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Incision Site Options

Cunningham, Bruce, McCue, J. Safety and Effectiveness of Mentor’s MemoryGel Implants at 6 Years. Aesthetic and Plastic Surgery Volume 33:2009, 440–444.

What are my breast augmentation incision site options?

There are three incision sites....Axillary – the incision is made in the armpit, which gives the surgeon easier access to the chest muscle,   Periareolar – an incision is made around the nipple, and   Inframammary – the most common incision, made under your breast at the crease where the breast meets the body. You may hear about a fourth incision site – the “periumbilical approach” (incision at your belly button).  This way of placing breast implants has not been studied by Mentor and should not be used. It may cause damage to the implant shell.

For MemoryShape® Breast Implants, the incision will be longer than the one typically made for breast augmentation with a saline or round silicone gel breast implant. Your surgeon can explain which incision site he or she recommends for you and talk about the pros and cons of each with you.

Periareolar Incision

This incision site is typically the most concealed. It is associated with a higher likelihood of breast feeding difficulties than the other incision options because periareolar incision involves cutting through the breast tissue. This may also increase the chance that there will be a change in nipple sensation.

Inframammary Incision

This is the most commonly used incision at the present time and is made below the breast fold. This incision is generally less concealed and may cause fewer breastfeeding difficulties than the periareolar incision option.

Transaxillary Incision

This incision is made under the arm. A lighted camera (endoscope) is used to help tunnel through the subcutaneous fat to create a pocket behind the breast. This incision site is used primarily to place unfilled saline breast implants.

Transumbilical Incision

The transumbilical incision is made in the belly button or umbilical channel. This incision site has not been studied and is not recommended. It may cause damage to the implant shell.

Are you ready discuss the pros and cons of these surgery sites over with a trusted plastic surgeon? Use our Surgeon Finder to find qualified surgeons to consult in your local area.

Next Steps:

Learn about sub-glandular and sub-muscular placement.

Read Placement Options

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