Access / Incision for Breast Augmentation

Two most commonly used approaches to breast augmentation are the infra mammary crease approach and the circum areaolar approach.

In the infra mammary approach, a fine 5 cm incision is made beneath the breast in such a way that the final scar falls in the crease below the breast. As the final scar falls in a natural crease, it fades well over a period of time. The infra mammary crease is the most hidden portion of the breast and most women prefer to have the access from this area.

In the circum areaolar approach, the incision is made in the lower half circle of the areola. The advantage in this approach is that the final scar blends in well in the natural color interface of the areola and breast skin.

Trans axillary approach employs an incision in the crease in the under arm area. TUBA or Trans umbilical breast augmentation uses access from the navel using endoscopy instrumentation. Both these approaches are possible with saline implants, the use of which is decreasing since use of cohesive gel implants.

The post operative period following breast implant surgery is generally pleasant and well tolerated. Minor discomfort, feeling of stretch, swelling and bruising can be expected. Most patients are able to start normal daily activities starting the next day and return to office work in 2-3 days time. Decreased sensation over the breast can occur and usually recovers in a couple of weeks.