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Augmentation Incision Sites

There are 3 common incision sites: around the nipple (periareolar), within the breast fold (inframammary), or under the arm (axillary).

Periareolar-This incision is the most concealed, but is associated with a higher likelihood of inability to successfully breast feed and nipples diminish sensitivity, as compared to the other incision sites.

Inframammary-This incision is a little less concealed than periareolar and associated with less difficulty than the periareolar incision site when breast-feeding and less nipple-areola sensitivity problems.

Axillary-This incision is more visible than the others and associated with less difficulty than the periareolar incision site when breast-feeding. But achieving symmetry is more difficult with this technique.

Umbilical / endoscopic-This incision site has not been well studied and is not recommended by the manufactures.

We perform more augmentations through inframammary incisions than any other incision approach. The inframammary approach, in Dr. Pino's opinion, unquestionably provides the most control in the widest range of breast types with the fewest trade-offs and the fastest more predictable recovery compared with other approaches.

Actually, scar location is one of the things patients are most concerned about before their surgery, and least concerned about after their surgery. If a woman has a beautiful breast, no one pays attention to a stretch mark, or a small blemish, or a scar. If the quality of a scar is good, it's no more apparent than a stretch mark

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