Incisions

You and Dr. Adams may select any of three traditional incisions for your breast augmentation procedure.

The inframammary incision is made in the skin fold below the breast. With this direct approach, the breast tissue is minimally disturbed and the remaining incision scar is generally concealed within the fold of skin under the breast. This faint incision is not visible when standing, but may be visible when you are lying down.

The periareolar incision is made in the armpit area, creating a small scar outside of the breast area. This incision is quite well hidden once mature, but may be visible in sleeveless shirts/tops especially in the 1st 6 months.

The transaxillary incisionis made along the edge of the colored area of the nipple This generally will enable the incision scar to be nearly invisible once it matures. The diameter of your existing areola must be large enough initially to permit the use of this incision.

What does scar maturation mean?

As a scar heals it goes thru different phases initially being red and firm and progressing to a more mature scar that is similar in color to your other skin and soft to the touch. This maturation process takes 6-12 months.

Dr. Adams uses several specialized scar therapy protocols to make your incisions as imperceptible as possible. Dr. Adams will explain these protocols to you and monitor your incisions as they mature to give you your optimal result.

"With respect to incision locations, I tell the patient that she is welcome to choose the incision she prefers, and that she should consider the following things:

How much does the incision allow my surgeon to control the operation?

How much normal tissue is traumatized for access via each approach?

How much is the implant exposed to potential contaminants with each approach?

How many critical neural or vascular structures are in proximity with each approach?

BOTTOM LINE- IT’S REALLY ABOUT CONTROL, MINIMIZING TISSUE TRAUMA AND BLEEDING, AND AVOIDING POTENTIAL INJURY TO ADJACENT STRUCTURES.

I don’t offer the transumbilical approach because I tell patients that it doesn’t allow me to logically meet the criteria I just mentioned. And finally, I tell them that my experience has been that if we achieve a beautiful breast, no one ever pays attention to where the scar is located."

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