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If you have been doing some research into breast augmentation , you have probably learned that there are three commonly-used incisions for breast augmentation: at the breast crease (inframammary), around the nipple (periareolar), and in the armpit (transaxillary). You may also have run across people talking about how this is one of your breast augmentation "options," and you may be stressing out a little bit. How do you pick an incision? Isn't that the doctor's job? The good news is that you can relax: if you pick a board-certified plastic surgeon you trust, he will give you good advice about what incision is best for you, and you can take it. But that doesn't mean you shouldn't do your research and be prepared for giving some input into the question. Here's what you need to know about the breast augmentation incisions: Where the Incision Is, so the Scar Will Be It is basic, but crucial. Wherever the doctor places the incision is where you will have a scar. It's unavoidable. Your surgeon will give you advice for taking care of the incision site and in most cases the incision will all but vanish, but unfortunately some women see adverse scarring from their breast augmentation. Wherever you place the incision is where you will have the scar, and if you suffer from significant scarring, it can be serious. For this reason, women should think twice before getting transaxillary breast augmentation, especially if they have a family or personal history of poor scarring. For most women, the inframammary incision is well-concealed and is an ideal place for hiding any adverse scarring. What Type of Breast Implants Do You Want? Silicone breast implants were granted re-approval by the FDA in 2006 after no evidence was found to support claims that they were linked to autoimmune disorders or breast cancer. As a result, many women desire these implants because they look and feel more natural than saline implants. Silicone implants come pre-filled from the manufacturer, and must be inserted filled, requiring a longer incision. The inframammary incision easily allows for longer incisions and doesn't require the doctor to force the implant, which can be associated with a greater risk of complications. Speaking of Complications . . . As doctors gain experience and practices improve, the rate of complications is going down, but remains significant. The most recent large-scale study shows that nearly 17% of women experience some complication, with about 5% requiring revision surgery. Incisions at the breast crease are associated with lower complication rates than other incisions. In particular, women who have the incision at the nipple may be more likely to experience complications related to breastfeeding. And if your complications require revision surgery, the most common site for revision surgery incisions is the breast crease. Having an inframammary incision the first time you will not have to have a second scar if your surgery requires revision.
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