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Breast Implant Incision Placement

The breast implant incision or scar location after breast augmentation is a focus point of many patients’ prior to their consultation. Regardless of where the incision is made, there will always be a scar, as no surgeon can perform scarless surgery. Dr. Feldman is always amazed, when competitors have promised that. The three approaches each have positives and negatives. You should consider all three when determining the best incision for breast augmentation.

Infraareolar

Infraareolar (under the nipple) incisions are associated with a higher risk of implant infection, higher risk of capsular contracture and could interfere with breastfeeding, as some of the breast tissue and duct work is disrupted. Counterintuitively, it is not associated with higher chance of numbness. It is not commonly requested in the US, but is very popular in Central and South America.

Transaxillary

Transaxillary (armpit) incisions are also associated with a higher risk of implant infection and higher risk of capsular contracture. Additionally, it’s hot and humid in Texas for much of the year, so if you wear a tank top, sundress or bikini and lift your arm, in my opinion, you are far more likely to casually show this scar than the other two options. Third, you can have numbness or persistent ingrown hairs which can be bothersome if you shave your armpits. Last, but most importantly, is that breast implants placed through the armpit tend to “ride high” as the implant can be placed under the muscle, but if the muscle ends above the bottom of the breast it traps the implant in a less than pleasing position. This results in native breast tissue falling off the front of the implant or a “snoopy deformity.” A true dual plane cannot be created through the armpit. So it’s not a question of if Dr. Feldman can put an implant through your armpit, but whether or not it will ultimately yield the best result.

Inframammary

Inframammary (under the breast/in breast crease) incisions have the overall lowest complication rate, and Dr. Feldman believes yield the prettiest results, among the most common chest/breast anatomy in his practice. That’s a win-win situation, with a lower chance of complications and higher likelihood of the best result, which is why it’s the most common way Dr. Feldman places implants and the most common way implants are placed in the US. The incision is small, 4-4.5cm, or about 1.5 inches long, and is hidden by the crease and shadow your breast now creates. It will mature and fade over 6-12 months, but will never disappear.

Ultimately, the size, shape, cleavage and nipple position are the metrics that you will use to assess your result after breast augmentation surgery. If you have a “pretty” result, the incisions will mature and fade and are not an issue for the overwhelmingly majority of augmentation patients’. So at your consult Dr. Feldman will focus on how to deliver the most reliable, pleasing and pretty results.


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THE ALLERGAN RECALL OF BIOCELL TEXTURED IMPLANTS AND TISSUE EXPANDERS

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This July Allergan announced that it was recalling BIOCELL® Textured Breast Implants and Tissue Expanders. With the recent coverage of breast implant-associated anaplastic large cell lymphoma (BIA-ALCL) in the news, some of our patients are searching for more information about the safety of breast implants. Learn more about the Allergan recall, Bancroft Feldman's policy on using textured implants, and what our patients' options are.

What Our Patients Are Saying

AR, Katy, TX

"Dr. Feldman is a great surgeon and makes you feel very comfortable. I looked online for several surgeons and after visiting for my first consultation, Dr. Feldman and all the staff made me feel very comfortable, so I chose to have my Breast Augmentation at Bancroft Feldman Plastic Surgery. Overall, I would rate my final result as a 10, would recommend them to my friends, and will return to Dr. Feldman if I decide to have additional surgery.

I would like to thank all the staff for their great service! All the staff is awesome, super informative, and helpful!"

ST, Houston, TX

"Just reaching out to say.... I am officially 8 weeks post op today! I am so glad to have met you (Jeannette and Dr. Feldman) and the rest of the BF family. I am thankful you all are as awesome as y’all are, took such great care of me and I am thankful for my new girls! Life is so much better with boobs!"

GC, Houston, TX

"I loved the staff at Bancroft Feldman. You guys made me feel welcomed and Jeannette was the best. Always friendly and wanting to help as much as she could. Dr. Feldman was respectful and very professional at his work. I ultimately selected you to do my Breast Augmentation because of the special you guys had for the summer and not needing to go to the hospital for surgery."