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Because breast augmentation is one of the most wanted and popular cosmetic surgery procedures all over the world, there are many components of this procedure that leave women (and sometimes men) very interested. Factors including the implant material, size, shape, location, and scar formation are the most common components of breast augmentation that make people curious. Here, let us discuss two of these factors since they affect each other in a way. Let us discover common breast implants placement location and your breast augmentation scars.


Breast augmentation scars: Why the implant location matters


Performing any surgical procedure requires incisions, and breast augmentation surgery is not an exemption. This breast enhancement surgery requires an incision made by the surgeon to accommodate the insertion of the breast implants. Once the placement method is established, and the implant is stable, the surgical incisions are closed with sutures.  This surgical wound typically heals into a fine scar over the course of several months, but some patients may develop irregularities like keloids. This is the reason why the scar location is an important matter to discuss with prospective breast augmentation patients since this is where their scars will also be located.


Breast augmentation scars: Inframammary incision

This breast augmentation approach is the most common since the incision it creates can accommodate all types and sizes of implants. The final scar lies within the natural breast crease.  The incision length can vary from one inch to an inch and a half, and it all depends on the type and size of the breast implant being used (silicone implants need a longer incision for placement).  Although it is the most reliable breast augmentation incision, you can expect that this is also the most noticeable breast augmentation scar.


Breast augmentation scars: Periareolar incision

This approach uses a circular or semi-circular incision around the pigmented part of the breast surrounding the nipple, called the areola. This incision can accommodate initially-deflated saline implants. Since the incision is located on the dark-pigmented part of the chest, along the edge of the areola, it is excellently camouflaged and may retain to be unnoticeable at first glance. However, there are some complaints about this approach. Some experience change in the sensitivity of their breasts, claiming that they either have hypersensitivity or numbness around their nipples. Also, some women experience difficulty in breastfeeding their children and associate it with this breast augmentation approach since glandular tissues or milk ducts located near the nipple may be affected.


Breast augmentation scars: Transaxillary incision

This approach is made with an incision located on a hidden crease along the armpit. The expertise of the plastic surgeon is tested with this approach since the incision is a bit far from the breast, so placement of the implant may need the use of an endoscope to visualise the implant’s pathway to the breast pocket clearly. Some prefer this approach since no scars would be seen on the breasts, making their breast augmentation procedure more natural-looking. However, there are some drawbacks that make this approach less common than the first two approaches.  Its downsides include the complexity of the surgery, longer surgical time, accommodates limited size and type of implant, and in cases where revision surgery is needed, a different incision (inframammary) is to be performed.


Breast augmentation scars: Transumbilical incision

This breast augmentation implant placement approach uses a semicircular incision around the belly button. This is the rarest form of the incision and is only applicable for deflated saline implants. Most plastic surgeons in Australia do not recommend using this approach because if the transaxillary approach is complicated, consider this as double or triple in complexity. The only advantage this approach has is that the scar is very far from the breasts. Because of that, the vast majority of board-certified plastic surgeons do not offer this approach in their practices.

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