Breast augmentation incisions & breast implant scars Northern Virginia

breast augmentation incisions breast implant scarsThere are three generally accepted breast augmentation incisions to access the breast area to place implants during breast augmentation. ALL breast augmentation incisions have trade offs and compromises. There is no one perfect incision or best breast augmentation incisions for breast implants scar. The three primary breast augmentation incisions are below the breast along the inframammary fold (breast crease), around the breast areola, and through the armpit. A fourth way that is advocated by only a relatively few plastic surgeons is through the belly button.

Things that should be considered when selecting breast augmentation incisions are the safety, control, consistency of result, secondary surgery approach, and the size and shape of the breast. The breast implant scars appearance is best considered only after these other variables have been considered.

Breast augmentation Northern Virginia incisions – Inframammary incision

The most popular breast augmentation incisions chosen that is preferred by the great majority of plastic surgeons is under the breast along the breast crease or inframammary fold. This is the ‘gold standard’ of the breast augmentation incisions because it allows for the best exposure of the breast surgical area. With better exposure comes more safety. It is also the preferred secondary approach for breast implant plastic surgery.

After cutting the skin, the plastic surgeon can see the muscle and establish the breast implant position faster and with less breast trauma than the other approaches. This one of breast augmentation incisions allows for significant control of the breast implant pocket size and also provides the plastic surgeon the ability to compare pocket sizes. In other words, the plastic surgeon will usually create the right and left breast pockets before putting in the breast implants. This way the plastic surgeon can verify symmetry in pocket size and allow for more consistent results. The only negative aspect these breast augmentation incisions is the ‘visible’ breast implant scars.

This may have been an issue in the past when prefilled breast implants (silicone) were placed through large incisions. Since they were prefilled, the incision had to be longer to fit the implant into the pocket. This particular characteristic was problematic for all three incision types, not just the inframammary fold approach. With the saline breast implants for augmentation, the breast implant scars should be really small because these breast implants are placed into the breast pocket empty and then the breast implants filled up. The problem on the internet is that there are a lot of poor result breast implant scars presented as the ‘norm’ rather than the exception. So breast implant scar length should really not be any longer than 3 centimeters for saline and 5 centimeters for the majority of silicone breast implants. Some plastic surgeons may elect for larger breast augmentation incisions for the larger implant sizes and to increase their speed. Sometimes when larger implants have been selected by the woman, the breast implant scars may not end up in the crease but rather on the breast itself. This is seldom a problem but rarely the scar may thicken and widen a bit. Overall, these inframammary breast augmentation incisions provides consistently excellent access to the area for breast implants placement with no trauma to the breast ducts or breast gland.

Please note:
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Breast augmentation incisions – Periareolar incision

The periareolar incision or around the areola incision form of breast augmentation incisions is also a common way to gain access to place breast implants. It has a lot of the same benefits as the inframammary fold approach but these breast augmentation incisions do cut through breast ducts, and breast gland and may leave visible breast implant scars along the areolar border. Because these breast augmentation incisions are next to pigmented tissue it is more likely to cause more pigmentation around the breast implant scars, thus making it more visible.

Breast augmentation incisions – Armpit or Transaxillary incision

The armpit or transaxillary incision is least commonly used breast augmentation incisions. It limits the plastic surgeon as far as control, symmetry, visualization and secondary access to the breast pocket. The real only advantage of these breast augmentation incisions is that the breast implants scars ‘should’ be placed in the hair bearing skin of the armpit. These breast augmentation incisions require that the arms be away from the body and that each breast side is done to completion prior to operating on the other side. Therefore, symmetry of the result is only checked after the breast implants are in and filled up. At this point, any manipulation of the pocket is done without seeing what is being done and may lead to an increase risk of bleeding postoperatively. If there was to be a bleeding complication after breast augmentation, the plastic surgeon would most likely create an incision under the breast to ‘see’ where the bleeding is coming from. So the woman will then have two breast implant scars. It is for these reasons that the transaxillary breast augmentation incisions have more risks and is markedly less often utilized by the plastic surgeon. When this armpit breast augmentation incisions are used with camera guidance, the risks are markedly diminished but it is still a surgery done on one side at a time. Unfortunately, the camera requires more skill and time, and some plastic surgeons using this incision will not ‘wait to use the camera’ or do not have access to one.

Pictures of Northern Virginia breast augmentation incisions & breast implant scars

All ways to place a breast implant into the body result in some access breast implant scars. The breast implant scar’s location is usually under the breast, or around the areola, or in the armpit. The length of the breast implant scars for breast augmentation depends on the plastic surgeon. Breast implant scars can be well concealed using all access incision; while sometimes the position, orientation, and length of the breast implant scars make it less likely to be concealed. The woman’s genetics also play a role in how well the breast implant scars will heal after the breast implants have been placed.

Breast augmentation scar photos 3*

An example of well healed inframammary fold or breast crease access incision scars from breast augmentation. This is a 3 centimeter scar.

Breast augmentation scar photos 9*

This is another example of inframammary incision access incision scars that have been expertly placed. She has gone on the heal without any thickening, or widening after her breast augmentation.

Breast augmentation scar photos 14*

This is a fair skinned woman with inframammary fold access incision scars. The redness will resolve over time.

Breast augmentation scar photos 2*

This is an example of the 'under the breast' or inframammary incision scar. This is a woman of darker color. She has healed without keloid.

Breast augmentation scar photos 18*

This is an example of a suboptimal healed inframammary fold access incision scar for breast augmentation. It is just a bit retracted or dented in. She has declined any additional surgery for scar revision.

Breast augmentation scar photos 16*

This woman had a breast augmentation done elsewhere several years prior to coming to the office. She requested the old scar to be revised. Note that this length scar is much longer than Dr. Brown's incision. This is the length of incision that previously had given the under the breast incision a bad name. The lines denote where the older scar will be cut away and then resewn together.

Breast augmentation scar photos 36*

This is another photo example of how well the inframammary incision scar for breast augmentation heals.

Breast augmentation scar photos 21*

This is an example of an inframammary scar that is used to place breast implants.

Breast augmentation scar photos 67*

This women demonstrates a periareolar incision that is used for breast augmentation. This is a suboptimal result that shows distortion of the lower half of the areola

Breast augmentation scar photos 28*

This woman of color had a periareolar access incision used for her breast augmentation, which was done out of the country. She had previously had them taken out. She was for a secondary breast augmentation. This access incision was not reused for the reinsertion of new breast implants.

Breast augmentation scar photos 43*

She has had a periareolar access incision used for her breast augmentation. Note how the lower half of the areolas are distorted. She was for a secondary breast implant exchange and areolar scar revision.

Breast augmentation scar photos 41*

Armpit access incisions for breast augmentation can be placed up and down, or sideways. This is an example of the up and down incision.

Breast augmentation scar photos 74*

This woman has a low and side to side armpit incision from where her breast implants were inserted. It does not hide in her armpit. She also has a breast implant infection on the underside of that breast.