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Breast augmentation

When considering breast augmentation, the type of incision plays a key role in determining the final aesthetic outcome. The “best” incision for a natural result depends on various factors, including the patient’s anatomy, the size and type of implant, the surgeon’s expertise, and individual preferences. Here are the three most common incision options:

1. Inframammary Incision (Under the Breast)

• Location: The incision is made in the crease where the lower part of the breast meets the chest wall.
• Advantages:
  • Provides excellent access for precise implant placement, leading to more symmetrical and natural results.
  • The scar is typically hidden in the natural breast fold and fades well over time.
  • Suitable for most implant types and sizes.
• Ideal For: Patients with a well-defined breast crease or those looking for silicone implants, as the incision allows the surgeon to properly position them.
• Potential Drawback: The scar, although hidden, may be visible if the patient does not have a deep or defined breast crease.

2. Periareolar Incision (Around the Nipple)

• Location: The incision is made along the border of the areola (the darker skin around the nipple).
• Advantages:
  • The scar blends well with the natural color change between the areola and the surrounding skin.
  • Suitable for saline or silicone implants.
  • Provides good access for precise placement, especially in smaller breasts.
• Ideal For: Patients with smaller breasts or those undergoing a slight breast lift (since it can be combined with a lift).
• Potential Drawback: This incision may affect nipple sensation or breastfeeding in some cases.

3. Transaxillary Incision (Through the Armpit)

• Location: The incision is made in the natural folds of the armpit, away from the breast itself.
• Advantages:
  • No scar on the breast itself, which may be desirable for patients concerned about visible scarring.
  • Allows for saline implants to be inserted endoscopically, creating a more natural outcome without any breast scarring.
• Ideal For: Patients who want to avoid scars on or near the breast, especially for saline implants.
• Potential Drawback: The surgeon may have less precision in implant placement compared to the other methods, which can affect symmetry or placement, especially with silicone implants.

Summary of the Best Option for a Natural Look:

• Inframammary incision is often regarded as the best for natural-looking results due to the surgeon’s ability to place implants accurately. The scar is typically well-hidden in the breast crease.
• Periareolar incision can also provide a natural result but may be better suited for smaller implants or patients undergoing a lift.
• Transaxillary incision avoids breast scarring but may come with trade-offs in placement precision, especially for silicone implants.

It’s important to consult with a board-certified plastic surgeon to determine which incision type is best for your individual anatomy and aesthetic goals.