Breast Augmentation

Sandpoint, Hayden, Coeur d’Alene and North Idaho

Surgical Options

Breast enlargement is a very common procedure, and there are multiple ways to perform the surgery. You and I must make important decisions regarding the implant type, size, placement and incision site. These choices will help determine the final outcome of your breast augmentation surgery.

Implant placement

Breast implants can be placed in a pocket created behind or in front of the pectoralis major muscle. This is technically called submuscular (behind the muscle) versus subglandular or submammary (in front of the muscle and just beneath your normal breast tissue). Implant placement can greatly affect the look of your breasts. There are advantages and disadvantages to both pocket locations. Your body type, existing breast tissue, lifestyle, and desired results will all play a part in choosing implant placement.

Submuscular

• Moves existing breast tissue forward
• Rippling is hidden more easily by the overlying muscle
• Edges of implants are hidden
• Risk of capsular contracture is lower
• Breast tissue is slightly easier to see on mammography

Subglandular

• Can produce sharp cleavage and more dramatic results
• Larger implants can be used in some cases
• Shorter, less painful recovery due to minimal muscle trauma
• Can have more rippling and implant visibility

Incision placement

Placement of your incision will depend largely on the type and placement of your implants. Commonly performed incisions are inframammary, periareolar and transaxillary. I prefer to use the inframammary crease or periareolar incision for most patients, but I will be happy to talk to you about all options.

Inframammary crease

The inframammary crease incision runs along the fold where your lower breast meets your chest wall. The incision is normally about two inches long and it is hidden by the natural crease of your breast.

Periareolar

The periareolar incision is made around the lower half of the areola, where the dark skin surrounding the nipple meets the lighter breast skin. This placement helps camouflage the scar.

Transaxillary

The transaxillary incision is made in a crease in your axilla, or armpit. This scar is very difficult to see after it heals. However, certain implants cannot be placed through this incision, and the appropriate pocket may be more difficult to create in some patients.

Dr. Michelle Spring provides surgical expertise and exceptional patient care in cosmetic and reconstructive surgery in Sandpoint, Ponderay, and all of Northern Idaho. With extensive training in breast surgery, body contouring, and facial surgery, she offers cosmetic procedures with an emphasis on natural results, safety and personal attention to your individual goals. If you are considering cosmetic surgery, learn more by viewing our Plastic Surgery Photo Gallery or FAQ's page, and contact Dr. Spring today to schedule your cosmetic surgery consultation.

Back to Top