By Vanderbilt & University of New York Trained, Arnold P. Gold Foundation & Theodore C. Jewitt M.D. Goldstar Awarded, Plastic Surgeon & Seattle Wa's Dr. Rikesh Parikh MD

Our Featured Testimonial for Dr. Rikesh Parikh

"Dr. Parikh changed my life for the better by augmenting my breasts. He's the definition of a perfectionist and does absolutely impeccable work." ~ 20's Female

Click here to see her own page: Breast Augmentation Former Pro Cheerleader

Click here to see our Breast Augmentation Video by Dr. Parikh

Different (Approaches) Incision Placement for Breast Augmentation

  1. Inframammary Incision (IMF): This is a 4-6 cm incision in the crease area underneath the breasts. This is the most common approach used and allows for optimal exposure of the pocket. If a complication was to occur for example a bleed or hematoma postoperatively this is approach is commonly used to re-enter the pocket regardless of which approach is used originally.
  2. Periareoloar Incision: This incision runs partially around the areolar border. This requires dissection through the glandular tissue of the breast to reach the appropriate plane either subglandular (above the muscle) or subpectoral (below the muscle). If the areolas are small, a larger sized implant may not be able to be placed safely through this approach. The advantage of this incision is possibly less noticeable scarring. However dissection through breast tissue is performed to access the subpectoral or subglandular space which may be associated with higher rates of subclinical infection.
  3. Transaxillary: An incision through the armpit (axilla) region. These scars are generally hidden from the breasts. However a scar is seen in the armpit area. It may be done as a blind technique or with the aid of an endoscopic like device. This dissection is commonly performed bluntly. If a bleed or hematoma was to occur postoperatively an IMF (inframammary) incision is usually performed at reoperation. 
  4. Periumbilical (TUBA - transumbilical breast augmentation): The placement of a saline breast implant through a belly button (umbilicus). Advantage is no scar on the breast area, however its application is limited to saline implants, and if there is a need for revision surgery a separate incision must be performed. Usually an Inframammary approach will be used. This is probably the least common approach to breast augmentation being performed.

Primary Breast Augmentation

Rikesh Parikh MD, Aesthetic Facial Body Plastic Surgery

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