When placing implants during breast augmentation surgery, there are several incision options that can be utilized:
- Underneath the breast
- Around the areola
- In the armpit
- Around the belly button (which I do not offer)
For the majority of patients, I use an incision underneath the breast as it enables me to access the breast pocket directly while providing me with the best visibility during the operation. Additionally, this incision is made far enough away from the nipple and breast tissue that it often decreases the chance of bacteria reaching and contaminating the implant, and it tends to heal very well for most people.
Another popular option is the incision made around the areola. Though there may be a greater chance for bacteria to reach the surface of the implant, the resulting scar from this incision is usually concealed as an inconspicuous white line next to the darker tissue of the areola. Likewise, the incision made in the armpit is also well concealed, but using this technique may increase the possibility that breast implants are placed out of position.
As I mentioned above, I choose not to use the belly button incision at my practice. Not only can this technique exclusively be employed for saline implants, I do not feel results achieved by using this incision rival the quality of outcomes achieved with other incisions.
In the end, there are pros and cons associated with each incision option, all of which will be discussed in thorough detail during the breast augmentation consultation. The final decision will be made based on each patient’s preference, as well as her unique needs and goals.