My favorite incision locations for most breast implants in Los Angeles are periareolar or inframammary. The periareolar incision is made as a semicircle at the lower border of the pigmented areola. It heals beautifully and uses the interface of the darker and lighter pigmented skin to camouflage the incision. For patients with small areolas, it may be preferable to use the inframammary incision, located underneath the breast. This incision also heals very well, and is especially useful for women with well defined creases under their breasts.
Dr. David Stoker, board-certified plastic surgeon in Los Angeles, and I have a beautiful result from our rapid recovery breast augmentation procedure that I'd love to share with you. We achieved the L.A. natural results that she's seeking, and this is her story.
She's a 36-year-old woman who had a full A cup breast size. She decided she wanted... Read More
For a 22-year-old, this woman's breasts drooped significantly, making them appear older. She wanted to find a Los Angeles breast implants specialist who could give her breasts a fuller and more youthful appearance. She came to Dr. David Stoker's practice to discuss her options with one of our board-certified plastic surgeons.Because her breasts... Read More
The axillary incision (in the armpit) is another option, but it’s better suited for saline implants than silicone gel. Because this access incision is a greater distance from the implant pocket, it’s less precise than the periareolar and inframammary approaches. Studies have confirmed that there is a higher implant revision rate using the axillary approach. Usually the axillary scars heal well, but they may still be visible when the patient wears sleeveless outfits.
Nipple Sensation with Incision Location
Patients frequently ask what effect the incision location has on maintaining nipple sensation after surgery. The answer is that the access incision usually has little effect on nipple sensation. Rather, it’s the size of the implant pocket that has the largest impact on nipple sensation. Large implants may require a pocket that stretches the nerves to the point that they do not function well, increasing the odds of impaired nipple sensation. Even so, the vast majority of my patients maintain normal nipple sensation.
Breast implants may be placed over or under the pectoralis major muscle. In the early days of breast augmentation, all implants were placed on top of the muscle. However, in recent decades, it has become more common to place implants underneath the pectoralis major muscle. The muscle covers the top half of the implant, providing additional thickness of coverage over the implant in the critical cleavage area. This makes it less likely that the implant edges or ripples will be visible when wearing a bra or bathing suit. Studies have also shown that the rate of capsular contracture is lower when the implants are placed under the muscle. Breast imaging to screen for breast cancer is more accurate when the implants are placed behind the muscle. For these reasons, I prefer to place implants underneath the muscle for most of my breast implant patients in Los Angeles.
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At the end of each breast augmentation operation, I place a long-acting local anesthetic around the implant so that patients will feel only minimal discomfort following surgery. Most of my breast augmentation patients take only a few days off from work to recover. Patients may ease back into their normal exercise routine beginning several weeks after surgery.
Our expertise extends beyond plastic surgery. We offer an extensive range of non-surgical treatments administered by our talented, experienced team of aesthetic providers under the guidance of board-certified plastic surgeon Dr. David Stoker.
If you have a treatment in mind, review our complete offering of non-surgical services. If you need a little help deciding, narrow down your options with our interactive treatment planner.
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