Breast Augmentation Incision Types

For the woman in Perth who has decided to have a boob job, one of the important decisions she has to make is which cut she will get. In today’s blog post, I will discuss the different types of breast augmentations performed by Board-certified plastic surgeons in Australia. Transaxillary breast enlargement is when the incisions are made under her armpits. 

Breast Augmentation Incision Types - Cosmetic Surgery
In the case of breast augmentation, the Plastic Surgeon makes an incision into which he inserts a breast implant. The incisions for saline solution are about one centimetre long, while the incisions for silicone or gel implants are usually a little longer. Transaxillary breast enlargement involves inserting breast implants into a channel that leads to the breast tissue. 

Breast augmentation incision types

Here are common breast augmentation incision types:

  • The inframammary Incision

Inframammary incisions are made in the fold where the lower part of the breast meets the chest wall. From there, a saline or silicone implant can be inserted below or above the muscle.

  • The Periareolar Incision

A periareolar incision is a cut made by the surgeon where right below the lower half of the areola is the incision (the pigmented circle around the nipple). For breast augmentation, breast raise or removal and exchange of breast implants, this incision is very normal.

  • The Transaxillary Incision

A breast enlargement procedure where breast implants are inserted by an armpit incision is transaxillary endoscopic breast augmentation. The incision is thin, about 1 inch, and the width of the armpit is well covered. It is hardly visible as the incision heals.

The saline implants are then implanted by rolling and inserting and filled with a syringe of sterile saline solution so that the surgeon can make the smallest possible incision. 

With this type of implant, the scars left by augmentation are usually small and well hidden. In this type of cut, any scar left behind as part of the body’s natural healing process can be hidden and invisible. 

It is important to know that not all incisions are suitable for all types of implants. Many methods can be used for the pre-filling of implants, but with this cutting technique only unfilled implants can be used. 

Breast Augmentation Incision Types - CosmeticWest

The best incision for breast augmentation

For Perth women considering breast augmentation, one of the most important decisions they can make is the type of incision that should be used for plastic surgery. For this reason, surgeons will discuss which one is best for you based on the size of your breasts and the chest muscles into which you are inserting the implants. There are many types of breast implants for breast surgery, but all incisions of this type have their own advantages and disadvantages. 

There is no magic way to insert the implants without making this type of incision, so it is important to consider all options when choosing incisions for breast enlargement surgery. To help you make your decision about breast enlargements, we have written a blog post explaining each type of breast enlargement. 

The first decision point is whether this procedure involves a breast enlargement in combination with a breast lift. A half circular incision is made between the nipple area surrounding the nipple and the pectoral muscle. This procedure, also known as peri-areolar augmentation, is a procedure in which saline, silicone or gel implants are inserted into the pectoral muscles of the dark areolas surrounding the nipples. 

The plastic surgeon cuts the fat and breast tissue around the nipple and creates a pocket in the nipple, the main muscle of the breast. 

A silicone or saline implant is then inserted into the bag and positioned by the doctor. In order to cut through the scar tissue, a separate incision is made in the breast and a silicone implant, usually a saline solution is inserted. The enlargement of the implant or the replacement of a leaking implant can usually be performed without the original armpit incisions. 

Transaxillary incision breast augmentation

The transaxillary incision hides the scar on the armpit and leaves no scars in the chest. Surgeons usually use the following armpit incisions: the transaxillary, anterior and posterior. The results of the incisions are excellent and the patients are delighted with the results, even though there is no visible scar in the breast or under the breast itself. 

However, the use of transaxillary incision increases the risk of asymmetrical breasts. In the inframammary incisions, a Perth plastic surgeon who performs a breast augmentation will place the incision where the breast meets the chest. The proximity to a breast pocket facilitates precise placement of breast implants, which often leads to better results for breast augmentation. Perth’s women considering this incident will have to weigh the pros and cons. 

Areolar incision, also known as periareolar incision, is an approach that allows the surgeon to place a breast implant in the area of the areola or part where the dark tissue meets the rest of the breast. The incisions are made at the end of each breast pocket and in a part near the areola, Where dark tissue meets the rest of a woman’s breast, and then at an angle. 

After the incision, the implant can be inserted into the chest muscle or the chest muscles. Dr. Mark Duncan-Smith inserts the breast implant in the nipple area, at the end of each breast pocket and at an angle. The pattern you choose depends on what you feel comfortable with and what type of implant you choose. 

Each type has its own unique benefits that you need to consider before you select the right type of breast implant for you and your specific needs. 

Which incision is best for breast augmentation?

Placing silicone gel implants into an armpit incision is normally NOT advised. Crease on the underside of the breast (inframammary)-The most common incision used and most flexible is an inframammary breast crease incision.

Which type of breast implant feels the most natural?

Silicone breast implants are more likely than saline replacements to function more like normal breast tissue. This is particularly true of the form-stable breast implant (‘gummy bear’), which is packed with a cohesive gel that almost perfectly mimics the feeling of natural breast tissue.

What is better round or teardrop implants?

The right implant for your body and the ideal result will be selected by your surgeon. Knowing the function of numerous implant shapes available, though, will help you appreciate the advice of your surgeon and set your goals.

Implant shape is dependent on:

  1. Position of Nipple
  2. The gap between breasts of yours
  3. The ptosis degree (sagging)
  4. The sum you have of natural breast tissue
  5. The unique chest shape of your individual anatomy
  6. The gap between the nipple and the infra-mammary fold
  7. Your ideal result of the surgery or “look" you expect to achieve
  8. Your normal form of the body (eg: slim, muscular, petite or broader body type)
  9. Your normal breast tissue position/shape (for example Tuberous breasts)
  • Round Implants

The most widely used implants are circular implants, which usually achieve more fullness of the upper pole with a distinct round look. For those with a near-perfect natural breast shape, slight breast sagging (ptosis) and central nipple positioning, this perfectly symmetrical implant is ideally suited.

The implant would highlight the normal form you already have since the implant is completely circular. Round implants might be a good option for you if you are aiming for a more enhanced look with a lot of upper breast fullness.

  • Teardrop (Anatomical) Implants

For many patients, this flexible implant form is quickly becoming a more common alternative. As the name suggests, the implant is shaped like a teardrop, with greater fullness in the lower half of the implant. The implant thus mimics the natural breast shape more closely and produces a flat, tapered upper pole change with a natural breast contour and is better fit than a circular implant for more breast forms.

For patients with very slight ptosis, lower-placed nipples and those with tuberous breasts, a Teardrop implant gives better projection. For those with lower body fat or wanting a natural look, teardrop implants are a perfect option. Check out for more information.

Do breast implants feel natural to touch?

Silicone breast implants are more likely than saline replacements to function more like normal breast tissue. However, where the right procedural precautions are taken, various kinds of breast implants will all feel normal to the fingertips.

Is 55 too old for breast augmentation?

Let’s cut through the chase: you’re not old enough to see a breast rise. While often used mainly as a 20- or 30-something treatment, the age at which breast implants are received is neither right nor wrong. Breast augmentation is for patients aged 20-50 years who are positive about their performance.

How long does a fat transfer breast augmentation last?

A cosmetic procedure that changes the appearance of the breasts is breast augmentation. With breast implants, this transition is often completed, but repair procedures are typically required every 10-15 years.

How long does it take for breast augmentation incisions to heal?

Recovery from breast augmentation typically takes 6 to 8 weeks. When you experience complications, such as an infection or implant leak, it may take longer. Ignore the guidance of the surgeon to ensure a successful recovery. Wear the recovery bra, and as instructed, take care of your incision sites.

What happens at 6 weeks post-op breast augmentation?

During recovery, expect pain, tenderness, and sensitivity, especially during the first six weeks post-op. You will wear a compression dress for six weeks during the breast augmentation (included in the cost of breast augmentation surgery). This helps to hold the implants as you recover in place.

Check out this link to know more.

Article references:

Hidalgo, David A. M.D. Breast Augmentation: Choosing the Optimal Incision, Implant, and Pocket Plane, Plastic and Reconstructive Surgery: May 2000 – Volume 105 – Issue 6 – p 2202-2216

Jeffrey M. Jacobson, Margaret E. Gatti, Adam D. Schaffner, Lauren M. Hill, Scott L. Spear, Effect of Incision Choice on Outcomes in Primary Breast Augmentation, Aesthetic Surgery Journal, Volume 32, Issue 4, May 2012, Pages 456–462,

Somogyi, Ron Barry M.D., M.Sc.; Brown, Mitchell H. M.D., M.Ed. Outcomes in Primary Breast Augmentation, Plastic and Reconstructive Surgery: January 2015 – Volume 135 – Issue 1 – p 87-97
doi: 10.1097/PRS.0000000000000773

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