How Do I Decide What Kind of Breast Augmentation Incision or Approach is Right For Me?
By: Dr. Sean Younai
This is a decision that you should make after a thorough discussion with your cosmetic surgeon about your particular concerns. For example, advantages of the Peri-Areolar incision include greater control over implant placement, resulting in better symmetry, stronger cleavage, and less noticeable scars. Furthermore, a concomitant Breast Lift can be performed through this incision. However, for women with smaller areolar diameter, there is a greater risk of losing sensation in the nipple.
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The Trans-Axillary incision is the method least favored by those who do not want to have a scar in the vicinity of their breast. Although this scar is not less noticeable than infra-mammary and peri-areolar incision. One of its disadvantages is that it does not achieve the most symmetrical result or result in the strongest cleavage. Finally, a Breast Lift or Capsulectomy can not be performed through this incision.
Many surgeons favor the Inframammary Fold because they feel that it gives them the greatest control over placement of the implant and has less risk of affecting nipple sensation as that of the peri-areolar incision. The scar is usually very thin, and hidden under the breast fold, but can be more noticeable when a person is laying on their back.
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The Trans-umbilical incision is controversial among plastic surgeons. Those that are apt at performing it brag about its “scar-less” incision, while others feel that it carries an unacceptable potential risk of injuring vital organs during the insertion of the metal rod from the umbilicus towards the breasts. Finally, its use is only limited to the simplest form of Breast Augmentation, not allowing surgeons to manipulate the implant, or to perform a Breast Lift or Capsulectomy.
Every woman has different needs, and wishes concerning scarring, recovery time and the amount of pain that she feels she can tolerate. Therefore, thoroughly discuss your options with your cosmetic surgeon, and be certain that he or she is highly experienced in the methods that you choose.
About the Author
Dr. Sean Younai is a Board Certified Cosmetic Plastic Surgeon with experience in all aspects of breast enhancement surgery, including breast augmentation with saline or silicone breast implants, breast lift or mastopexy, correction of breast asymmetry, breast implant revision surgery, breast implant exchange, and capsulectomy. Dr. Younai practices at the California Center for Plastic Surgery (http://www.beautifulfigure.com ) and recieves patients from Beverly Hills, Los Angeles, Santa Monica, Hollywood, Burbank, Sherman Oaks, Encino, Calabasas, Woodland Hills, Thousand Oaks, Westlake Village, Pasadena, Glendale, Valencia, Palmdale, Fresno, Bakersfield, and Oxnard.
