Breast implants: what are the different types of skin incisions?

Breast implants are inserted through incisions made by the surgeon in order to increase breast size. The decision to undergo this procedure is based on aesthetic reasons and will result in the appearance of scars. To achieve an optimal result, it is important to communicate with your plastic surgeon because, on a case-by-case basis, one incision may be preferred over another.

The choice of the most suitable skin incision varies depending on several factors that become apparent during the preliminary consultation. From the patient’s anatomy to the need to achieve the desired outcome, to the size of the chosen implants, there are multiple variables that influence the final decision.

There are four sites for surgical access:

Under the breast in the fold.
Around the nipple and areola.
In the armpit (axilla).
Through the navel.

Incision around the nipple or under the breast: advantages.

In the world, the majority of breast implants are placed through an incision around the nipple (periareolar incision) or under the breast (inframammary incision).

The advantage of these approaches is that the position of the breast tissue relative to the breast muscle and the implant can be better and more accurately shaped. This may allow for a “dual-plane” procedure where the implant is positioned partially or mainly under the muscle with only a small amount exposed below the breast tissue itself.

This provides a greater chance of a better outcome and a breast augmentation with a more natural appearance. The resulting scars are also concealed even in a very small bikini.

The axillary approach: the less common choice among surgeons.

Through an axillary incision, it is more challenging to shape the breast tissue, and the implants tend to position higher on the chest and take longer to descend into the correct lower position on the chest wall. For these few but straightforward reasons, the transaxillary incision is considered only by some surgeons.

These incisions typically heal quite well, although they may be visible in a bikini or tank top. The complete validity of this procedure, although there are reassuring data in this regard, varies from patient to patient, as each case is unique and requires a tailored approach.

What does the umbilical incision involve?

The umbilical incision (trans-umbilical) has also been advocated by some surgeons as a new way to “keep an incision away from the breast.”

Special instrumentation is required, and a long tunnel is made under the skin to position the implant in the breast. This approach has significant drawbacks, including the fact that only saline implants and not silicone implants can be placed through this approach.

Furthermore, it is much more challenging to position an implant under the muscle using this approach, and equally complex is releasing the pectoral muscle (chest wall) properly for optimal implant placement, especially without lifting or tearing the muscle.

The MiniHospital “Sandro Pertini” is the best choice for a breast augmentation surgery.

For such a delicate operation, which involves the aesthetic and emotional sphere of each patient, choosing a facility capable of fully meeting every need is important.

Thanks to the technological equipment it has and the presence of a team of professionals with decades of experience, as well as the use of high-quality implants, the MiniHospital “Sandro Pertini” is a center of excellence also in the field of breast augmentation surgery. But not only that, the intervention in the facility includes hospitalization and postoperative follow-up aimed at verifying that the achieved result is the desired one.

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