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My Take on the Best Breast Augmentation Incisions

Romanelli Cosmetic Surgery in Long Island Breast Augmentation Incisions

A recent study published in the Aesthetic Surgery Journal had me thinking about breast augmentation incisions, a hot topic among most of the breast augmentation patients I see at my Long Island practice.

The study evaluated the impact that endoscopy has on trans-axillary incisions, which are in the underarm area. Endoscopy is a technique that uses a very small camera attached to a long, thin tube to assist in medical procedures. The appeal of endoscopy-assisted breast augmentation is that it requires very small incisions. However, the study yielded a surprising result that indicated that this type of breast augmentation doesn’t really improve the safety or outcome of the surgery and often requires more surgical time than a traditional breast augmentation.

The trans-axillary approach is the least popular one in my practice, but I believe it is a reasonable choice in certain cases. Here are a few of the benefits of the incisions I offer:

  • Periareolar: This incision traces just inside the lower edge of the areola, or the circle of darker skin around the nipple. The periareolar incision is often appropriate for women who are having saline implants because they’re inserted empty and filled once they’re in place. This incision typically leaves a very discreet scar that blends into the natural color border of the areola.
  • Inframammary: This incision is the most popular at my practice and among most plastic surgeons in the U.S. It runs along the fold beneath the breast. Although it is longer than other incisions, the inframammary incision gives the surgeon plenty of control during the procedure. It’s suitable for both saline and silicone implants and placement either above or below the muscle. Best of all, its placement makes the resulting scar nearly invisible, even in swimwear.
  • Transaxillary: This is a small incision in the armpit. The use of endoscopy in conjunction with this incision was the subject of the study I mentioned above. The trans-axillary incision is appealing to a few patients because it doesn’t leave any scar on the breast at all. However, there is still a scar in the armpit (the only one visible at the beach when playing volleyball!), and it doesn’t provide the surgeon as much access to the surgery site.

As you can see, each incision option has its advantages, so no single choice is truly “best.” If you’re considering breast augmentation, we’ll review your incision options at length during your consultation. At this important appointment, I help you decide which incision may work for you, depending on your aesthetic goals, anatomy, and chosen implants. When you’re ready to learn more, contact us to schedule your consultation.


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