Introduction to Breast Augmentation - Implant Placement, Incision Site & Technique

March 7, 2011: Authored by: Alpha Health Asia Staff

There are three primary surgical techniques for breast augmentation- Inframammary, Periareolar and Transaxillary- with the implants being placed either subglandularor or submuscular.

The surgical technique involves where the incision will be made to insert the implant. The surgeon will make an incision and create a space within the breast tissue- the breast implant will be inserted into this space. After the implant is inserted, the incision will be closed. The breast implants may be placed subglandularor- between the chest muscle and the breast tissue- or submuscular- below the chest muscle.

The location, technique and incision site are an important considerations, the incision site will be the place where the scar will be located. A brief overview of the different techniques and placement follows; please consult your doctor for guidance on which placement, technique and incision site will be the best for you, the aesthetic result you are seeking and your lifestyle.

Inframammary Technique- incision within the breast fold:

The inframammary technique requires an incision in the bottom fold of the breast, where the breast meets the chest wall. This is a common technique and incision site, the incision and scar will be in the fold of the breast and not easily visible. This incision site and technique are generally associated with less difficulty when breast-feeding than the periareolar incision site.

Periareolar Technique- incision around the nipple:

The periareolar technique requires an incision around the nipple, this method offers the most concealed incision and scar. Placement of the implant using this incision site and technique results in damage to the duct, nerves and glandular region, the ability to breast-feed can be impaired and should be factored into your decision and discussed with your doctor.

Transaxillary Technique- incision in the underarm area:

The Transaxillary technique uses an incision in the armpit, the areas where the arm and torso come together. The incision is in a more visible area than the inframammary or periareolar techniques, but many times the scarring is minimal. This method does not usually disturb the glandular tissue that can affect the ability to breastfeed.

Implant Placement:

Subglandular implant placement results in the implant placed between the chest muscle and breast tissue. Subglandular placement may reduce your recovery time and has been reported as being less painful.

Submuscular implant placement involves placing the implant below the chest muscle. This placement can make the implant surgery last longer and the recovery can be more painful and with a longer duration.


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