Breast implants: scars & incision lowdown

The Breast Implant insertion technique will ultimately be decided by your experienced plastic surgeon, but that’s not to say that your preference is not important.  At The Private Clinic they provide their patients with as much information as possible to help them make the best decisions for them personally.

In order for your surgeon to make a fully informed decision they will likely ask you questions about your life, your exercise patterns and the shape and size you are looking for. The Clinic does not advocate imitating celebrities as a deciding factor for having cosmetic procedures, but bringing a sample of pictures of breasts that you do like (after carefully considering how they might suit you) can be really helpful.

This blog is designed to clear up the commonly asked questions surrounding the procedure itself in terms of scarring and how the breast implants will be inserted. The incision is the exact area of the body where the implant enters ergo where the scar will be. There are four main implant insertion points:

  1. Inframammary fold/crease - This is the most popular way of inserting the implant. The scar will be where your breast meets the chest wall so it will be hidden by the breast as it hangs naturally. How noticeable the scar is depends on your surgeon and skin type and is something you should discuss with your surgeon if you are concerned.

    This method is favoured by many surgeons because it gives them convenient access to the breast tissue meaning they have a solid handle on the height of the implant within the breast and can position it as needed without them having to handle the implant too much
  2. Armpit/Transaxillary Incision - As it sounds the armpit technique means the implant is inserted via the armpit and is considered a good option for those who do not want a scar directly on the breast. For many women the scar heals fast and fully so is not detectable. This is achieved by following the natural creases around the armpit area, and the implant then travels from the armpit to the breast via a channel navigated by the surgeon usually with an endoscope.

    This method is not the most popular for surgeons as it requires working away from the breast, potentially causing additional trauma and making it harder to perfect the breast implant position.
  3. Nipple/Periareolar Incision – The Nipple Incision is a lesser used method. You should know that although it is called a nipple incision the entry point is not actually made at the nipple itself but at the edge of the areola. Directly after the incision your surgeon creates a suitable space for the implant to rest and then begins insertion.

    Visibility of the scar is the least predictable with this method which is why many surgeons will not suggest that you consider nipple insertion. A few things to consider with this method; there is a chance of decreased or eliminated sensitivity in the nipple area and it could prevent breast feeding in the future.
  4. Belly Button/Trans-Umbilical Breast Augmentation (TUBA) – In 1991 Dr. Gerald Johnson pioneered this technique which involves an endoscope being inserted through the navel and a journey to the breast is navigated internally for the implant to be inserted along. A flat saline implant is then pushed in and planted in place and filled up to the agreed size.

    This is a complex method, as a general rule the further you are away from the site you’re treating the higher the risk. This is also a very specific method and you’ll want to get a specialist who is experienced in performing breast augmentation like this.

The Private Clinic have a very comprehensive Breast implant Video Series featuring their Medical Director Mr. Adrian Richards which you can watch here.

They only work with the most experienced medical practitioners in the industry and deliver kind patient-focused care. For more information on The Private Clinic take a look at their website or call them on 03339209135.

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