Which breast incision is better

The belly button and armpit incisions are remote from the area where the implant is placed and the pocket is blindly created bluntly by pulling the tissues apart.

There is the potential for more bleeding and these approaches are more painful. Getting the implants even is also more difficult and the results are more unpredictable as confirmed in studies.

Extensive experience has shown that the most reliable results come from being able to view within the incision and see the various tissues and muscles while placing the implant.

Transumbilical Approach — This approach is placing an implant through the belly button. Read Patient Reviews ». About Meet Dr. Sabbagh Meet Dr. Schedule A Consultation. How did you hear about us? Review Form. The umbilical incision has been used to introduce saline implants through a long metal tube into the submuscular pocket.

Using the umbilical incision, being limited to traditional saline implants, and the blind dissection technique has led to this procedure being largely abandoned by board-certified plastic surgeons. These bacteria are harmless in and of themselves but have been thought to play a role in the development of capsular contracture.

The inframammary crease incision allows the most direct access to the submuscular or subglandular plane and avoids dissection through the milk ducts around the nipple. Additionally, the inframammary crease incision is often required to optimize the results of breast implant revision surgery. Our thought is to just use one incision for the primary surgery and have that be the best option for subsequent operations as well.

Breast implants are not lifetime devices and you will be back in the operating room for an implant related surgery at some point in your life. The periareolar incision is another common incision for cosmetic surgery. Women have a wide range of areolar size which can play a part in the decision of what incision is best for an individual patient.

Vath, Dr. Steinwald, and Dr. Wolfe believe that tunneling behind the breast rather than through it reduces the risk of capsular contracture and infection. The periareolar incision can create a nicely hidden scar at the border of the areola. This approach may not be feasible for patients with small areolae using larger silicone gel breast implants. During this technique, a tunnel must be made through the breast tissue in order to place the implant behind it.