Breast augmentation is among the most individualized cosmetic procedures available, with patients able to choose from a range of implant types, sizes, and incision options to create their own custom breast contours. Every patient is unique and has their own preferences and aesthetic goals; therefore, no two breast augmentation surgeries are the same. Each decision will play a role in the overall outcome of your breast enhancement.
There are a number of incision placement options and it’s important to fully understand the pros and cons of each incision:
- Axillary: This incision is made through a natural fold in the armpit, leaving no visible scarring on the breasts. A fiberoptic endoscopic system is typically used to assist in the procedure. The disadvantages of this approach include more difficulty performing certain variations in implant placement, such as the “dual plane” approach — a technique utilized to enhance breasts that exhibit sagging — more difficulty in controlling potential bleeding, and the possible necessity of other incisions if breast revision is required.
- Inframammary: Inframammary breast augmentation places your incision along the natural breast fold, where the lower breast meets the chest wall. The incision is about one to two inches long and can accommodate all types of breast implants, making it a common choice among a diverse range of patients. The scar also tends to be very well-concealed once fully healed, further adding to the popularity of the inframammary incision. We favor this approach in a majority of patients due to the excellent visualization it affords, the ability to easily perform various pocket modifications, and the decreased rate of possible capsular contracture or breast hardening.
- Periareolar: Placed along the lower borders of the areola, the periareolar incision produces a scar that is typically camouflaged within the natural change in pigmentation between the areolas and the breast skin. It can be difficult to place larger implants through this approach if the areolar diameter is small. Additionally, this approach necessitates dissection through the breast tissue, potentially exposing the implant to bacteria endemic to the ducts. This concern has been implicated in cases of capsular contracture or breast hardening.
- Umbilical: The umbilical incision is made through the belly button. A pathway to each breast is created for the implant through the navel, which is then positioned in the implant pocket and inflated. As the least utilized incision option, Dr. Bottger doesn’t perform umbilical breast augmentation. This approach is often associated with a higher risk of asymmetrical implant pockets, as well as post-operative complications and the need for revision surgeries.
Dr. David Bottger will outline the different types of breast augmentation available and what factors should be considered with each technique during your consultation. There will be many factors that contribute to determining the best incision option for each patient. At his Philadelphia office, Dr. Bottger will assess your goals for breast augmentation and help you determine the most optimal incision for your needs.
To learn more about the types of breast augmentation available in Philadelphia, contact Dr. Bottger and our team online or by calling (610) 227-6114 to schedule your consultation.