Select Language
enesvi

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.


Ready to Book?

Start with our
Virtual Consultation

Bancroft Feldman Instagram Account   breastexpert

THE ALLERGAN RECALL OF BIOCELL TEXTURED IMPLANTS AND TISSUE EXPANDERS

b2ap3 small Allergan recall 2

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

LG, Houston, TX

"I'm unable to think of a better word to describe the result of my breast augmentation result than "perfect". I'm literally IN LOVE with the outcome. I have named my left breast Sonya and my right breast Sally because, now, they actually look like beautiful sisters instead of EXTREMELY distant cousins...

The entire staff was incredibly amazing, knowledgeable, patient, and polite. Each staff member took EXTRA care to make sure I was comfortable and well taken care of. Everyone went ABOVE and BEYOND by always politely greeting me upon my entrance into the waiting area and the patient room, providing adequate amount of pain medicine - specifically the generic brand to cut cost, slightly numbing my hand with topical wipe to prevent sharp pain upon I V placement, answering any and all questions, and making specially arrangements to accommodate schedule changes.  

Upon entry to the surgical room, the nurses and the anesthesiologist provided EXCELLENT bedside manner with added humor, comfort, and positive personalities. The anesthesiologist even added medicine to my I V to help with my skin condition. ALSO, someone even made sure the pillow my feet were placed on was warm. OMG! AHHHHHHH-MAZING! 

Moreover, my breast are healing wonderfully. The office reverberates a youthful and inviting vibe and the staff seems like a tight-knit family that works well together. I returned Dr. Feldman's missed call last week just to say thank you; to him and all of his perfectly picked staff. Due to being the TOP breast surgeon in Houston, I understand he is busy so I figured I'd shoot a quick e-mail. 

Thank you EVERYONE for making my breast augmentation TOTALLY AWESOME in all aspects."

 

SM, Baytown, TX

"I cannot tell you how pleased I am with the whole augmentation process.  I really thought I would feel awkward, but at no time during my experience did I.  Everybody at the office is awesome. I'm actually sad that's it's over. I guess what I really want to say is Thank You...to everybody, especially Dr. Feldman and Jeannette, for giving me a new sense of confidence.  I cannot believe the difference in how I feel about myself.  They look amazing!!"

CL, Pasadena, TX

"I cannot believe that one year ago today Dr. Feldman changed my life!  I am so thankful that I found him to fix my breast issues that I didnt realize I had even though I knew something was wrong. If it wasn't for him and the results that he has given I never would be as confident as I am today.  This was the best decision I ever made. Thank you, thank you, thank you and a million times more! Can't be happier than I am today because of his work!"