1.Areolar incision: Choose to make an incision with an arc length of 3-4 cm at the edge of the areola (usually below the areola). The areolar incision has the advantage of being discreet, less visible scarring after recovery, and is suitable for most breast types. In addition, due to the less distribution of nerves in the areolar area, the nipple sensitivity is low after surgery, and it is not easy to have decreased or lost nipple sensation. However, due to the proximity of the incision to the breast tissue, the risk of infection is relatively high and may affect milk production. Therefore, for women who are breastfeeding or people with more developed breast tissue, areolar incision may not be the best option.
2.Axillary incision: The length of the axillary incision varies depending on the type of breast implant, but is generally 3-5cm. The incision runs parallel to the axillary fold** and is more discreetly located. The advantages of axillary incision are that the operation is simple, the postoperative pain is less, and the recovery is faster. In addition, the risk of infection is lower because the incision is located far away from the breast tissue. However, axillary incisions can be difficult to perform in patients with more axillary fat. Therefore, when choosing an axillary incision, it is necessary to consider the individual's axillary morphology, breast size, and surgical needs.
3.Inframammary fold incision: This incision is located in the inframammary fold** and is 2-4cm in length. The advantage of choosing a submammary fold incision is that it is easy to operate, can be used for a wide range of breast types, and the postoperative scar is more hidden. However, the risk of infection is relatively high because the incision is located close to the lower pole of the breast. At the same time, the surgery may have some effect on the breast tissue, resulting in blockage of the milk ducts or atrophy of the breast tissue.
When choosing an incision method, the patient should have adequate communication with the plastic surgeon to discuss the following factors:
1.Patient's physical condition: including the original size, shape, elasticity of the breast, and the size of the areola.
2.Type and size of implants: Different incision styles may suit different types (silicone, saline) and sizes of implants.
3.Post-operative recovery expectations: Some incisions may have longer recovery times or larger scarring** needs.
4.Physician's experience and skills: The doctor's proficiency in different incision modalities will also influence the choice.
5.Patient's personal preferences: including acceptance of the location of the scar and expectations for the outcome of the procedure.