What you NEED to KNOW about BREAST AUGMENTATION SURGERY | Which Incision Methods is better? Transaxillary OR Inframmary Incision?

 Hi, everyone! 

As you guys know that we are having a promotion for Black Friday, I am going to talk about one of the promotions: Breast Augmentation. To be more specific, I will be comparing two incision methods for breast augmentation: Transaxillary Incision (under armpit incision) and Inframammary Incision (under the breast incision)

At NANA, we have the number 1 breast surgeon Doctor Hwang Dong Yeon. He has had more than 6000 cases of breast surgeries. If you visit our hospital, you will be able to see him! :D

So, let’s start!

When having breast surgery, there are two incision methods you can go for.

1. Transaxillary incision (under armpit incision)
2. Inframammary incision (under the breast incision)

First of all, the Transaxillary incision method is often preferred by people who want to minimize the scar as much as possible. What this means is that the incision line that is made after the surgery will gradually fade and look just like one under the armpit wrinkle lines. Therefore, it won’t be much noticeable when going for the Transaxillary incision method as it leaves minimal scar post-operation.

1 Week Post-OP

As for the Transaxillary incision, each person has under armpit wrinkles which have many thin lines. With these thin lines, the doctor designs the incision line following the armpit wrinkle line which is about 5 cm long. Of course, this incision is not visible on the outer side. Once the design is done, the doctor performs the incision as designed. 

When making the pocket, a medical appliance called “electrocautery” is used. By sending electricity into the system, it acts as hemostasis to control bleeding. The biggest difference between the two-incision method is that for Transaxillary incision, the pocket scope starts from under the armpit and ranges through the upper side of the breast. The pocket scope covers the area of the armpit until under the breast area. Therefore, patients who had the Transaxillary incision method will usually have a hard time lifting up their arms for 4 to 5 days’ post-operation. When making a pocket, an endoscope acts as hemostasis to control bleeding while making the pocket accurately. For both incision methods, internal cleaning is done after the pocket is made. This is to make sure that there aren’t any infections and any substances that have a risk of causing infection. 

Electrocautery

When inserting the implant, a medical tool called “Keller Funnel” is used which is specifically designed for implant insertion. The surgery assistant will keep the incision area open and the surgeon will insert the implant using the Keller Funnel. 

Keller Funnel

After the implant is inserted, the areas of the fat layer and subcutaneous tissue with dissolving threads are stitched. As for the surface of an incision, a dermabond (medical adhesive practicable on the human body) is used for skin closure. That’s why there is barely a visible scar left as time goes on.

Dermabond

On the other hand, the Inframammary incision method is usually chosen by patients who want to have faster recovery time and less pain post-operation. The reason why this method is less painful is that the pocket scope made for the implant insertion is small. Therefore, it is less painful and patients can recover fast. However, it will leave a mark under the breast which can be noticeable depending on different patients. 

In terms of the incision, it is made following the new under the breast line with about 3.5 cm in length. After making the incision as designed, a pocket is made which covers the area from underneath the breast to the upper side of the breast. The pocket area is basically the space where the implant will be inserted.

For the inframammary incision method, as the pocket area is made smaller, the recovery time is faster and it is less painful than the Transaxillary incision. In other words, patients can go back to their daily lives right away. With this incision method, the doctor has a clear view through the pocket area so the surgery can be performed without the endoscope 

After doing the internal cleaning of the pocket, the implant insertion method is the same as the Transaxillary incision method where Keller Funnel is used. 

For stitching, deep layer suture and subcutaneous fat layer suture are performed. Then, dermabond is used for skin closure. 

The duration of the surgery is approximately 1 hour for both methods.

For the Transaxillary incision, after a year it’s easy to hide the scar as it is under the armpits and can be easily seen as one of the armpit wrinkle lines and it gradually fades away. 

As for the Inframammary incision, the scar visibility depends on the breast drooping.

If the breast is drooping a bit, an incision line can be hidden under the breasts, which is an advantage.

But if the patient had less glandular tissue or doesn’t have any breast drooping, then the incision can be pretty visible after the surgery. However, the incision line gradually fades into a thin line in about a year so it would be wrong to think that scar remains visible.

Thus, there are pros and cons for both incision methods. You can choose either method depending on your preference. 

Well, I will wrap it up here for today. 

Hope it was informative!❤

Please go check out our Black Friday Promotion as it is valid only until NOVEMBER!

If you are interested in any of the surgeries or need further information, please don't hesitate to contact NANA Hospital. Our English speaking staffs will help you through every process😉

Best,

NANA

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