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Summary: There are a variety of different aspects and decisions that go into planning the perfect breast augmentation to meet your unique needs and goals. During your consultation with your cosmetic surgeon, you will be able to discuss in detail each one of these options and how to choose what’s best for you.

Two of the decisions that you’ll have to make prior to your breast enhancement procedure are the placement location of your implants and incisions. While there are no right or wrong choices when it comes to these elements, you and your cosmetic surgeon will need to take into account your natural body shape and proportions, as well as your individual goals for your final results.

Because your implant and incision placements can have such a large effect on the final outcome of your breast augmentation, doing a little research about these options is a great way to prepare for your initial consultation. Use this as a guide to help you navigate your implant and incision options and ultimately make the most informed decision to maximize your smooth, beautiful results.

Your Breast Implant Placement Options

When it comes to the placement of your implants themselves, you have two primary options: over your chest muscle or under it. Implants located over your chest muscle are called subglandular implants, and those placed under the muscle are known as submuscular implants. Your natural anatomy and lifestyle habits will largely determine which option is the right one for you.

Subglandular implants are placed underneath your natural breast tissue and over top of your chest muscle. This placement is typically recommended for women with larger amounts of breast tissue, as well as women who are very active, as subglandular implants do not affect your muscle function.

Submuscular implants, on the other hand, are placed beneath both your breast tissue and your chest muscle. This is generally a great option for petite women who have a smaller amount of natural breast tissue, as the location behind your chest muscle can help to provide a very natural look and feel.

You also have the option of choosing split-muscle breast augmentation, which places your implants half-below and half-above your chest muscle.

How Implant Type Can Affect Your Placement Decision

Another important aspect of your breast augmentation that might affect your implant placement decision is the type of implant that you’d like. Generally speaking, silicone implants tend to offer a more natural look when placed over your muscle than do saline. This is because saline implants can develop a rippled effect that may be visible with a subglandular placement. For the same reason, women will smaller amounts of breast tissue may do better with silicone rather than saline implants.

If you’re torn between silicone and saline, gummy bear implants are a new type of silicone implant that offers some of the benefits of each type of traditional implant.

Gummy bear implants are made up of a cohesive silicone gel that is very form-stable and can therefore hold its shape very nicely. Another advantage to this type of implant is that they pose a minimized risk of leakage in the event of a rupture because of the consistency of the gel inside.

Your Incision Placement Options

Once you’ve decided on the type and location of your implants, you’ll need to discuss your incision options with your cosmetic surgeon. There are four main types of breast augmentation incisions: periareolar, transaxillary, inframammary and the TUBA incision.

Periareolar incisions follow a semi-circle around the bottom half of your areolas, the pink or brown colored area surrounding your nipples. This incision type can help to minimize the appearance of scars, although it may not be the best option for women who wish to breastfeed in the future. However, because of their location, periareolar incisions allow for excellent accuracy when placing your implants.

Transaxillary incisions are created in the area under your arms and therefore do not result in any breast scarring. This method does require advanced surgical techniques, so be sure to work with a reputable cosmetic surgeon with experience performing this type of breast implant incision.

Inframammary incisions are a popular choice for many women. These follow the crease underneath your breasts, making any scarring easy to camouflage under a bikini top. Inframammary incisions offer very easy access to the breast pocket, allowing your cosmetic surgeon to place your implants with excellent precision and accuracy.

The TUBA incision is made at the rim of your bellybutton, through which your cosmetic surgeon will insert an endoscope. This tool will allow your cosmetic surgeon to see the breast pocket that will be created in order to insert your implants. The main advantage to this incision type is that it results in very little scarring and none that in your breast area. However, because it is a blind procedure, your cosmetic surgeon will need to take special care to ensure that your implants are placed accurately.

How to Choose the Best Options for Your Breast Augmentation

Remember that the most appropriate implant and incision location will highly depend on what you’re looking to get out of your breast augmentation, as well as your natural curves. If you’re struggling to decide which might be the best choices for you, seek advice from your cosmetic surgeon. He or she should be your go-to resource for any and all questions or concerns that may arise along the way.

It’s also important to be as open and honest about your goals as you can, as this will help your cosmetic surgeon to get a clear picture of what kinds of results you’re looking for. Once you’re both on the same page, your cosmetic surgeon will be able to much more easily design your breast augmentation options around your specific needs to optimize the natural look and feel of your new physique.

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