Breast Augmentation - Not Every Procedure Is The Same

A breast augmentation may seem like a very straightforward form of plastic surgery: You simply insert a silicone implant inside the breasts of a woman.

Yet while that is basically what happens, it is a much more detailed process that can be approached in a number of different ways. While the types of implants are generally the same - usually one form of silicone or another - the way they are inserted into the breasts can vary.

The process involved in a breast augmentation involves making an incision on each of the breasts, spreading the tissue apart and in some cases removing some, and then inserting the implants. Once this is complete, the incisions are closed with sutures or stitches and the process is complete.

Because the aesthetic appearance of the breasts are the main motivation behind a breast augmentation, the placement of this incision becomes vitally important. While the health of the patient and the ease with which the implants can be surgically inserted are paramount in the process, ensuring that the results look natural is also key. No woman who has a breast augmentation done wants to have a visible scar left to let the world know that she has had the procedure.

To achieve maximum discretion in this part of the process, there are various ways to approach making the incisions, including where to place them. In some cases this can be determined due to factors relating to the patient’s medical history or needs, but it can often be a decision she makes based on a personal desire as well.

An areola incision is a common approach that involves the cut being made around the circumference of the areola, which is the darker area around the nipple. This provides maximum access for the implant to be inserted and the scar is able to be hidden around the areola.

A trans-axillary approach has the cut being made under the armpit to completely hide it from view in the chest area. This does make it more difficult for the implants to be inserted because of the distance from the chest area, and an endoscope is typically needed.

An inframammary fold incision is made at the crease between the chest area and the breasts. Because this also hides the scar exceptionally well, it is another of the most popular approaches. It also allows for proper access to the affected area for the placing of the implant.

While these are the most common approaches for a breast augmentation, there are additional ones that can help address and suit a number of various individual needs. Discussing these options with a plastic surgeon can help identify which method is most appropriate for a given individual.