Breast Implant Choices

Silicone, Saline and now Foam (Brazilian implants) — is only one piece of the pie. Other breast implant choices include the implant surface (textured or smooth?), implant shape (round or contoured?) and implant profile or projection and placement not to mention incision choices.

Don’t feel overwhelmed. We have gathered informative information on the different implant types to save you time on the research!

You should know the advantages and disadvantages to all of the breast implant choices and options currently available. This knowledge will allow you to ask more informed questions at your consult, as well as help you to decide which particular breast implant is right for you.

Why Breast Implant choices important

Breast implant size and choosing the right size for your new breast implants is important. The #1 reason that women go back for revision breast augmentation is because they wish they went bigger, but bigger isn’t always better , especially if you have a tiny frame. Deciding to have breast augmentation is the easiest part of the process. Choosing the right size breast implant can take a little longer. The keyword here is YOU. Pick a size that makes YOU happy, not your spouse, significant other, family member or best friend. After all, you’re the one who will be living with this decision.

Breast implants come in shells that are either smooth or textured. There are pros and cons to both smooth and textured breast implants. Breast implants are available in low, moderate and high “profiles.” The profile of an implant determines how far it protrudes from your chest wall.

The two basic breast implant shapes are round and teardrop. Breasts differ significantly from woman to woman, so the ideal breast implant shape for each patient must be determined with care.

Should your surgeon place your breast implants over, partially under or under the chest muscles? Get informed on the advantages and disadvantages of your implant placement options below

Incision Choices, there are three main options for breast implant incisions. Implants can be inserted through incisions around the nipple (periareolar incision), under the breast in the inframammary crease (inframammary incision), transaxillary or intransaxillary incision). The choice of incision pattern for your breast augmentation depends on your surgeon’s preference or training, your anatomy, your goals and the type and size of your breast implants.

Implant Size

Choosing the right size for your new breast implants is important. The #1 reason that women go back for revision breast augmentation is that they wish they went bigger, but bigger isn’t always better, especially if you have a tiny frame. Deciding to have breast augmentation is the easiest part of the process. Choosing the right size breast implant can take a little longer. The keyword here is YOU. Pick a size that makes YOU happy, not your spouse, significant other, family member or best friend. After all, you’re the one who will be living with this decision.

If you would like to get a visual look at what the implant size will look like we recommending doing the “Rice Test” to do rice test to determine possible breast implant size

Rice Test

The rice test is a fast and easy way to get an idea of how you would look with different sizes of breast implants.Just follow the instructions on attachment to make your “rice implants” or “rice sizers,” based on the amount of rise used to simulate different cc volumes. After making your homemade sizers, place them inside of a sports bra to begin to get an idea of how you can enhance your figure with breast augmentation.

Implant Fill

Breast implant choices saline_vs_silicone Implants

The Hospital that we use in Thailand use either Mentor Silimed implants that are used worldwide by surgeons.

Saline

Although saline implants are still available they have rarely used anymore, some patients who had saline filled implants are now switching to silicone implants because of the more natural feel of these implants.

Saline Breast Implants are also excellent and can give an equally beautiful result. The risk of deflation and visible folds or ripples are drawbacks. Women choose them because

  • They fear Silicone
  • Want a “natural substance” in their body

Silicone Gel Implants

Currently the most popular choice for augmentation procedures. Silicone implants offer more natural looking and feeling results than other types of breast implants because silicone gel is more similar in consistency to breast tissue. Silicone gel breast implants come pre-filled, meaning that there is no fill to be added. The only real drawback to a pre-filled implant is that the incision will have to be a bit longer, depending on the size of the implant to be inserted. This is particularly the case for textured silicone and gummy bear silicone implants, which are somewhat firmer. Another reason that textured silicone implants require a longer incision is the fact that the shell is textured.

Modern silicone implants are a marvel of technology and esthetics. There are choices of size, profile, shape, and texture which give patients a custom design suited to their specific needs.

The outermost part of the implant is called the shell. This shell is bonded to the filler material so that the filler will not bulge or leak. In earlier versions of silicone breast implants, the filler material was separate from the shell and might leak through if the shell was compromised. The unified shell and fill design creates a safer prosthesis, which will not fold or wrinkle, producing a more natural appearing breast

There is still a misconception among some patients concerning silicone gel. All of Mentor’s gels are cohesive polymers, not liquids. Although soft and fluid feeling, the gel acts as a unit. The gels hold together uniformly while retaining the natural “give” that resembles breast tissue

Brazilian Implants “Polyurethane Implants.”

Medical grade Polyurethane foam is used to cover the silicone implant. The Polyurethane foam is approx 1mm thick and is vulcanised (bonded) onto the outer silicone implant. This implant has a low-bleed silicone shell and contains, a form-stable, highly cross-linked cohesive silicone gel. Polyurethane implants are not FDA approved in Thailand and are no longer offered

Until recently, most patients never discussed breast implant shapes or profiles with their plastic surgeons. If you chose a certain size breast implant, you would receive a predetermined amount of forward projection from that size implant. Now, you can choose a breast implant size and, if you like, have that size implant stick out more or less than the base diameter would usually dictate. Choosing breast implant shape may seem complicated since manufacturers have so many styles in their lineups. However, it’s really only a matter of making two choices. The first choice is the breast implant shape; the second choice is the implant profile. Shape refers to the actual shape of the implant, round or anatomical. Profile refers to the distance the implant projects off the chest wall. The third Choice is the the surface of the implant

Shapes

Because women’s breasts take many sizes and shapes, and because goals for breast enhancement vary from patient to patient, there are different breast implant shapes available. For some women, the round breast implant provides the best results; for others, a better choice is an implant shaped like a teardrop. The appearance of breasts is highly affected by breast implant shapes.

Smooth Impant and Textured Implant

Considerations include:

  • The patient’s body type
  • The amount of breast tissue the patient has.
  • Breast implant placement
  • Surgical incision choice

Round Breast Implants

Of the two breast implant shapes, the round breast implant is the most common type used for breast augmentation. A round breast implant is shaped like a flattened sphere. Certain types of round implants can enhance the forward projection of the breasts, which would otherwise require larger breast implants with wider bases. For women who desire fullness in the upper poles of their breasts, the round breast implant is a good choice.

Many women choose round implants because they tend to provide the greatest amount of lift, fullness, and cleavage. Some women, however, feel that the results produced with round implants appear artificial, so they seek out more natural-looking alternatives. A round breast implant can have a smooth or textured surface. Due to a round implant’s symmetrical shape, it does not pose the risk of implant rotation. The cost of a round breast implant is generally less than a teardrop(contoured) breast implant.

Tear Drop Breast Implants

As the name indicates, a teardrop breast implant, also known as a contoured breast implant, is shaped like a teardrop. Breasts attain a more gently sloping contour with teardrop breast implants. Although the upper poles of breasts that have teardrop implants are not as full as those of breasts that have round implants, teardrop-shaped implants often provide greater projection by volume. Of the two breast implant shapes, a teardrop breast implant is more expensive than a round breast implant, a consideration for those concerned with breast augmentation cost. A teardrop implant requires a textured surface to prevent rotation because, with teardrop implants, breasts can become distorted if the implant rotates. This is not a concern with round breast implants.

Surfaces

After you have made the choice to have breast implant surgery, you must decide between two breast implant texture options: smooth and textured. On this page, we describe the differences between the two types to provide you with a better understanding so you can make an informed decision.

There is great debate amongst surgeons which is better. Some studies have shown fewer complications – specifically capsular contraction – with textured implants, but others have shown the opposite. The shells of both saline and silicone gel breast implants are made of silicone elastomer (rubber), and the surface area is either smooth or textured. The main purpose of textured implants is to promote tissue adherence to the irregular surface and hold them into place. Therefore, a textured surface is used with contoured implants because they have a top and bottom, and rotation or movement distorts the breast shape. On the other hand, most round implants have a smooth surface because the breast shape is not affected if the implant rotates in the breast pocket.

smooth_textured_implantsSmooth Breast Implants

Smooth implants are used in roughly 90 percent of breast augmentation surgeries today. A smooth breast implant is able to move freely in the breast pocket in which it is placed. Many women  eel that smooth implants have a more natural feel and appearance than textured implants. Smooth implants usually have thinner shells than textured implants, which makes them the softer choice of the two. Additional benefits of a smooth breast implant include implant longevity, lower patient cost, and reduced risk of rippling.

Textured Implant

It was originally thought that the textured surface of an implant could reduce the possibility of capsular contracture, a potential complication of breast implants. However, because evidence is not clear and there is no consensus as to whether a textured breast implant actually reduces the possibility of capsular contracture, many doctors prefer to use smooth, round implants. Smooth implants are often placed under muscle tissue in order to help avoid possible capsular contracture.

Textured breast implants have an irregular surface that is intended to hold the implant in place. The scar tissue that naturally forms around the implant conforms to the textured surface and “grabs” the implant to prevent it from being displaced or turning in the pocket, which could result in distortion of the breast shape. A textured surface is used with contoured implants to prevent movement because the teardrop shape is distorted if any rotation occurs. Textured implants were designed to lessen the risk of capsular contracture, which is an excessive contraction of the scar capsule that surrounds the implant, by preventing scar tissue from forming around the implant in a uniform manner. However, studies have proven inconclusive and no firm evidence exists to support the theory that textured implants reduce the risk of capsular contracture.

If a patient requires implant removal due to capsular contracture or another complication, it may be more difficult for the surgeon to remove the implant because of the adherence of tissue to the textured surface. The shells of textured breast implants are slightly thicker than smooth implants.Textured implants are more firm and carry an increased risk of rippling that is visible or can be felt through the skin, especially for women with smaller breasts. There is also a small increase in the chance that the implant shell will rupture.

Profiles

When breast augmentation patients meet with their Thailand surgeons to discuss the many implant options that are available to them, they not only need to decide on a specific sized implant, but determine the amount of forward projection that is appropriate for the patient as well. In the past, implants came with a standard projection, or profile, based on the size of the implant that women choose. Today, surgeons and patients can work together to select an implant that is not only the right size, but also provides the desired projection and cleavage.The most important criterion for profile selection is the base diameter of the breast.

This is easily measured by the surgeon with a calipers or measuring tape. The implant diameter must be less than the breast base, or it will be “squeezed” circumstantially. This will force it to scallop, or ripple around the outer edge, creating a range of other problems. Among these is visible rippling; It has been observed of much less rippling since the high profile implants became available, because the base diameter can be matched more precisely.

Low Profile Breast Implant

low_profile ImpantThe low profile implant shell is wider (larger diameter) and flatter (less height or depth) than moderate profile breast implants. This implant style is commonly used for women who have a wide broad chest frame. The extra width of the implant shell will fill the chest anatomy correctly, achieving a natural look and realistic cleavage. The implant will not project as far off the body as other implant styles, making it the right choice for women who want fullness, but not an overly round and obviously enhanced look. The main criteria used to select low profile implants are the base diameter of the breast and dimensions of the chest. The implant should be smaller than the base diameter of the natural breast mound, which is often substantial in wider framed women.

Moderate Profile Breast Implant

moderate_profile ImplantThe low profile implant shell is wider (larger diameter) and flatter (less height or depth) than moderate profile breast implants. This implant style is commonly used for women who have a wide broad chest frame. The extra width of the implant shell will fill the chest anatomy correctly, achieving a natural look and realistic cleavage. The implant will not project as far off the body as other implant styles, making it the right choice for women who want fullness, but not an overly round and obviously enhanced look.

The main criteria used to select low profile implants are the base diameter of the breast and dimensions of the chest. The implant should be smaller than the base diameter of the natural breast mound, which is often substantial in wider framed women.

Moderate Plus Profile Breast Implant

moderate plus implantModerate plus implants are a half step compromise between traditional moderate profile implants and popular new high profile implants. The moderate plus profile is perfect for women who want a bit more projection than is typically provided by a moderate profile, but not as much projection as is found with the high profile shell.

Moderate plus describes the distance the implant will project off the chest wall, once they are surgically placed inside the breast.

High Profile Breast Implant

high profile implantHigh profile breast implants are a great innovation in breast implant design. First available in the early 1990’s, high profile implants have filled the specific needs of many patients perfectly, helping them to achieve a pleasing breast aesthetics and an extremely natural shape and contour. High profile implants have also become a favorite of many cosmetic surgeons and are recommended to many patients due to their excellent surgical results.

High profile implants project the further off the chest wall, when compared to other common implant profiles. The high profile implant will achieve this projection by having a smaller base diameter than an identically sized (in cc’s) moderate or low profile implant shell. By decreasing the diameter of the shell, but keeping the same fill volume, the manufacturer is able to increase the depth or forward projection.

High profile implants are perfect for women with a narrower chest frame who still want a considerable size increase during their breast augmentation surgery. Instead of using a wider base diameter moderate implant, the doctor will choose a narrower high profile shell which will suit the patient’s anatomy and project out to accommodate the volume of the filler material. High profile implants are also commonly indicated for patients who are undergoing a combination breast enlargement and donut mastopexy procedure. This modified mastopexy, like many breast lift operations sometimes squares off the breast shape slightly, making it appear wider and less round. The shape of the high profile implant shell restores the rounded shape of the breast, while still allowing the considerable benefits of the mastopexy lift.

While some studies say that these high profile shells reduce visible wrinkling and rippling, the reasoning given is generally incorrect. It is not anything to do with the design of the implant which decreases this noticeable unwanted breast enlargement complication. it is simply a better anatomical fit. Wrinkling and rippling often occurs when a women with a narrow chest frame desires large implants. The base diameter of her natural breasts is smaller than the base diameter of her implants. Obviously, the implant will be compressed and distorted by the small confines of the pocket inside her breast. This distortion causes the wrinkling and rippling which can be so unappealing to many affected patients. By utilizing a proper fitting high profile implant with a base diameter smaller than the natural breast width, the surgeon can guarantee a good fit with no implant shell distortion. The patient’s size request is accommodated by the increase in forward projection creating a flawless augmented, but very natural looking breast.

Ultra High Profile

Ultra High Profile implants available are through Mentor, this implant provides the narrowest base and highest projection. They are only available in Round shape and up to 495cc. Ultra High profile implants are perfect for women with a narrower chest frame who still want a considerable size increase during their breast augmentation surgery. Instead of using a wider base diameter implant, the doctor may choose the ultra high profile if the high profile is not enough projection. This may suit the patient’s anatomy and project out to be able accommodate the volume of the filler material.

There are two ways to increase projection in an implant. The first way is to add more volume to the implant. The other way to add projection is to make the base (diameter) of the implant smaller. Thus for any given volume, a smaller base has more projection. This is what ‘high profile’ implants do—they have a smaller diameter with a higher projection.

Like every other decision about breast implant surgery, the question of whether to place the implant under the muscle or over is the subject of much debate, with confusion and misinformation in every direction. Suffice it to say that there is no single best method that applies to every patient.

The pectorals major muscles makes up most of the layer of muscle beneath the breast tissue. Since it is only attached to the chest wall around the edge, there is a potential space beneath it where an implant can be placed. The pectorals minor muscles attach to the shoulder blade (scapula) and stretch down to the ribs.

How The Surgeon Determines Placement

Final determination of what implant position is best for each patient must follow a complete evaluation of several factors:

  • The patient’s individual anatomy, inc: thickness of tissues and the degree  of sway in breast
  • The patient’s desire regarding volume increase
  • The patient’s lifestyle, inc: the exercise routine
  • The patient’s personal history of breast disease

Only by taking all factors into consideration can an appropriate decision on placement be made. You should only be guided by the surgeon; the patient cannot determine what is best. However, your decision may be influenced by these issues which you can discuss during your consultation with your surgeon in Thailand.

Breast Implant Placement Terms

Placement of breast implants is performed in three methods:

breast-implant-placementSub-glandular Placement: Breast implants placed under your natural breast tissue, which is called either sub-glandular (located under the breast gland) or over the muscle placement

Sub-muscular Placement: Breast implants placed under the pectoral muscles, called sub-muscular or under the muscle.

Duel Plane or Partial Sub-pectoral– The top 2/3 of the breast implant is covered by the pectorals muscle.

Subglandular Breast Implant Placement

Submuscular, also known as subpectoral, breast augmentation inserts the implant underneath the pectoral muscle in the chest. The chest muscle can accommodate this because it’s connected to the chest wall along the muscle’s outer perimeter, creating a natural pocket where the implant is inserted.

When this method is chosen, the muscle normally covers around two-thirds of the implant. A partial submuscular breast augmentation is when the implant doesn’t get wholly covered. Total, or complete submuscular breast augmentation, is when other chest wall muscles cover the last part of the implant

Advantages of Subglandular Placement

subglandular-breast-implant-2There are many advantages to receiving subglandular breast implants over submuscular implants. For one, there is normally less pain and discomfort after breast enlargement surgery with the subglandular option, and the recovery time is shorter as well. This is because the musculature isn’t disturbed by the surgeon or an implant, and the skin and fat tissue being shifted instead is much more pliable.

Secondly, the over-the-muscle implants are usually much easier for a surgeon to manipulate and place. This goes for post-surgery access as well, if operations are needed afterwards. With implants usually lasting ten years on average, this should definitely be something to consider when choosing which implant is right for you.

Another important visual difference is cleavage. Subglandular implants can create cleavage more easily than submuscular implants, especially if the breasts are naturally far apart to begin with. Lastly, many athletic and active women prefer subglandular implants because it won’t affect their muscles. Implants placed under the muscles can shift and look unnatural when the chest is flexed, which can be very concerning for women who weight train, are body sculptor, or professional body builders.

Disadvantages of Subglandular Breast Implant Placement

Of course, there are some disadvantages to this type of implant that submuscular implants don’t have. Make sure to think about these if you are choosing between the two types.

Most people believe that breast implants placed under the chest muscle display a more natural looking slope and appearance than subglandular implants, which can sometimes look rounder than natural breasts. Ripples formed within the shell of the implant, due to pressure placed on the bag from being inside the body and the bag’s natural tendency to fold inward, can be felt and seen more easily when it isn’t placed behind a muscle. Women who have little or almost no breast tissue can experience this even more, since there is less to conceal the implant.

The detection of breast cancer can also be disrupted by a subglandular implant, since the implant is within the breast tissue and gland itself.

Also, and perhaps most seriously, capsular contracture is more likely to occur with the over-the-muscle implant. This condition is when the scar tissue tightens around the implant, making the implant appear to be much harder than it actually is. It can become painful as time goes on, and makes the breast look and feel very unnatural.

Submuscular Breast Implant Placement

under-the-muscle-breast-implantSubmuscular, also known as subpectoral, breast augmentation inserts the implant underneath the pectoral muscle in the chest. The chest muscle can accommodate this because it’s connected to the chest wall along the muscle’s outer perimeter, creating a natural pocket where the implant is inserted.

When this method is chosen, the muscle normally covers around two-thirds of the implant. A partial submuscular breast augmentation is when the implant doesn’t get wholly covered. Total, or complete submuscular breast augmentation, is when other chest wall muscles cover the last part of the implant

Advantages of Submuscular Breast Implants Placement

Under-the-muscle breast implants tend to create a better and more attractive look for naturally small-breasted women. Since the implant is concealed underneath the pectoral muscle, flaws in the implant like ripples or the edges of the implant are hidden. Submuscular placement, along with silicone implants, tend to produce a more natural appearance and feel to the breasts, especially for thinner women with smaller breasts.

Submuscular implants don’t obfuscate mammography exams, like subglandular implants sometimes do. Because the implant is behind the muscle, the breast tissue can be clearly checked for cancerous tumors by the mammogram. With the implant placed on top of the muscle but underneath the implant, the results of the mammogram can sometimes be less clearly defined.

One risk that affects subglandular breast implants less than under-the-muscle breast implants is capsular contracture. This tightening of the scar tissue that happens with some patients can painfully squeeze the implant, creating a distorted look and hard feel in the breasts. Implants under the chest muscle are not as prone to this condition as their above-the-muscle counterparts.

Lastly, “bottoming out” has less of a chance of occurring with implants placed under the muscle. This condition occurs when the implants have been placed too low along the chest wall, making the nipples appear to be too high up on the breast.

Disadvantages of Submuscular Breast Implant Placement

The main issue that keeps patients from getting this procedure is that the surgery and recovery, when compared to subglandular implants, is longer and more painful. This is because the harder, less flexible muscle tissue is being manipulated instead of just the mammary gland and fatty tissue found within the breast itself. Further procedures with under-the-muscle breast implants are also more difficult when compared to future procedures with subglandular implants.

This type of placement also makes it harder to create cleavage with women whose breasts are already widely spaced, particularly with textured breast implants.

Women who are very active and athletic, especially weight lifters and body builders, may prefer subglandular implants instead. This is because the submuscular implants don’t flex along with the pectoral muscles, creating an irregular look to the breasts while flexing. Also, extremely strenuous exercises to the chest muscles may displace the breast implant.

Finally, under-the-muscle breast implants tend to sit higher on the chest than usual, at least until the muscle relaxes.

Duel Plane or Partial Subpectoral Breast Implant Placement

Dual plane breast augmentation is a newer method of performing the procedure that involves placing the breast implants partially above and partially below the muscle.

This technique also provides an extra lifting benefit, especially helpful for patients who experience sagging and are potential candidates for a breast lift. Dual plane breast augmentation is an “internal breast lift” by using a breast implant. The dual plane avoids external incisions in the breast, with the exception of a small incision in the breast fold. The dual plane may help some patients avoid a breast lift, if they have minor drooping.

The surgery is done with a two-tiered approach to lift the breast tissue, which raises the nipple-areola complex, and launch a breast fold tight. This is technically breast augmentation procedure called the “internal lift.” Creates a breast pocket above and below the muscle (hence the term “double”) when you insert an implant. Releasing attachments breast above the muscle, chest slides up around the implant.

The look of dual plane  augmentation  is very natural and realistic. The upper  part of the breast implant is well camouflaged by layers  of organic tissue  and muscle.The muscle helps to hold  the upper  half of the implant firmly  against the chest  wall, creating a natural sloping contour without the “obviously enhanced” look which  is characterized by an overly rounded top section.

In this procedure, an incision is only needed underneath the breast, so there is no immediately visible scarring. Also, with dual plane breast augmentation, there is a minimal risk of rippling or capsular contracture (hardening of the scar tissue) Traditionally, breast implants have been placed either below the muscle (submuscular) or over the muscle (subglandular). Dual plane breast augmentation is a newer method of per forming the procedure that involves placing the breast implants partially above and partially below the muscle.

Breast Implant IncsionsWhen you choose to have breast implant surgery, you need to choose which incision or “entry point” you want the surgeon to use to place your implants. There are three options to choose from for your Breast implant Surgery.

Breast enhancement procedures are performed using one of the following three incisions

  1. Periareolar
  2. Inframammary fold
  3. Transaxillary

You should be able to get the same excellent results no matter which incision you choose. Please do not fret too much over this decision. You and your surgeon will be able to work together to determine what incision seems best for you.

Periareola Breast Implant Incision

Commonly Referred to as “Through the Nipple”
Along with inframammary breast implant incisions, the areola incision (sometimes referred to as the Periareolar technique) is currently one of the most widely used methods for placing breast implants. In this technique, an incision is made at the edge of the areola – the pigmented area of skin that surrounds the nipple. The incision is made on the edge, where the lighter breast tissue meets the darker tissue, so that the scar will blend in. Protective “sleeves” are utilised when inserting the breast implants through nipple incision sites in order to protect the breast ducts.

Similar to the crease incision, an areola incision allows the surgeon to work close to the breast, allowing for easier placement of breast implants. Using the areola or crease breast implants incision sites makes it possible for the surgeon to place the breast implants in various positions in reference to the chest muscle.

The implant can be placed pre-pectoral “over the muscle” or retro-pectoral “behind the muscle” via this approach. Patients who wish to undergo mastopexy, or breast lift, in conjunction with breast implants will likely receive the areola breast augmentation incision, since both of these procedures can be performed with this type of incision.

Advantages

Control in making sure the nipples are placed evenly.

  The Scar fades to a  colour close to the areola for minimal visibility.

  A good choice for people undergoing a breast lift also.

Disadvantages

 There is a small risk of losing sensation in the nipple.

Chance of nerve damage

 Slight chance of difficulty breastfeeding

Inframammary Fold Breast Implant Incision

Commonly Referred to as “Under the Breast”

This is the most popular approach and the one used the most often .This incision is placed at or near the lower breast fold. It offers the accessibility for control like the peri-areolar and can be used for re-operation if required. This might be the incision of choice in the case in which the woman would like to preserve potential breastfeeding as much as possible. The approach avoids most of the breast ducts preserving breast anatomy the best.

Advantages

Does not interfere with breastfeeding Leaks are easily

 Scar is completely hidden naturally by the breast

 Doctor has extra control in the placement of the implant.

Disadvantages

Wearing a bra can cause irritation to the scar .

 May not be the best option for flat chested women that

 don’t have extra tissue to create that hidden crease.

Not very suitable for dark skinned people

With crease breast implant incisions, the resulting scars should be visible only when you are in a horizontal position. The surgeon usually tries to situate the breast augmentation incision so that it will fall just above the inframammary fold to prevent the scar from being seen. The surgeon must properly evaluate where the incision will be in relation to your new breast size. If the incision is made too high or too low, the scars could be very noticeable.

Transaxillary Breast Implant Incision

Commonly Referred to as “Through the Armpit”

Transaxillary, or underarm, breast implant incisions utilize one of the breast implants incision sites that involve no cutting of the breasts. Instead, the breast augmentation transaxillary incision allows breast implants to be inserted through the armpit

This incision was designed in an attempt to move the incision off the breast into a fold in the armpit. In most cases, breast implant incisions in the armpit area tend to cause less future breastfeeding complications than some other breast implants incision sites.

If the patient requires re-operation, it is rare for it to be possible via the “armpit” incision, so usually another incision is made. The implant can be placed pre-pectoral “over the muscle” or retro-pectoral “behind the muscle” via this approach.

The incision site for the transaxillary breast augmentation technique is the armpit. Once the armpit breast augmentation incision has been made, a channel is made to the breast. Through this channel, the breast implant is inserted and then worked into place.

Advantages

The scar remains hidden under the arm

 Less interference with a bra during the healing process.

 Scar is virtually invisible in the armpit fold

Disadvantages

More Post-Op pain experienced

If there is a problem in the future, an addition cut may required.

Higher incidence of implant being positioned higher.