What to Expect for Breast Implant Exchange Incisions

By Dr. Aaron Gilson, Gilson Plastic Surgery, Portland, Oregon

Deciding to undergo a breast implant exchange is a significant decision many women face, whether for cosmetic reasons, comfort, or health concerns. As a plastic and reconstructive surgeon at Gilson Plastic Surgery in Portland, Oregon, I understand the importance of this procedure and the questions that come with it, particularly regarding incisions. This post is designed to give you a comprehensive understanding of what to expect in terms of incisions for a breast implant exchange.

Understanding Breast Implant Exchange Incisions

Incisions are a necessary aspect of breast implant exchange surgery. They are the means through which old implants are removed and new ones are inserted. The location and length of these incisions depend on several factors, including the type of implants, the reason for the exchange, and your unique anatomy.

Incision Techniques

Several incision techniques are commonly used in breast implant exchange surgeries:

  • Inframammary Incision: Made in the crease under the breast, this is the most common approach for implant exchange. It offers excellent access for the surgeon and leaves a scar that is well-concealed under the breast fold.

  • Periareolar Incision: Made around the edge of the areola, this option may be suitable if there’s a need to adjust the position of the nipple and areola. Scarring is typically less noticeable as it blends with the edge of the areola.

  • Transaxillary Incision: Made in the armpit, this is less common for implant exchanges but can be considered if it was the original incision site.

Factors Influencing Incision Choice

Several factors influence the choice of incision for a breast implant exchange:

  • Type of Implant: Different implants (silicone, saline, or alternative styles) may require different incisions.

  • Reason for Exchange: Cosmetic changes, implant malfunction, or complications like capsular contracture can dictate the best surgical approach.

  • Patient’s Anatomy and Previous Scars: Your existing anatomy and any scars from previous surgeries are considered to achieve the best aesthetic and clinical outcome.

Recovery and Scar Management

Post-surgery, you can expect some scarring, but it usually fades significantly over time. We provide comprehensive guidelines for scar care to minimize their appearance. Recovery from breast implant exchange generally involves rest, limited physical activity, and following post-operative care instructions to ensure the best healing and aesthetic results.

Personalized Approach at Gilson Plastic Surgery

Each patient’s needs and goals are unique, and during your consultation, we will discuss the most appropriate incision technique for your implant exchange. We focus on ensuring the best possible outcome while minimizing visible scarring and achieving your desired aesthetic.

Breast implant exchange surgery is a personalized journey, and understanding the incision process is a crucial part of it. At Gilson Plastic Surgery, our commitment is to guide you through this journey with care, expertise, and a focus on achieving results that align with your vision and lifestyle.

-Dr. Aaron Gilson
Gilson Plastic Surgery
Portland, Oregon

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