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Everything You Need to Know About Breast Augmentation: Part 2

Earlier, we talked about breast implants; now, let’s move into placement. We’ll help you understand the ins and outs of both incisions and implant placements. If you have any other questions, give us a call at 704-659-9000; we are here and ready to help!

Breast Augmentation Incisions: What Are My Options?

After choosing your implant size, you’ll need to work with your surgeon to choose an incision location. Typically there are four options available: , and TUBA. Each option has its benefits. Your surgeon will help you determine which options are available to you.

  • Periareolar– The periareolar incision is made around the nipple. The darker tissue of the areola camouflages any scarring you might experience for a practically scar-free breast augmentation. This option is great for both saline and silicone implants and gives the surgeon a lot of flexibility with implant placement. One downside is that nipple sensation may be lost and that breastfeeding may be more difficult or impossible.
  • Inframammary– The inframammary incision is made where the breast meets the ribcage. Your scar will be hidden in your breast fold and won’t typically be visible. One potential drawback to this type of incision is the potential for irritation during recovery. Wearing a bra can be very difficult during your recovery period. Redness along the incision line remains longer than with other incision types as well (sometimes for a year or more).
  • Transaxillary– The transaxillary incision is made in the armpit which means no scarring on the breast (and only a small scar in the armpit). This incision is a popular choice, but cannot be reused. If your implant needs replacement or removal, a new incision location will be needed. This incision is also more difficult for the surgeon and can make achieving an ideal placement challenging.
  • TUBA– The TUBA (trans-umbilical breast augmentation) incision is made in the navel and the breast implant is then guided up into the breast. This incision leaves almost no scarring (and if visible scarring exists it occurs down by the navel), but can be very difficult to work with.

Implant Placement

Another important decision you’ll make during your breast augmentation consultation is the decision of implant placement. The type of incision you choose, your implants, and your anatomy will all play a role in determining which placement is the best for you. Talk with your board certified plastic surgeon about your options. Here are the three primary options:

  • Submuscular– With submuscular placement, the implant is placed under the pectoralis major muscle. Submuscular placement tends to give a more supported look (kind of like an internal bra), but may lead to the implants moving when the muscles contract. Recovery can be a bit more difficult with a submuscular placement. There may be limits to the size of your implant.
  • Subglandular– Subglandular placement involves placing the breast implant directly under the breast glands. This implant placement option allows for larger implants and is great for those that are looking for lots of cleavage. Rippling is more common with this placement and the breasts may not look as natural.
  • Subfacial– This is a newer implant placement technique that involves placing the implant below a thin, but strong layer of connective tissue over the pectoralis major muscle. This placement carries some of the benefits of both of the other implant placement methods.

Often, your board certified plastic surgeon will have a strong opinion about which placement will work best with your body and type of implants. Work with them closely on this decision.

If you’re ready for breast implants, Hunstad Kortesis Bharti Plastic Surgery + MedSpa is ready to help. Contact us today for customized advice about your breast augmentation options. 704-659-9000