Different Breast Augmentation (Enlargement) Incisions

The location of your incisions for breast augmentation (Enlargement) surgery can impact the type of implants used for your procedure and may affect the final look of your breast augmentation (Enlargement). You will work closely with Mr Gwanmesia to determine which incision type works best for you.

Factors That Impact Incision Location

• Type of implant placed
• Size of implant placed
• Areola appearance
• Feelings on scar visibility

Incision Options

You will discuss the factors that impact your incision options with Mr Gwanmesia. After evaluating your physical characteristics and discussing your aesthetic desires with you, Mr Gwanmesia will make a recommendation as to which incision will be best for your procedure.

• Inframammary is Mr Gwanmesia’s preferred incision location. The incision is created along the crease below the breast (inframammary fold).
  • Implant options – saline, silicone, gummy bear
  • Scar visibility – minor scar formation following the procedure, which is inconspicuous below the breasts and is likely to fade over time
  • Impairment of breast functionality – little, due to the implant being placed below the nerve structures of the breasts
• Periareolar is a popular technique, especially for patients who require areola resizing or repositioning. The incision is created around the outer border of the areola.
  • Implant options – saline, smaller silicone
  • Scar visibility – mild scar visibility, which usually blends naturally with the areola
    Impairment of breast functionality – possible, due to potential damage to the nerves during implant placement
• Transaxillary is a technique used less often. The incision is created in the armpit, and the implant is placed using an endoscope.
  • Implant options – saline
  • Scar visibility – no scarring on the breasts; small scar within the crease of the underarm
    Impairment of breast functionality – minimal
• Transumbilical is rarely used, where the incision is created within the navel and the implant is placed using an endoscope.
  • Implant options – saline
  • Scar visibility – none
  • Impairment of breast functionality – minimal

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Dr Ivo Gwanmesia

Dr Ivo Gwanmesia is one of Harley Street’s most experienced and renowned craniofacial plastic surgeons. With over a decade of professional experience, he has transformed the lives of countless patients from all over the UK & abroad.

Due to his vast and hands-on training in the UK and the US, Dr Ivo now specialises in more than a dozen different aesthetic, craniofacial and transgender procedures. Some of them include face, neck, and brow lifts, upper and lower blepharoplasty, breast reduction & breast uplift as well as facial feminisation surgery, to name a few.

Dr Gwanmesia has also conducted pioneering research, which led to the development of a new technique for the reconstruction of the middle vault of the nose, known as the ‘Fulcrum Spreader Graft’. He was also part of a study comparing the efficacy of the Sheen Spreader Graft and the Fulcrum Spreader Graft. The study has since been published on PubMed and the Journal of the American Society of Plastic Surgeons.