Breast Augmentation Washington DC
Incisions - Pocket Location - Silicone vs. Saline - Implants and Mammography - Implant Massage Exercises
Breast augmentation not only increases the size of the breasts, but can also improve their shape. Some women have naturally smaller breasts which they would like enhanced, while others are looking to regain volume that they have lost after pregnancy and breast feeding or weight loss. While the concept of breast augmentation is straightforward, there are a number of choices which allow us to customize the surgery for each individual.
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After |
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Age: 28 yo
Incision: Periareolar
Implants: Saline, moderate profile
- Left: 300 cc
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Right: 275 cc
Time after surgery: 7.5 months |
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Breast Augmentation Incisions
There are 3 incisions through which a breast implant can be placed. These are:
- Inframammary - in the fold beneath the breast
- Periareolar - around the edge of the areola
- Transaxillary - through the armpit
The choice of which approach is used depends upon the preference of the patient and physician as well as the size and type of implant.
The inframammary incision is placed at or just above the fold beneath the breast. The advantage of this approach is that the pocket where the implant will sit can be developed without cutting through any breast tissue. There is no limitation as to the size or type of implant that can be placed.
| Before |
After |
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Age: 41 yo
Incision: Inframammary
Implants: Saline, moderate plus profile
- Left: 340 cc
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Right: 340 cc
Time after surgery: 6 months |
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The periareolar incision is placed on the edge of the nipple at the junction of the pigmented skin of the areola and the lighter skin of the breast. From this approach, dissection can easily proceed either directly through the breast tissue with minimal interruption of the ducts, or parallel to the skin down to the inframammary fold and under the breast tissue. Any size saline implant can be placed via this incision as they come deflated and are filled once they are in position, but there may be an upper limit on how large of a silicone implant can be used, depending upon the size of the areola. This is the best approach to release a tubular or constricted inferior pole breast deformity.
| Before |
After |
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Age: 20 yo
Incision: Periareolar
Implants: Saline, moderate profile
- Left: 300 cc
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Right: 325 cc
Time after surgery: 5 weeks |
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The transaxillary approach hides the incision in a natural crease in the armpit. To best develop the pocket, endoscopic techniques are utilized. Only saline implants can be placed via this approach, since the incisions are too small for silicone implants. The advantage of this incision is that there are no scars on the breast itself.
| Before |
After |
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Age: 35 yo
Incision: Transaxillary
Implants: Saline, moderate profile
- Left: 325 cc
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Right: 325 cc
Time after surgery: 5 months |
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