There are three common incision options for breast augmentation surgery. Depending on each individual’s needs and physical condition, the surgeon will determine the most appropriate approach: inframammary fold (under the breast), transaxillary (underarm), or periareolar (around the areola).
Inframammary fold incision:
- This route offers better control over implant placement, high safety, and minimal damage to breast tissue and milk ducts, allowing for faster recovery. Whether the scar is noticeable depends on the individual’s skin type and post-operative care.
Transaxillary incision (underarm):
- Using endoscopic-assisted techniques, this method leaves no scar on the breast and maintains the natural appearance of the chest. It involves minimal disruption to breast tissue, preserving milk production.
Periareolar incision (around the areola):
- This approach allows for precise implant positioning, making it suitable for mild breast ptosis (sagging) correction. However, the incision around the areola may pose a higher risk of damaging milk ducts and, if nerves are affected, may reduce or eliminate nipple sensation.
- This method is often preferred by transgender (LGBT) individuals, but the final decision depends on various factors such as scar tendencies, breast tissue condition, milk duct function, and degree of sagging.