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Breast Augmentation Incision Options – A Primary Plastic Surgery in Honolulu Contact Us
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Breast Augmentation Incision Options – A Primary Plastic Surgery in Honolulu Randy Wong, MD on 27 Apr 2016

In recent times, there are many incision site options available for breast augmentation, which is a primary plastic surgery in Honolulu. There are three major incision sites: axillary, inframammary, and periareolar.

In case of axillary incision, a precise incision is made in the armpit due to which the cosmetic surgeon gets easy access to the breast muscle. In case of periareolar incision, the surgeon makes an incision around the patient’s nipple. In case of inframammary incision, which happens to be the most popular incision site, the surgeon makes a precise incision under the breast, right at the area where the breasts join the body. Other than these three incision sites, a fourth site, periumbilical, is also available in which the incision is made at the belly button.
The choice of the right incision site must be discussed with your cosmetic surgeon after you have finalized the size and type of the implant.


Let’s take a look at each of these incision sites and the pros and cons associated with each one of them.

Inframammary Incision

Inframammary incision is made just beneath the breast fold. It is the most popular incision site for breast augmentation because of its increased safety. Also, there are lesser difficulties in breastfeeding in inframammary incision as compared to the periareolar incision. This incision site is often used for the placement of textured implants because there’s an increased need to orient and position the implant in a proper manner. One drawback associated with this incision site is that it is less concealed as compared to other incision sites.

Periareolar Incision

The major benefit of this incision option it that it is highly concealed. However, there is high risk of massive difficulties in breastfeeding, because in case of periareolar incision, the cut is made right through the tissues of the breast and nipple. Also, there are high chances of changes in normal nipple sensation. Dr. Wong uses techniques to avoid damage to the nipple ducts and their nerve supply to minimize these risks.

Transaxillary Incision

In case of transaxillary incision, the cut is made under the patient’s arm. The cosmetic surgeon uses an endoscope (lighted camera) to cut through the subcutaneous lipid in order to develop a vacant pocket right behind the breast tissue. Smooth implants are usually placed with this incision site. The surgical scars are mostly well hidden in the folds of the patient’s armpit. One drawback associated with this incision type is asymmetry in the positioning of the implant. Generally, transaxillary incision is used for the placement of unfilled saline implants in the breast.

Transumbilical Incision

In case of transumbilical incision, the surgeon makes a precise cut in the umbilical channel or the belly button. This incision site hasn’t been researched thoroughly and is not FDA approved as well. Hence, it’s recommended not to opt for this incision option to ensure the safety of the breast tissue and the breast implant. This incision may damage the shell of the breast implant.

Breast augmentation in Honolulu is famous for its precision, expertise and safety and makes use of all types of incision sites to ensure maximum benefit for the patient.

Randy Wong, MD

Randy Wong, MD

The origins of my desire to become a doctor are quite comical when you stop to think about. When I was a child I had to get a shot and due to the amount of squirming and shaking I did to avoid the needle, it broke off in my skin.
About the doctor
Randy Wong, MD

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