Showing posts with label breast augmentation incision options. Show all posts
Showing posts with label breast augmentation incision options. Show all posts

Friday, June 12, 2009

Breast Augmentation Incision-- Breast Crease Most Popular Among Plastic Surgeons

According to a study published in the March/April Aesthetic Surgery Journal, plastic surgeons prefer the breast crease (Inframammary) incision over other incision options. The study showed 64% of plastic surgeons surveyed prefer this incision.

The inframammary incision is concealed beneath the breast along the crease and offers the surgeon the most access to the area during surgery. It also allows the implants to be placed over, partially under, or completely beneath the chest muscle for a greater variety of results. Another advantage is that revision surgery, for complications such as capsular contracture, can be performed using the same incision for less scarring. This option can problematic, however, in women with a small amount of breast tissue or in those without a natural crease. A skilled plastic surgeon, however, can offer beautiful results with this option.

Other incision choices include the areola (periareolar)incision, the armpit (transaxillary)incision, and the TUBA (transumbilical)incision concealed within the navel. Each of these options offer their own advantages and disadvantages and should be discussed thoroughly with your plastic surgeon before surgery.

The second most popular among surgeons, according to the survey, is the areola incision which follows the curve of the dark area of skin around the nipple. This option offers the advantage of a smaller scar than the breast crease option while allowing the surgeon good access to the area during the procedure.

Surgeons tend to have their preferred incision option or options, and it is important to know which they are most experienced at when planning your surgery.

Incision placement is only one part of a successful breast augmentation. If you are considering breast augmentation, Temecula plastic surgeons at Renuance Cosmetic Surgery Center offer great information on their website. Or, consult Plasticsurgery.org to locate a board certified plastic surgeon near you.

Monday, March 9, 2009

Breast Augmentation Incision Placement Options

When considering breast augmentation, incision placement is an important aspect to discuss with your surgeon. Though plastic surgeons use their skill to make incision scars as inconspicuous as possible, their placement can play a important role in a patient's satisfaction with her results.

The three most common incision options are:
*Inframammary (crease beneath the breast)
*Periareolar (following the line of the areola)
*Axillary (within the folds of the armpit)

Each of these incision options offer their own advantages and disadvantages to consider. The Inframammary option, for instance, allows the best surgical access to the breast, therefore the most control over how the implant will look in a patient after surgery, as well as access to correct issues of breast shape and sagging. This option is best in women with enough breast volume to cover the incision, concealing it from view.

The Periareolar option creates a smaller scar than the inframammary, so it is appealing to many breast augmentation patients. With this option, a tunnel is created through the breast tissue for implant placement. The size of implant that can be used with this incision option depends upon the patient's areolar size. With this option, the risk of loss of nipple sensation is slightly higher than with other options. There is also evidence that the risk of capsular contracture (the hardening of tissue around the implant) is also greater with the periareolar incision.

The Axillary incision option offers the advantage of no scarring on the breast at all. The incision is concealed within the folds of the armpit and a tunnel is created to the breast area. This option offers a lower risk of sensation loss and capsular contracture than a periareolar incision. This is a good option for women seeking enlargement, but no extensive lifting or reshaping of the breast. It can accommodate implants of up to two cup sizes.

For women considering breast augmentation, San Jose plastic surgeon Dr. Robert Lowen suggests choosing an incision option based on desired breast shape rather than scar placement.

"Wherever the incision is placed, favorable healing usually results in scar that is thin and barely detectable after the usual six to 12 months required for scars to mature. This means that if the ultimate goal is optimal breast shape, and if that shape may be best achieved by one or two but not all three of your incision location choices, the trade-off is usually well worth it."

Dr. Lowen does warn, however, that predicting which patients will heal with less optimal scars can not be predicted. "Healing is affected by genetic factors over which we have insufficient knowledge and control to predict final appearance in any given individual. However, we do know how to create and suture incisions to accommodate the breast implants, and how to place them to make the scar as favorable as possible."