Breast augmentation surgery: Inframammary (in the fold under the breast): An incision, one to two inches long, is made in the fold in the shadow under the breast. Through this incision, a pocket is made either behind the pectoral muscle or behind the breast. The implant is inserted into the pocket and inflated. The only disadvantage is that there may be a noticeable scar under the breast.
Periarolar (around the lower border of the nipple/areola): An incision is made at the margin of the pigmented portion of the nipple and the skin of the breast. Pockets for the implant can then be made either behind the breast or behind the pectoral muscle. The breast implants are inserted, inflated, and adjusted for symmetry.
Axillary (armpit): The axillary incision is made through a crease in the armpit. The pocket for the breast implant can be made in front or behind the pectoral muscle. The advantage of this approach is that there are no scars on the breasts.
Umbilical (belly button): A small incision is made in the belly button. With a special instrument, a tunnel is made from the incision to the back portion of each breast. The breast implants are rolled up like cigars and passed up these tunnels. They are inflated, checked for symmetry, and the incision is closed. The advantage of this approach is the absence of scars on the breasts. The disadvantage of this approach is the necessity to place the mammary prosthesis in front of the pectoralis muscle as well as behind the breast.
Breast implants
A saline fill takes place through an incision most commonly placed at the bottom, 6 o'clock, position of the areola.
Risk of Breast enhancement
Surgery always involves risks, for example infection, bleeding, or implant failure. Modern techniques of breast enhancement are carefully performed to minimize risks but cannot guarantee a perfect result every time.
