When I perform breast augmentation, I offer my Dallas area patients 3 incision types, and they usually want to know which is best. The truth is that there is no single choice that is better than another; rather, the question should be which incision is best for which patient. The choice depends on a number of factors which are discussed during the consultation. The 3 types of incisions are:
Transaxillary: A transaxillary incision is made in the skin fold in the armpit. The benefit of this type of incision is that there is no visible scarring on the breasts. The drawback is that it’s more challenging for the surgeon to achieve breast symmetry.
Periareolar: A periareolar incision is used when a woman’s areola is 4 cm or greater. The incision is hidden in the darker skin of the areola. The scar is barely noticeable as it blends into the coloring of the areola. This incision allows direct access to the breast pocket, and may allow for a reduction in the size of the areola and a slight breast lift. A very small percentage of women, however, can experience loss of nipple sensation
Inframammary: The inframammary incision is the most common. It’s made underneath the breast, just slightly above the inframammary fold. This incision gives the surgeon the greatest accuracy and precision in implant placement. When the incision heals, the scar gradually fades and is covered by a bra or a bikini top.
The best incision choice is based on what’s most suitable for the individual and the procedure. It’s important to discuss the various incision choices in combination with implant size and placement.