Choosing the type of breast implant you want is only half the battle; you must consider where you want your incision placed.
Breast implant incision sites
There are four incisions your surgeon can use when placing your breast implants. They are:
- Areola - with this method, the surgeon makes the incision around the bottom half of the areola.
- Transaxillary or "transax" - this incision is placed in the armpit.
- Inframmary - also known as a "crease incision". A small incision is made in the crease of the breast.
- TUBA - also known as transumbilical breast augmentation. A small incision is made in the belly button through which the implants are inserted.
About incision placement
Incision placement usually boils down to personal preference. If you prefer a certain incision, it's very important to find a surgeon who is experienced with that incision, especially if it's the transaxillary or TUBA incisions. The last thing you want your plastic surgeon to do is perform a procedure that he or she is not comfortable with. It is usually best to go with your surgeon's incision of choice. However, if you have your heart set of one particular incision, it is worth it to continue your search for a surgeon who can give you what you want.
Incision sites: Pros and cons
The vast majority of surgeons have a particular incision that they favor, so you must find a surgeon who is skilled in using whichever incision site you prefer. Most surgeons are skilled at placing implants via the inframammary crease and areola incisions, as these are the most common incisions currently used.
However, if you're interested in having the transaxillary incision (armpit incision), or TUBA (navel incision), you need to locate a surgeon who is skilled and experienced in using that particular incision. Otherwise, you could end up with breasts that are uneven. The nipple and crease incisions are the most popular. The transaxillary method is gaining in popularity, as is TUBA. Unfortunately, there isn't an overabundance of surgeons performing these two particular procedures, especially the TUBA procedure.
Incisions for pre-filled implants, such as silicone gel breast implants, or pre-filled saline breast implants, are a little longer than those of their counterparts, the inflatable saline implants.
However, a skilled surgeon can place a pre-filled implant via a fairly small incision, depending upon the size of the implant. Inserting textured pre-filled implants will require a longer incision. This is due to the rough nature of the shell. Also, textured implants are not as soft and pliable as smooth implants, therefore, it is not "manipulated" through the incision as easily.
Inflatable saline implants will have a smaller incision. The implant is rolled up into a "cigar-like" shape, then inserted and, finally, filled with saline solution. These implants can be placed via any incision.
Updated September 2016