Scarring is often a concern among cosmetic surgery patients. Though scars are inevitable in any surgery, the modern techniques we use at Synergy Plastic Surgery can greatly reduce scars’ appearance. Both Dr. Bekanich and I are certified to use the Keller Funnel™, a device that enables us to safely insert implants using very small incisions. At your consultation, be sure to ask whether the Keller Funnel is appropriate for your surgery.
Inframammary incisions are made along the breast crease, where the breast meets the torso. Because this area is naturally concealed, an inframammary scar is well hidden in clothing and swimwear. The length of this type of incision depends on the specifics of the surgery, but is usually about an 1 ¼ inch across resulting in a very favorable scar in most patients. This is the most common incision choice for the typical breast augmentation patient. I like this incision a lot because it is not typically visible to the patient after surgery if they are nude and looking into a mirror, and it represents the smallest overall incision type we can make.
Periareolar incisions are made around the border of the areola, which is the area of dark skin surrounding the nipple. Though this incision is made directly on the breast, the resulting scar often blends well with the darker skin of the areola, eventually fading enough to become nearly invisible. This incision is best suited for women with larger areolas or women who need a nipple lifted into a more pleasing position on the breast.
Transaxillary incisions are used less commonly and are made in the armpit. Many patients appreciate that this incision leaves the breast completely free of scars. However, because of its remote location, this incision provides the surgeon with less control resulting in higher rates of revisionary surgery and the scar can be quite visible in swim suits and tank tops.
Umbilical incisions sound like a good idea but in reality are more of a gimmick. This incision can only be used with saline implants and leaves the surgeon without any means to tailor muscle release to help create close cleavage. In the Austin area there are no true board certified plastic surgeons currently offering this incision type so I would counsel patients to think twice before having this procedure.
Whatever incision we end up choosing together breast augmentation is an excellent way to improve not only your breast shape and volume but also your self-confidence and body image.
-Mahlon A. Kerr, MD, FACS
Diplomat, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Fellow, American College of Surgeons