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Breast Augmentation Incisions & Your Best Option

Your options for breast augmentation at our practices in Lombard and other Chicago-area locations

My patients undergoing breast augmentation with implants in Lombard, and at our other Chicago-area locations, often say they feel overwhelmed by the huge number of choices available to them. Not to worry. I believe more choices generally lead to better outcomes, and I’m pleased to help patients navigate their surgical options to find customized solutions.

One decision patients typically have a lot of questions about is that of incision type and location. Some women automatically assume that a smaller incision is best, but that’s not always the case. In this post, I want to take the time to break down the 3 main incision options to help you understand when each one may be appropriate.

  • The most popular incision that most U.S. surgeons, including me, use is the inframammary incision. I make this incision along the fold beneath the breast, where it meets the chest wall. This option allows me to easily visualize the entire surgical site and gives me plenty of room to work. For this reason, it’s often a good choice for women who’ve chosen silicone implants, which require a longer incision because they come pre-filled.
  • Next up is the periareolar incision. This method takes advantage of the natural color delineation between the areola (the area of dark skin around the nipple) and the rest of the breast. I make this incision along the lower edge of the areola. Unless a patient has large areolas and doesn’t wish to alter their size during surgery, this incision is best-suited to saline implants. This is because saline implants are placed in the body empty and filled once they’re in place, so they don’t necessitate a large incision. The remaining scar blends quite nicely with the natural color variation of this area and is usually quite discreet.
  • Finally, the transaxillary incision is less common but still useful for certain patients. This incision is placed in the armpit, which means there’s no scar on the breast at all. Although this incision has obvious appeal, it’s only appropriate for women with specific anatomical considerations or who have chosen certain types of implants because it allows the surgeon less access to the breast pocket.

ASPS breast incisions

If you’re thinking of breast implants, we’ll discuss the specifics of your surgery during your consultation to help shed some light on the array of choices available to you.

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