What Incision Type to Choose for Breast Augmentation?

When it comes to breast augmentation, one of the most significant decisions you’ll make is which incision technique to choose. Your incision will impact your surgery, recovery, and results. There are several incision types to choose from, each with its own pros and cons. Knowing the benefits and drawbacks of each option can help you make an informed decision. In this blog, we’ll review the most common breast augmentation incision types, including the breast fold, inframammary fold, periareolar, and trans-axillary incisions.

4 Min Read:

Breast Fold Incision

The breast fold incision, also known as the inframammary fold (IMF) incision, is one of the most popular methods for breast augmentation. This approach involves making a small incision along the natural crease under the breast, giving direct access to the chest muscle and breast tissue.

Pros

• Provides optimal access for implant placement
• Suitable for all implant types and sizes
• The scar is well hidden in the natural breast crease
• Reduces the risk of complications such as infection or implant malposition as the surgeon has better visibility

Cons

• Not ideal for patients with minimal breast tissue as the scar may be more visible
• Requires precise surgical placement to make sure the scar lines up with the natural crease

Ideal Candidates

Patients getting larger implants or revision surgery are the best candidates for the breast fold incision as it’s versatile and accessible.

Inframammary Fold

The inframammary fold is a variation of the breast fold incision designed to be more hidden. Surgeons make the incision slightly above or within the crease under the breast.

Pros

• Offers a precise entry point for implant insertion
• Scarring is less visible when performed by an experienced surgeon
• Suitable for silicone and saline implants

Cons

• Patients with minimal or sagging breasts may have visible scars
• Post-surgical discomfort in the breast crease area may occur

Ideal Candidates

This incision is suitable for most patients, including those who prioritize implant stability and reduced risk of complications.

Periareolar Incision

The periareolar incision involves making a semicircular incision around the edge of the areola. This approach allows access to the breast tissue and camouflages the scar by using the natural color contrast of the areola.

Pros

• Implant placement and adjustments are precise
• Scar blends with the areola’s natural color

Cons

• Nipple sensation may be affected, especially for larger implants
• Capsular contracture risk is increased as the incision is made close to the breast ducts
• Unsuitable for patients with small areolas or those who plan to breastfeed after surgery

Ideal Candidate

This option is often best for patients getting small to moderately sized implants and those who want discreet scarring.

Trans-Axillary Incision

The trans-axillary incision is made in the natural folds of the underarm. This approach avoids scarring on the breast itself as the implants are inserted and placed through the axillary region.

Pros

• No scars on the breast
• Reduces risk of nipple and breast tissue-related complications
• Suitable for saline implants, which are inserted empty and filled once in place

Cons

• Limited visibility, which can lead to uneven implant placement if the procedure is not performed by an experienced plastic surgeon
• Not suitable for larger silicone implants
• Scarring on the underarm may be visible with sleeveless clothing

Ideal Candidate

Patients who are concerned about breast scarring and those getting saline implants are the best candidates for the trans-axillary method.

Which Incision Type Is Best for Me?

Choosing the best incision type for your breast augmentation surgery depends on the following:

• Implant Type: Saline implants are compatible with all incision methods, while silicone implants may require a specific incision type.
• Breast Anatomy: Small breasts, large areolas, or unique anatomy may require customized techniques.
• Aesthetic Goals: Scarring concerns, implant size, and placement preferences play a big role.
• Surgeon Expertise: Your surgeon’s experience with different techniques can affect your options and results.

The best way to determine which incision type is best for you is by scheduling a consultation with a board-certified plastic surgeon.

Breast augmentation is a customized procedure, and choosing the best incision technique for your body type and preferences is vital. By understanding your options along with the pros and cons of each option, you can work with your plastic surgeon to choose the one that’s right for you.

Whether you decide on a breast fold, periareolar, or trans-axillary incision, the appropriate choice will help you achieve beautiful, natural-looking results that will enhance your upper-body contours and boost your confidence.

Breast Augmentation in Long Island, NY, and Boca Raton, FL

Dr. David Pincus is a highly sought-after, board-certified plastic surgeon known for his high-quality breast augmentation and reduction results. He provides breast augmentation surgery in Smithtown, New York, and Boca Raton, Florida. He also offers Crisalix Virtual Aesthetics 3D imaging to preview your potential results. Call (631) 352-3556 or fill out our contact form to schedule your breast augmentation consultation with Dr. Pincus today.