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Different Types of Breast Augmentation Incisions

If you are considering breast augmentation with implants, you will need to consider which type of incisions are best for you. Dr. David Passaretti places breast implants using a variety of incisions, including around the nipples, below the crease of the breasts, under the armpits, or through the navel. Each of these incision types carry unique advantages and disadvantages you will need to consider. Dr. Passaretti will work closely with you to determine the incision pattern that is right for you. To learn more about your choices for breast augmentation incisions, contact Dr. Passaretti's Darien office today.

Pale woman covering naked breasts with hands

Inframammary Incisions

Inframammary incisions are created beneath each breast, in the crease where the tissue meets the ribs. This type of incision can be used to place both saline and silicone implants. Although saline implants can be rolled or folded up for insertion, and then filled after they are placed within the breasts, silicone implants are pre-filled. Inframammary incisions are typically the only incision large enough to accommodate a silicone implant. Although they are generally larger than other types of incisions, Dr. Passaretti is able to conceal any scarring within the natural contours of the breast. Inframammary incisions can be used to place implants either above or below the breast muscle, depending on a patient's goals. This type of incision can be reused in the future for revision augmentation or implant replacement.

Periareolar Incisions

Periareolar incisions are created around a patient's areola, which is the colored area that surrounds the nipple. This technique is especially helpful for Dr. Passaretti to carefully hide the appearance of any scarring. Periareolar incisions are typically restricted for saline implants, although some surgeons can place silicone implants using this technique if the areola is large enough. Periareolar incisions are located close to where the implants will rest, so Dr. Passaretti is able to place the implant with great precision. Like inframammary incisions, periareolar implants can be used in the future for revision surgery.

Transaxillary Breast Augmentation

Transaxillary breast augmentation is performed by inserting deflated saline implants through the arm pit. Dr. Passaretti uses endoscopic tools to create a pathway to the breast, where he can place the silicone shell either above or below the pectoral muscle. Next, he fills the implants according to your aesthetic goals. This type of incision is one of the most discreet types of incisions, since any visible scarring is hidden while your arms are down. Since a greater amount of tissue will be affected, this type of augmentation results in a slightly longer recovery time than periareolar and inframammary incisions.

Transumbilical Breast Augmentation

During transumbilical breast augmentation (TUBA), incisions are made through the navel. Through this incision, Dr. Passaretti reaches up to the breasts using endoscopic tools, where he places saline implant shells and fills them. This method results in very little scarring, which is hidden in the navel and is completely unnoticeable. Because this incision is the furthest from the breasts, it is very important to select a surgeon with a great level of skill and training.

Choosing the Best Incisions for You

During an in-depth consultation, Dr. Passaretti can help you understand what type of incision is best for your needs. Contact us today to schedule an appointment and learn more.


(203) 642-1891

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Darien Office

722 Post Rd
Ste 201
Darien, CT 06820

Open Today 9:00am - 5:00pm


(203) 642-1891