Breast Implant Placement Options

Illustration of breast indicating breast augmentation incision patterns.Every aspect of breast augmentation surgery – including the method of breast implant placement – can be customized to meet your goals. Jacksonville, FL-area cosmetic and plastic surgeon John Tyrone will take careful note of your goals to recommend the best type of incisions and location of the breast implant (submuscular or subglandular) for you. As a leading plastic surgeon focusing on breast procedures, Dr. Tyrone can recommend treatment options to help you achieve precisely the enhancement you desire. To learn more, please schedule a personal consultation with Dr. Tyrone today.

Incision Considerations

Dr. Tyrone uses one of two types of incisions: an inframammary incision (IMF) and a periareolar incision. With IMF, the incision is made in the crease under the breast close to where it meets the ribcage. A  periareolar incision is made partially around the areola (the colored area around the nipple). 

IMF Incisions

IMF incisions often provide the best symmetry for your implants. In addition, they lend themselves to revision surgery in the future, since your existing scar can be used for the new incision. It is easier to place implants with the IMF method, which helps reduce risks and complications. The scar may be more visible than with the periareolar method, but Dr. Tyrone excels at creating incisions resulting in very subdued scars. Smooth (non-textured) saline implants require an incision of only approximately one to 1.5 inches, while textured or silicone implants require slightly longer incisions.

Periareolar Incisions

Creating the incision around the nipple is considered the best way to hide the scar, which will blend with the areolar tissue. However, candidacy for periareolar incisions is rarer than that of IMF, especially if you have small areolae. There is also a greater risk of interference with breast feeding, since it may result in some blockage of the milk ducts. Periareolar placement can be a good choice for women having a breast augmentation with a breast lift, especially if they want to reduce the size of their areolae.

Placement Considerations

Implants can be placed either under the pectoral muscle (submuscular placement), or above (subglandular placement). Although the majority of patients choose the sub-pectoral method, there are cases in which subglandular placement is advisable.

Submuscular Placement

Many believe submuscular placement provides a more natural-looking result, since the implant is covered by additional tissue and the muscle helps shape the implant. There is also a reduced risk of capsular contracture (scar tissue tightening and distorting the look of the implant) and “bottoming out” (gradual lowering of the implant below the breast crease). However, submuscular placement requires a longer recovery time, and not every patient is a candidate due to body type.

Subglandular Placement

Because it is less invasive than submuscular placement, subglandular recovery time is quicker and more comfortable. Some consider the results of subglandular placement to look less natural, but some women prefer the rounder, more voluptuous look. In addition, the implants can be placed closer together and can therefore generally create more cleavage. However, risks such as rippling, stretch marks, and “bottoming-out” are increased, since the implant is covered with less tissue.

Learn More

You can depend on Dr. Tyrone to fully explain your options and help you make an informed decision about every aspect of breast augmentation surgery. To learn more, please contact us today.

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