Transareolar - Perinipple ( Areolar Omega ) Zigzag Incision for Augmentation Mammaplasty COSMETIC

517e For patients who are prone to scarring, the type of incision for breast augmentation is just as important as the implant size and shape. In selecting the location of the incision, adequate exposure of the surgical field, allowance of precise execution of the procedure, the rate of postoperative complications, and scar formation should be considered. Transaxillary, periareolar, and inframammary approaches are commonly used methods for making an incision. Transaxillary incision is concealed within the axillary fold but is still visible when the patient raises her arm or wears sleeveless clothes. A surgical field distant from the incision site can lead to suboptimal hemostasis and cause difficulty in accurate pocket formation.1,2 Endoscopy can be helpful in overcoming this difficulty but still has its limitations in pocket manipulation. It also requires a longer operative time and a prolonged learning curve.3,4 Inframammary incision provides the most direct approach to the breast pocket and can lead to consistent results. However, drawbacks include prominent and unpredictable scarring in certain ethnicities prone to hypertrophic scars. Besides scarring, the risk for implant exposure is higher