Jul 12, 2009

Surgical Incisions In Breast Augmentation

By Virginia Anthony

Breast implants for augmentation may be placed through different types of incisions: Inframmary, periareolar, transaxillary, transumbilical, and transabdominoplasty,

Inframammary is an incision is laid below the breast in the infra-mammary fold (IMF). This incision is the most usual approach and gives maximum access for exact dissection and emplacement of an implant. It is frequently the preferable technique for silicone gel implants due to the longer incisions needed.

Periareolar is an incision placed along the areolar border. This incision gives an optimal approach when adjustments to the IMF position or mastopexy (breast lift) procedures are foreseen. The incision is normally placed around the inferior half, or the medial half of the areola's circumference. Silicone gel implants can be hard to place using this incision due to the length of incision required (~ 5 cm) for access.

Transaxillary is an incision is placed in the armpit and the dissection tunnels medially. This approach allows implants to be placed with no visible scars on the breast and is more likely to consistently achieve symmetry of the inferior implant position.

Transumbilical (TUBA) is a less common technique where an incision is placed in the navel and dissection tunnels superiorly. This approach enables implants to be placed without any visible scars on the breast, but constitutes suitable dissection and implant placement harder. However, this technique isn't appropriate for placing silicone gel implants imputable potential damage of the implant shell if undertaking insertion through the small 2 cm incision in the navel, and as those implants are pre-filled they cannot be passed across that incision.

Transabdominoplasty (TABA) is a procedure like TUBA, where the implants are tunneled up from the abdomen into bluntly dissected pockets while a patient is simultaneously going through an abdominoplasty procedure.

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