When planning for breast augmentation, one of the key decisions involves choosing the surgical incision site. At North Oakland Plastic Surgery, we offer several breast augmentation incision options based on patient anatomy, implant type, and aesthetic goals. The most common incision types include inframammary (in the breast crease), periareolar (along the areola), axillary (in the underarm), and transumbilical (through the belly button, also called TUBA). Each method has specific benefits and limitations that we evaluate carefully during your consultation.

Inframammary Incision

The inframammary incision is made in the natural crease beneath the breast. It is the most commonly used incision because it provides direct access to the breast pocket, which allows for accurate implant placement. This method is compatible with both saline and silicone implants and is ideal for patients requiring larger implants or complex adjustments.

Pros include better surgical control, hidden scarring in the breast fold, and a lower risk of implant malposition. It also minimizes interference with the milk ducts and nipple, reducing the risk of breastfeeding complications. The main disadvantage is that the scar may be visible when lying down or in minimal clothing, particularly in patients with smaller or less-defined breast folds.

Periareolar Incision

The periareolar incision is made along the lower border of the areola, where the skin changes color. This location allows for a concealed scar and precise access to the implant pocket. It is often chosen by patients who want to combine augmentation with a minor lift or other cosmetic improvements to the areola area.

Advantages include excellent scar camouflage and direct control during surgery. It also allows for dual-purpose procedures like lifts or areola reduction. However, disadvantages include a slightly higher risk of changes in nipple sensation and potential interference with future breastfeeding. This technique is also less ideal for patients with very small areolas or those opting for larger implants.

Axillary Incision

The axillary incision is made in a natural crease of the underarm, leaving no scar on the breast itself. This option is typically used for patients who prefer to avoid any scarring on the breast and want to keep the augmentation completely concealed in clothing.

The benefits of the axillary approach include no visible scar on the breast and minimal disruption to breast tissue. However, the limitations include reduced visibility and access during surgery, which can increase the risk of implant misplacement. It is generally better suited for saline implants, as they can be filled after placement. Silicone implants may require larger incisions and can be more difficult to position through the underarm.

Transumbilical (TUBA) Incision

The transumbilical or TUBA technique involves inserting a deflated saline implant through a small incision in the belly button and guiding it up to the breast area. Because the incision is made far from the breast, this method leaves no visible scar on the chest or underarm.

The primary advantage of the TUBA approach is the absence of any breast scarring. However, it is limited to saline implants and does not offer the same level of precision or control as other methods. Additionally, any need for future revision surgery will likely require a different incision approach. TUBA is also less commonly performed due to its technical challenges and limited visibility.

Conclusion

Choosing the right incision site from the modern-day breast augmentation incision options is an important part of planning your breast augmentation procedure. At North Oakland Plastic Surgery, we help patients understand the pros and cons of each option, including inframammary, periareolar, axillary, and transumbilical incisions. Dr. Hainer provides detailed consultations to determine the best approach based on your anatomy, preferences, and desired results. To discuss your surgical options and create a personalized plan, schedule a consultation with Dr. Hainer at North Oakland Plastic Surgery today.

Posted in Breast Augmentation