INCISION LOCATION

The incision in the crease under the breast (inframammary) is the most common breast augmentation incision used today and has the following advantages:

Better visibility: the plastic surgeon has a clear view during the operation on the pocket in which the implant is to be placed so that the pocket can be perfectly tailored.
There will be less blood loss. The risk of haemorrhage drops so that usually no drains are necessary.
The scar is hidden in the natural crease under the breast and is less visible than in the armpit.

The incision around the nipple (periareolar) has the disadvantage that it involves cutting through breast tissue and that the sensibility in the nipple may be reduced.

The incision in the natural crease of the armpit (transaxillary) has the disadvantage that the distance of the incision from the breast can negatively reduce the surgeon’s ability to control bleeding and to position the implant correctly. If the scar in the crease of the armpit heals poorly, it is noticeable in bikinis and sleeveless tops. If capsular contracture problems occur, another incision (and scar) will be necessary for treatment.

The incision in the rim of the navel (transumbilical TUBA) can only be used for saline implants. The distance of the incision from the breast can negatively reduce the surgeon’s ability to control bleeding and to position the implant correctly.

LOCATION PLACEMENT OF THE IMPLANT

The implant can be placed in different ways: before the muscle (subfascial) or partly behind the muscle (dual plane). This will be discussed during the intake with the plastic surgeon. Following the latest techniques, polyurethane implants are more frequently placed before the muscle.

Five years ago, Dr. Nelissen placed the implants in 25% of the breast enlargements under the muscle, but now this is still less than 5%!
Because of this, there is a smoother recovery, the breasts look more natural and there is less chance of a 'double bubble'.

During the intake interview with the plastic surgeon, the placement of the implants (below or above the muscle) is discussed with the patient.
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