Dr Wigoda on The Incision Decision: Choosing an Incision Location for Your Breast Implants

incision decisions

The location of your incision is one of the many options you will discuss with Dr. Wigoda during your preoperative consultation. Each incision location option has its pro’s and con’s, such as scarring, and there is not one location that is considered best for everyone. Here are the options:

1) Inframammary Incision

Inframammary incisions are placed underneath the breast just slightly above where the breast meets the rib cage. Many surgeons like this incision location as it allows them easy access to create an implant pocket above or under the muscle.

This direct access allows Dr. Wigoda to use very small incisions with saline implants, generally as small as 1 to 1.5 inches wide for saline implants and slightly larger incisions for silicone. The scar is typically not visible when standing up as the breast will cover it. This is the most common incision site used.

2) Transumbilical Incision or TUBA

A Transumbilical incision is a C or J shaped incision placed in the folds of your belly button. A small camera is used to negotiated the surgery and very small instruments are then inserted to create a path to the breasts. Tissue expanders are inserted to create the implant pocket. Using a TUBA incision, implants can be placed over or under the muscle.

While TUBA incisions have the advantage of there being no scarring on the breast area, there are many potential disadvantages. Only saline implants can be used if TUBA is selected as silicone implants will not fit through the very small incision. This is the least popular incision used.

3) Transaxillary Incision (Armpit)

These incisions are created in the armpits and are generally 1 to 2 inches long. A short path is then created to the breasts where the implants will be placed. While there is no scar on the breast, a scar will be visible in the armpit with the arm is raised. There is also a risk of injury to a sensory nerve that can cause numbness on the inner arm.

4) Periareolar Incisions

The Periareolar incision is created around the areola. This incision is commonly used if other cosmetic breast procedures such as breast lift or areola reduction are being performed in conjunction with breast augmentation. Contrary to popular belief the periareolar incision does not necessarily increase the risk of losing sensation in the nipple.

There is, however, potentially a greater risk of infection as bacteria is found in milk ducts and often these ducts are cut during the procedure. If you plan to breastfeed after your surgery should make sure to discuss this with Dr. Wigoda because periareolar incisions may not be right for you.

After careful consideration, Dr. Wigoda will help you decide the right incision type for you. His extensive experience will guarantee you make the right incision decision. Dr. Paul Wigoda’s Fort Lauderdale-based plastic surgery center offers all four incision sites and we are happy to help you decide what’s best for you during a free consultation.  Call us at 954.463.7088 or visit us at www.drwigoda.com to schedule your visit!