Breast Implant Incision Types

Breast Implant Incision Types

Another thing to consider with your breast augmentation surgery is the incision site. Dr. Smith prefers to place the implants through three of four areas on your body. The incision usually are about 1-2 inches long, allowing him the ability to place your desired implants. They can be placed thru your armpit, through the colored part of the areola (periareolar incision) or in the crease underneath the breast, called the inframammary incision. The fourth one is called the transumbilical incision, which is the method of placing the implant through the belly button incision, then filling it with fluid. Dr. Smith almost never does this procedure because most implants women choose are silicone gel. It’s a much nicer, softer implant that allows you more options for your breast augmentation, however it cannot be placed through the belly button incision. Dr. Smith will further explain the advantages and disadvantages during your consultation. Many surgeons can only place the implants through one incision, so by choosing Dr. Smith you’ve allowed yourself the flexibility of choosing the incision that best suits your goals. He’s highly skilled in breast augmentation and is able to place the implant through any of the three incision site choices.

the periareolar and inframammary incisions are only seen when you are topless

Periareolar Incision

The periareolar incision is an incision that is made in the colored part of the areolar, underneath the nipple. The advantage of this incision is that the scar hides very well. If you have dark pigmented skin, there’s a chance you may form a dark scar. The dark scars hide in the dark areola very well and can be completely invisible. Another advantage of this incision is that sometimes we can get a little more lift if you have very droopy breasts. The main disadvantage of this incision is the slightly higher chance of changing nipple feeling. Whenever we place a breast implant, there is a chance that nipple feeling can change through any of the three incisions. However, when we go through the periareolar incision, the risk is slightly higher. Also, if you have a very small areola, it may not be possible to place large breast implants through the small areola.

Inframammary Incision

The inframmary incision is the incision that is in the crease underneath the breast. You may choose this incision because it hides very well. The advantage of this incision is that when you’re upright, the incision is not seen because your breast will cover over the incision.You’ll typically recover the quickest of any of the three incisions, and have a lower chance of changing nipple feeling than the periareolar incision. Your main disadvantage of this incision is that the scar can sometimes be seen when you lay flat on your back, lifting your breast.

Transaxillary Incision

If you’re looking to avoid having any scars on your breasts, the armpit incision has that advantage. However, there are several disadvantages to this incision. The main disadvantage is that this incision has the most painful recover and you’ll usually need about twice as long before you can return to work. The other disadvantage is that is more of a public incision, meaning the armpit incision is a little more noticeable in public. It can be seen in regular bathing suit, tank top or strapless dress, when you lift your arm and expose your armpit. However, the incision is in your armpit and may feel that people don’t really look at your armpits. Another disadvantage is that there is a small risk of losing feeling in the armpit area, which does not exist with the other incision sites. If you’re really concerned about the incision not being on your breasts, then you should choose the transaxillary (armpit) incision.

The advantages, and disadvantage, of each incision will be discussed by Dr. Smith during your consultation. Most incisions get a little darker, for about six months, then narrow and fade for about two to three years. If you take good care of your incisions, utilizing special scar gel, scar tape, and assorted scar lasers that we have at our medical spa, most incisions will become invisible. And the choice of the incision is less important than you think

If you have any more questions about breast implant incision types, please call 702.838.3755 so we can answer your questions, or schedule your consultation. You can also fill out the form to the right and one of our Patient Coordinators will call you as soon as possible..

Breast Implant Before and After

Before & After

Breast Augmentation with Breast Implant

Saline to Silicon Breast Implant Case

This patient wanted fuller, more voluptuous breasts, so she could feel more womanly. When choosing her size, it was important to gain a few cup sizes, and remain looking natural. We love doing procedures like this because we understand this surgery is going to improve her confidence. As expected, we feel we had great results and have another satisfied patient. We’re grateful for the opportunity.

Incision site


Size in each side

Left: 600cc’s   Right:  600cc’s

Breast Cup Size*


Implant location


Implant profile

High Profile

Implant Brand


Implant Shape

Smooth, Round


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Phone: (702) 838-3755
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Breast Implant Medical Device

Breast Implant Medical Device

Many women in Las Vegas forgo breast augmentation surgery, choosing the breast implant method. At Smith Plastic Surgery, we offer a few options, including breast implants and fat transfer. Though wikipedia whimsically notes “boob jobs”, as a breast implant is a prosthesis used to change the size, shape, and contour of a woman’s breast. These Medical devices are implanted under the breast tissue or under the chest muscle to increase breast size (augmentation) or to rebuild breast tissue after mastectomy or other damage to the breast (reconstruction). Dr. Lane Smith did a fellowship at the world-famous Mayo Clinic, doing Plastic and Reconstructive Surgery. There he was fortunate to work with some of the great pioneers of plastic and reconstructive surgery, including some of the pioneers in reconstructive breast surgery.

At Smith Plastic Surgery, Dr. Lane Smith meets with you, personally, to explain further. During your consultation, he’ll also discuss options available to you, helping you decide what works best for you and your lifestyle. If you wish to learn more about the breast implant medical device. before your visit, please visit the FDA website.

Boob Job Surgery in Las Vegas

Boob Job Surgery in Las Vegas

Boob Job Surgery?

If you can’t find many doctors performing boob job surgeries, it’s because we prefer to call the surgery “Breast Augmentation”. It’s assumed the “job” being performed is augmenting, increasing the size of the breast tissue. Dr. Lane Smith is, not only, one of the leading breast implant surgeons in Las Vegas, however he’s ranked as one of the highest surgeons in the country.

Breast Implant Guide

The American Society for Aesthetic Plastic Surgery put together a resource for women looking to learn more about “boob jobs”, which we do not prefer that term. We find it’s important to educate yourself as a consumer, and learn as much as possible about this life-changing procedure. In this guide, you’ll find pros and cons about breast implants, how the procedure is performed, how your breast implants will be placed, and what options you should consider. Or, visit our interactive narrative that will guide you through an online presentation.

Location of Breast Implant

Location of the implant; “Under the muscle or on top of the muscle” is concept is a little complex to understand and we are giving a simplified description here. Basically the implants can be placed in one of two positions on the chest wall. Implants can be placed underneath the breast alone.  This is called “subglandular or submammary placement.”  In the subglandular position, the implant sits on top of the pectoralis muscle and directly underneath the breast tissue.   The other position for implant placement is in the “submuscular position.”  In this situation the implant is placed underneath the pectoralis major muscle and breast tissue.   In the submuscular position the implant sits directly on the chest wall underneath the muscle and breast tissue.

There are advantages and disadvantages to each position for the implant.  If possible we prefer to place the implant under the breast and muscle. (submuscular placement.)   This placement allows for more of your body tissue to cover the implant.  With greater natural tissue coverage of the implant, the implant feels more natural and there is less chance or implant rippling or scar formation.  It is important to know that even in the submuscular position, the pectoralis muscle may not cover the inferior portion of the implant.

Sometimes placing the implant directly under the breast or subglandular position is better for patients.   This position or placement of the implant is sometimes better for patients who have droopy or sagging breasts.  It is also sometimes better for patients who have extremely narrow or tube shaped breasts called tuberous deformity.   There are other reasons for placement in one or the other position and there are variations to the two standard positions.   There is even a position that is half under the muscle and half over the muscle called the “dual plane” position.  This position is a compromise of the benefits of the subglandular position (more lift,) and the submuscular position (more tissue coverage.)  In general, Dr. Smith will help guide you with this decision.

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