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Breast Implant Incision Placement

The breast implant incision or scar location after breast augmentation is a focus point of many patients’ prior to their consultation. Regardless of where the incision is made, there will always be a scar, as no surgeon can perform scarless surgery. Dr. Feldman is always amazed, when competitors have promised that. The three approaches each have positives and negatives. You should consider all three when determining the best incision for breast augmentation.

Infraareolar

Infraareolar (under the nipple) incisions are associated with a higher risk of implant infection, higher risk of capsular contracture and could interfere with breastfeeding, as some of the breast tissue and duct work is disrupted. Counterintuitively, it is not associated with higher chance of numbness. It is not commonly requested in the US, but is very popular in Central and South America.

Transaxillary

Transaxillary (armpit) incisions are also associated with a higher risk of implant infection and higher risk of capsular contracture. Additionally, it’s hot and humid in Texas for much of the year, so if you wear a tank top, sundress or bikini and lift your arm, in my opinion, you are far more likely to casually show this scar than the other two options. Third, you can have numbness or persistent ingrown hairs which can be bothersome if you shave your armpits. Last, but most importantly, is that breast implants placed through the armpit tend to “ride high” as the implant can be placed under the muscle, but if the muscle ends above the bottom of the breast it traps the implant in a less than pleasing position. This results in native breast tissue falling off the front of the implant or a “snoopy deformity.” A true dual plane cannot be created through the armpit. So it’s not a question of if Dr. Feldman can put an implant through your armpit, but whether or not it will ultimately yield the best result.

Inframammary

Inframammary (under the breast/in breast crease) incisions have the overall lowest complication rate, and Dr. Feldman believes yield the prettiest results, among the most common chest/breast anatomy in his practice. That’s a win-win situation, with a lower chance of complications and higher likelihood of the best result, which is why it’s the most common way Dr. Feldman places implants and the most common way implants are placed in the US. The incision is small, 4-4.5cm, or about 1.5 inches long, and is hidden by the crease and shadow your breast now creates. It will mature and fade over 6-12 months, but will never disappear.

Ultimately, the size, shape, cleavage and nipple position are the metrics that you will use to assess your result after breast augmentation surgery. If you have a “pretty” result, the incisions will mature and fade and are not an issue for the overwhelmingly majority of augmentation patients’. So at your consult Dr. Feldman will focus on how to deliver the most reliable, pleasing and pretty results.


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THE ALLERGAN RECALL OF BIOCELL TEXTURED IMPLANTS AND TISSUE EXPANDERS

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This July Allergan announced that it was recalling BIOCELL® Textured Breast Implants and Tissue Expanders. With the recent coverage of breast implant-associated anaplastic large cell lymphoma (BIA-ALCL) in the news, some of our patients are searching for more information about the safety of breast implants. Learn more about the Allergan recall, Bancroft Feldman's policy on using textured implants, and what our patients' options are.

What Our Patients Are Saying

DH, Katy, TX

"I am so pleased with the exceptional bedside manner of Dr. Feldman. I initially went to him for Botox and recently decided on getting a breast augmentation. I am so pleased with the work and skills that Dr. Feldman has offered me. I have already recommended most of my friends and family. The office is in a great location and the staff is incredible. If you are interested in the best breast out there, Dr. Feldman is the right choice."

KP, Houston, TX

"You guys made everything feel so relaxed and comfortable as if I had known you forever, I loved the experience from beginning to end. I chose Dr. Feldman (for my breast augmentation) because after my consultation I knew he was the one, he was very honest with what he liked and disliked and I could tell he truly cared about my results, he was very informative and very professional, I am so happy with my decision!"

CT, Pearland, TX

"I want to thank Dr. Feldman and the rest of the staff for the excellent care you gave my wife before, during and after her breast augmentation surgery. I am a healthcare provider and the professionalism and excellence your staff displayed is among the highest I have seen.

When my wife told me she wanted to undergo breast augmentation surgery a year ago, I was a little hesitant because of some of the horror stories you see on tv and having friends whose wives were unhappy with their breast enhancements.  After speaking with Dr. Feldman during my wife's initial consultation, I felt completely at ease. Dr. Feldman took the time to explain the procedure in detail and I was extremely confident he would do a superior job...and he did. Dr. Feldman was very thorough in his post-surgical instructions to assure the best possible results. I was also impressed with the ease of making appointments and the convenience of having the procedure done in the same office instead of some distant surgical site. The surgery was relatively short and my wife's recovery was much easier than we had anticipated.

This was an incredibly positive experience for both of us.  My wife's breasts look perfect in every way, her confidence is sky high and we are both very pleased. I have already referred a couple of friends and would highly recommend Dr. Feldman as a plastic surgeon for anyone."