Surgeons have to make several decisions on several factors like breast augmentation incisions, implant placement, implant type, and implant size. Among these factors, you can say that one of the most important is the best incision to make to the patient.
The goal of the surgeons for making an incision is to create a perfect pocket where they can place the implant. If the surgeons failed in this part, the implant would go out of the position. It will require the patient to revisit their doctor for another surgery.
The axillary incision is in the armpit. Many surgeons believe that this incision gets a higher chance for the implant to go out of the position. The rationale behind this belief is that the incision is far away from the breast, which makes the implants more prone to malposition.
Studies that most cases of capsular contracture are common for breast augmentation implants that used this kind of incision.
Periumbilical is in the belly button. Surgeons believe that incision in this part also gets a high chance for implant malposition. It is because the incision area is far from the best, which only makes more opportunities for implant displacement.
Capsular contracture is also possible by using this incision.
Periareolar is around the areola. Using this type of incision provides an excellent pocket to place the implant.
It is ideal for patients with large areola or areola with distinctive contrast of color. The reason for it is that the scar caused by incision will be almost invisible.
However, according to some studies, using this type of incision can cause nipple sensitivity. The cases of capsular contracture are higher in this kind of incision than the inframammary fold.
Inframammary fold is under the breast fold. This incision requires more planning and studies so that the surgeon can correctly use this type of incision. This kind of incision leaves an almost invisible scar, which is perfect for nearly everyone.
It is also a better approach than the periareolar because of the low percentage of complications the patients can get from it.
There is no correct or straightforward answer to this question. It is because of the several variables that the surgeons have to consider. Generally speaking, many surgeons prefer the breast fold incision because it provides the least complications among the other types and leaves almost invisible scars.
Most likely, your surgeon and nurse will orient you about how you are going to care for yourself after the surgery.
After the surgery, you should expect that the area where the surgeon held the operation is thin and sensitive. That is why when you travel back home, it is best to place a soft cushion or pillow between the breasts and the seat belt.
Most likely, you will go home with a drain on your chest to get rid of the fluids caused by surgery. The draining lasts for up to two weeks. Your doctor or nurse will orient you on how you should clean and take care of it.
Your doctors may also advise you to take pain-relievers and antibiotics for post-care after the surgery.
It is most likely possible that you will go home with a bandage on your breast, which you have to replace once per day. If a clear plastic holds the dressing in place, you can remove it two days after the surgery. Also, please do not get it wet as you take a shower.
You should expect some discomfort, pinching sensation, and redness around your breasts. In many cases, patients may experience a slight fever.
You should also wear a supportive bra and avoid strenuous activities.
Most of all, go back to your doctor for follow-ups visits and consultations to know when you can return to your normal activities.
Generally, doctors advise their patients to take complete rest for two days after the surgery. Patients can go back to their daily routine after a week or two without doing strenuous activities. However, the soreness and swelling due to breast augmentation incisions may last up to three to four weeks.