Incisions for Breast Augmentation

A small incision is made for inserting a breast implant.  Typically, the incision is 3 - 4cm (1 - 1.5 inches) in length.  A permanent scar will remain where the incision was made.  Every effort is made to ensure that the scar is as inconspicuous as possible.  Scars will initially be red and a little raised, but over 3 - 6 months they usually get lighter in colour and flatten out.  The scars are usually very well hidden.

 The incision for breast augmentation can be made in one of three places:

1)  INFRA-MAMMARY INCISION:

The first type of incision is placed at or slightly above the crease under the breast.  This is one of the most common incisions because it allows for the most direct access to the breast implant pocket, making accurate placement of the implants quite predictable.  It also leaves the actual breast tissue completely undisturbed, minimizing any effects on breast-feeding and nipple sensation.

 2)  PERI-AREOLAR INCISION:

The second incision type is placed along the lower border of the pigmented skin around the nipple.  This incision is commonly used in women with a poorly defined fold under the breast, as long as their nipple size is not too small.  It is a popular incision and usually heals quite well.

3)  TRANS-AXILLARY INCISION:

The third type of incision is placed high in the armpit.  The benefit of this incision is that it eliminates scars on the breast itself.  The trans-axillary incision is commonly used in women with poorly defined folds under the breast and small nipples.  Although a scar is avoided on the breast, it is important to remember that there will be a scar in the armpit, which may become an issue when wearing certain clothing styles or bathing suits.  Since the incision is somewhat remote from the implant pocket, accurate implant placement is slightly less predictable.  A scope (endoscope) is often used to perform the surgery to improve predictability.

There is no single incision that is ideal for every patient.  At your consultation, Dr. Edelstein will help you decide which incision option is best for you, keeping in mind your personal desires.