Incisions can currently be placed in one of four places for implant introduction. Incision choice is dependent on the implant type and size chosen, and the comfort level and experience of the physician with that particular incision.
- Inframammary (crease) incision. The incision is placed slightly above where the breast meets the rib cage. It allows easy placement of the implants. Textured and pre-filled implants require longer incisions. The weight of the implant may cause the scar to slightly increase in width during the healing process.
- Periareolar incision. The areolar incision is made at the border of the areola and the skin and will hopefully be hidden there. However, the skin may stretch during the healing process and the scar may widen slightly. There is a chance for decreased nipple sensation and an increased risk of infection with this incision.
- Transaxillary incision. The incision is placed in the armpit. The benefit of this incision is that there will be no chance for increased stretching of the scar since there is no weight or tension against the incision after implant placement. If the breasts are asymetric or uneven after implant placement, corrective procedures are difficult via a transaxillary approach, and may require incisions elsewhere.
- Umbilical incision. Not pictured here, a small incision can be placed at the belly button and unfilled implants can be tunneled into the breasts and filled afterwards. This is called trans-umbilical breast augmentation (TUBA). This is a technically more difficult procedure than the others mentioned. Also, fine adjustment of the implants is more difficult for the surgeon once they are placed. Implants placed by this method may have an increased chance of rupture.
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