Where Are Incisions for Breast Augmentation Made?
At Aesthetic Plastic Surgical Institute, our Orange County plastic surgeon mainly utilizes three incision options when performing breast augmentation:
- Periareolar Incision
- Inframammary Incision
- TransAxillary SubPectoral Augmentation (TASPA)
Many plastic surgeons have historically favored the periareolar incision because the resulting scar often blends well between the darker and lighter tissues around the areola. However, more recent research suggests that this technique may increase the risk of bacterial contamination, which can lead to capsular contracture. Additionally, the periareolar technique poses a higher risk of loss of nipple sensation, as the nerve extending to the nipple can be damaged.
Compared to the periareolar incision, an inframammary incision has a lower risk of bacterial contamination. The scar from this incision can often be concealed along the crease beneath the breast, especially if the implants have a slight droop. That said, without a droop, the scar may be slightly more noticeable than with a periareolar incision.
Dr. Mills’ preferred technique, the TransAxillary SubPectoral Augmentation (TASPA) approach, involves a small incision in the armpit. This can effectively conceal any scarring, as it heals to resemble a natural crease. The TASPA method also avoids contact with breast tissue, reducing the risk of capsular contracture and minimizing the chance of losing nipple sensation. Dr. Mills is highly skilled in TASPA and has contributed extensively to international research on this strategy.
Each of these breast augmentation incisions can be used to place the implant under the muscle, which Dr. Mills considers the ideal positioning for breast implants in most cases. Dr. Mills will select the incision type based on your specific needs and desired outcomes.
To learn more about incision options for breast augmentation or to schedule a consultation, contact Aesthetic Plastic Surgical Institute today!
Editor’s note: This blog was originally posted on June 17th, 2014.
