in the naval area, dissecting a tunnel upwards towards the breast area.
In these two types of incisions, the empty saline implant is then rolled up much like a cigar and led through the dissected tunnel to be placed within the breast. At that point, the implant is then filled to the pre-determined amount. Round breast implants have a symmetrical round shape. The round shape is beneficial as there is no malformation of breast shape should the implant move within the pocket. Round breast implants come in both textured and smooth surfaces and they tend to be less costly than anatomical implants.
A common misconception about round shaped implants is that they tend to look unnatural once implanted. This is not true: round implants can look just as natural as the anatomical type and vice versa. When a rounded implant is in the vertical position, they take on the same shape as an anatomical implant which has been proven via radiographic imaging. As always, the final result of your augmentation will depend on factors such as your anatomy, the experience level of your plastic surgeon and the technique used to place the implant.
Anatomical breast implants were initially designed for the purpose of breast reconstruction. However, they have begun making their way into the world of cosmetic augmentation. Anatomical breast implants look oval-shaped when viewed from the front. When viewed from the side they appear to have more volume at the bottom, giving the implant a "bottom heavy" appearance since there is more volume at the bottom than the top. One risk of anatomical shaped implants is that if they shift in position, an asymmetry can occur.
To minimize displacement anatomical implants feature a textured surface which allows for tissue adherence; helping to keep the implant in the proper position. If you are considering an anatomical shape it is important to choose a plastic surgeon that has experience in anatomical implant placement as the pocket must be precisely created. The views expressed in this blog are those of the author and do not necessarily reflect the opinions of the American Society of Plastic Surgeons.
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The views expressed in Ask a Surgeon and the Patient Community are those of the participants and do not necessarily reflect the opinions of the American Society of Plastic Surgeons. Share your journey with other people just like you on the Patient Community or post your question to Ask a Surgeon to get an authoritative and trustworthy answer from our ASPS member surgeons.
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