woman posing in lingere

Breast Implant Incision Decisions You Must Make

Women who decide on breast augmentation surgery have several decisions to make. Saline or silicone implants is one, and over or under the muscle is another. The size and shape of your implants are critical, as well. But one decision that will impact breast appearance and accurate placement is the incision location. It must allow direct visualization of the entire pocket necessary for the implant. The shape and size of this pocket will determine the outcome. 

Various factors can increase capsule thickness around the implant. Sufficient blood flow will ensure proper viscosity for the capsule, so the breasts won’t feel too firm. Your surgeon will need to see the entirety of the breast pocket to ensure there is no bleeding in this area. 

Also, each patient heals differently affecting the scarring that will naturally occur. The type of implant will determine the length of the incision and the amount of scarring you can expect. 

Dr. Pugash uses three incision patterns when inserting breast implants. The endoscopic axillary, peri-areolar, and inframammary are the options he recommends. This post will explore all three.

Under the Arms

Although the axillary incision can leave the surgeon blind concerning the pocket, Dr. Pugash employs a tiny endoscopic camera to ensure proper vision. This incision places any scarring of the breast and within skin folds in the underarm areas. Although this approach has its advantages in hiding the incision, it is not available for all breast enhancement patients. It also makes breast revision more complicated if you are not satisfied with the results.

Around the Nipple

The peri-areolar technique involves performing the incision in the pigmented skin around the nipple. Again, the size and type of implant will determine if this approach is right for you. This incision is below the nipple, where Dr. Pugash can insert an empty saline implant. Then, he can fill the empty shell with saline to the desired size. He can also insert cohesive silicone implants through this opening, depending on their size and shape.

In the Natural Breast Crease

The inframammary incision is the most versatile and allows the best access to the breast pocket. Although the incision is more extended than either the areola technique or the axillary incision, it is easy to hide within the natural breast crease as the breast falls over it. This technique is perfect for women whose bodies heal well, with scars that fade considerably.

The Best Incision Decision for You

Breast augmentation is not a one-size-fits-all procedure. It takes a customized approach. The best way to learn how to attain the best results when enhancing your breast appearance is to schedule a consultation with a qualified plastic surgeon. To learn how Dr. Pugash performs safe and effective breast augmentation surgery to give you stunning results, contact us today.

If you would like to explore your options for breast implant surgery, call us today at 604-522-5199 or schedule a consultation.