Bayside Plastic Surgeon
Dr. David A. Ross FRACS (PLAST)
Plastic & Cosmetic Surgeon
03 9596 8888

What incision is best for breast augmentation?

12 08, 2019

What incision is best for breast augmentation?

Breast augmentation Melbourne

When a woman decides to have a breast augmentation, she then has a variety of choices to make in order to personalize her procedure. One of these is the choice of where to have the incision, which will determine where her scars will be. Dr. Ross believes that a particular incision choice generally has advantages over the others, although every woman determines for herself which incision she prefers.

What are the options? Which incision does Dr. Ross believe is usually best, and why?

Transaxillary

The axilla is the medical term for the armpit. In a transaxillary breast augmentation, the incisions are made in the armpit. Dr. Ross then uses an endoscopic technique, which involves the use of tiny cameras, in order to place the breast implants accurately within the breast.

When using saline implants (rather than silicone), the implants can be inserted while they are empty, and then filled with saline while in place in the body. This means that the incision can be very tiny (around 2cm), and the surgeon can see the actual results while filling the implants, in order to get the best possible results.

In general, Dr. Ross advises women to choose the transaxillary approach, and nearly all of the breast augmentation procedures that he performs use this approach. This is for two main reasons. One is that it leaves no scars on the breast itself. The tiny scars in the armpit will be hidden within the armpit folds, and become virtually undetectable after the healing phase is complete. This makes the transaxillary incision the most discreet option.

Another reason is that it allows direct access under the pectoralis muscle, which is where Dr. Ross generally advises placing breast implants. From the axilla, he is able to create the implant pocket very accurately, creating a beautiful result.

Inframammary

Another option is to place the incision in the inframammary fold, which is the fold where the breast meets the chest wall. In general, most women do not consider this to be a desirable location for the incision. Because the woman’s breast size will change as a result of the procedure, the inframammary fold may not end up being located in exactly the same place after the augmentation. Some women have unfortunately experienced their incisions being located on the bottom part of the breast itself, where they tend to be very obvious, rather than hidden in the inframammary fold. Even when the incisions do end up in the fold, the scars will still be more apparent than those in the armpit.

There are a few instances in which an inframammary incision might be a good choice. However, for most women, Dr. Ross advises the transaxillary approach instead.

Periareolar

For this approach, the incision is made around the border of the areola, the darker circle around the nipple. Although the resulting scar will fade over time, it will still be located in a highly visible location on the breast. In addition, for younger women who may wish to breastfeed a baby in the future, this approach runs the greatest risk of interrupting the milk ducts and interfering with future breastfeeding.

For women who are dissatisfied with the size of their areolas, and who want to have a reduction in the areola as part of their breast procedure, this approach may make sense. In most other cases, Dr. Ross recommends a different approach.

Which incision is right for you? Breast augmentation Melbourne

Dr. David RossIf you’re considering breast augmentation Melbourne, then your next step is to find the right plastic surgeon with whom to discuss your procedure. With his many years of experience and track record of extremely happy patients, Dr. David Ross is highly sought after for breast augmentation in Melbourne and the surrounding area. With a very high satisfaction rate among patients, breast augmentation is one of our more popular procedures. Whether you’re still considering it and would like to learn more, or if you’ve decided that you’re ready to take the next step, please contact us to schedule your appointment with Dr. Ross.

Posted on August 12, 2019 By , in
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Dr. David A. Ross FRACS (PLAST)
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