There are several choices of incision site for breast augmentation:
• Transaxillary - incision is in the underarm
• Periareolar - incision is in the lower border of the areola
• Inframammary - incision is beneath the breast
The choice of incision location is part of the consultation process. Dr Carman notes that, “The transaxillary or underarm incision allows the procedure to be done with no visible scars on the breast. In my opinion, hiding the skin incision in the underarm has been the single biggest improvement in breast augmentation surgery in the past 20 years.”
Breast augmentation using an underarm incision has been a uniquely successful aspect of Dr. Carman’s Toronto based breast surgery practice. Dr. Carman has performed over 2000 transaxillary breast augmentation procedures and is acknowledged by his peers as having the most experience in this technique of any surgeon in Canada.
Although the underarm incision is desirable, it is not appropriate for all breast augmentation patients. Those patients with more than moderate breast overhang, or those with a tight lower curvature may need an areolar incision to allow greater control of the breast shape. An incision under the breast is usually reserved for those women who require firmer cohesive implants to correct a breast shape that has settled a significant amount.
The decision regarding implant incision site is determined during the pre operative consultation and is part of the individualised surgical planning that is so much a part of Dr. Carman’s approach.
View photos of underarm incisions