Breast Augmentation Incision Methods: Inframammary, Axillary, Areolar

Breast Augmentation Incision Methods: Inframammary, Axillary, Areolar

Hello, I'm Kim Ju-won, a board-certified plastic surgeon in Gangnam, where I help many individuals not only with their physical appearance but also with their emotional well-being through breast augmentation. 😀

If you're considering breast augmentation, you're likely curious about which incision method is best for you. While an incision is necessary to insert implants, the incision location can affect scar visibility, recovery process, and post-operative satisfaction.

So today, let's take some time to explore the differences between the most common breast augmentation incision methods: axillary, inframammary, and areolar. ^^

Axillary Incision

The axillary incision involves making a small incision along the armpit crease to insert the implant. Its biggest advantage is that the scar is not easily visible! When your arms are down, the scar is naturally concealed, making it a preferred method for those ‘concerned about scarring’.

Additionally, it avoids direct manipulation of breast tissue, reducing the likelihood of sensory loss or impaired breastfeeding function.

Although the incision isn't made directly on the breast, the use of an endoscope allows for precise surgery.

However, since the armpit is a highly mobile area, excessive arm movement or strenuous activity for a certain period after surgery can cause the scar to widen. It's crucial to recover carefully and gradually during the first few weeks. 😊

Inframammary Incision

The inframammary incision is made along the breast crease. This method allows the medical team to have a direct view during surgery, enabling more precise implant placement and making it suitable for inserting various implant sizes. Most importantly, a significant advantage is the high stability of the implant's position and maintenance!

If the inframammary crease is not distinct, the incision site might be visible, making post-operative scar management essential. Specifically, the scar can be seen when lying down or viewed from below, so significant attention must be paid to scar treatment.

However, this can be a better option for those who want to minimize the appearance of surgery or desire a more natural shape and contour! 😉

Areolar Incision

The areolar incision involves making an incision along the areola, around the nipple.

Since the incision is made at the border between the areola and the skin, the scar becomes less noticeable over time. Furthermore, because the implant can be adjusted while directly viewing the breast tissue and muscle, the design can be made even more precise.

However, it may affect breastfeeding as some glandular tissue needs to be incised. Also, since suturing technique is extremely important for this method, consulting with an experienced medical professional is essential. 😊

Which Incision Method is Right for Me?

You might wonder, ‘Which incision method is best?’ The truth is, there's no single right answer! The most important thing is to choose based on your lifestyle and desired outcome.

For example, if you have a profession that frequently exposes your armpits, such as a celebrity, Pilates instructor, or swimming instructor, an inframammary incision might be better. Conversely, if you dislike the idea of a scar under your breast, an axillary incision could be a good choice.

Post-Surgery Scar Management

Minimizing post-surgical scars is also incredibly important! Consistent use of scar ointment or medical silicone tape can help lighten scars, and it's crucial to protect scars from UV rays, as they can darken them.

Additionally, smoking and alcohol consumption hinder blood circulation, slowing wound healing. Smoking, in particular, is the only proven primary cause of capsular contracture, so it's advisable to quit smoking if possible. It's also important to avoid strenuous movements and get enough rest until the incision site is fully healed! 💕

What I always emphasize to my patients is that breast augmentation is not just about external changes, but ‘a process of learning to love oneself more’.

After surgery, it's important to achieve results that make you feel more confident, more beautiful, and most importantly, satisfied with yourself. So, please don't feel pressured; have a thorough consultation with an experienced medical professional and carefully choose the method that suits your body and lifestyle! 😊

Thank you for reading this long article.

This was Kim Ju-won, a board-certified plastic surgeon. 😉

Frequently Asked Questions

What is the biggest advantage of the axillary incision method?

The biggest advantage of the axillary incision method is that the scar is not easily visible. When you lower your arm, the scar is naturally hidden, making it preferred by those who are concerned about scars. Additionally, it does not directly touch the breast tissue, reducing the possibility of sensory loss or decreased breastfeeding function.

Is implant stability high with inframammary incision?

Yes, a major advantage of the inframammary incision is the high stability of the implant's placement and maintenance. The surgeon can secure a direct view during the operation, allowing for more precise placement of the implant, and it is also advantageous for inserting various sizes of implants.

Can periareolar incision affect breastfeeding?

Yes, a periareolar incision may affect breastfeeding as it requires partial incision of the mammary gland tissue. Therefore, if you are considering the periareolar incision method, it is essential to consult sufficiently with an experienced medical professional.

How should I manage scars after breast augmentation?

To manage scars after breast augmentation, it is recommended to consistently use scar cream or medical silicone tape. UV rays can darken scars, so protection is essential, and it is important to avoid smoking and drinking as they hinder wound healing.

Which incision method is the best?

There is no single best incision method. It is important to choose according to your lifestyle and desired results, and you should carefully decide on the most suitable method for you through sufficient consultation with an experienced medical professional.

How does smoking affect recovery after breast augmentation?

Smoking can hinder blood circulation, slowing down wound healing. In particular, smoking is the only proven major cause of capsular contracture, so quitting smoking after breast augmentation is very important for recovery.