Breast augmentation surgery in Riyadh is a popular cosmetic procedure for women who want to enhance breast size, improve shape, or correct asymmetry. One of the most important decisions in this surgery is choosing the right incision type. The incision determines where the scar will be placed, how the implant is inserted, and sometimes even how the breast will heal. Understanding the different incision options can help you make an informed decision with your surgeon. Breast augmentation surgery in Riyadh offers many women the chance to enhance their confidence and achieve a more balanced body shape.

1. Inframammary Incision (Under the Breast Fold)

The inframammary incision is made along the crease under the breast, where the breast meets the chest. This is one of the most common incision types used in breast augmentation.

Advantages:

• Better visibility for the surgeon: This incision provides the most direct access to create the implant pocket, which helps in precise placement.

• Less risk of complications: It is often considered the safest option for implant placement because the surgeon has a clear view of the breast tissue and muscle.

• Consistent results: It allows accurate positioning and symmetry, which can be especially important for larger implants.

Disadvantages:

• Visible scar: The scar is located under the breast fold, which may be visible when wearing certain types of swimwear or lingerie.

• May be less ideal for women with very small breasts: In very small breasts, the fold may not be well defined, making the scar placement more challenging.

Best for: Women who want a reliable incision with strong control over implant positioning, especially those choosing larger implants or submuscular placement.

2. Periareolar Incision (Around the Areola)

The periareolar incision is made around the edge of the areola, usually on the lower half. This incision is popular because it can hide the scar within the natural color transition of the areola.

Advantages:

• Scar camouflage: The scar blends with the natural border of the areola, making it less noticeable.

• Good access for implant placement: It allows the surgeon to reach the breast tissue easily and create a precise pocket.

• Suitable for certain lifts: If a breast lift is also needed, the periareolar incision can be combined with other techniques.

Disadvantages:

• Potential for nipple sensitivity changes: Because the incision is close to the nerves, some women may experience temporary or permanent changes in nipple sensation.

• Higher risk of affecting breastfeeding: In some cases, this incision may affect milk ducts and breastfeeding ability.

• Slightly higher infection risk: The incision is near the nipple and milk ducts, which can increase the chance of bacteria entering the area.

Best for: Women who want a less visible scar and are comfortable with the possible changes in sensation or breastfeeding.

3. Transaxillary Incision (Armpit Incision)

The transaxillary incision is made in the armpit, allowing the surgeon to place the implant without any scars on the breast itself.

Advantages:

• No breast scars: The scar is hidden in the armpit, making it invisible on the breast.

• Ideal for women who want minimal visible scarring: This option is often chosen by women who prioritize cosmetic appearance and scar hiding.

Disadvantages:

• Limited visibility for the surgeon: The surgeon has less direct access and visibility, which can make precise implant placement more challenging.

• Higher chance of asymmetry: Because it is harder to control placement from this angle, slight asymmetry may occur.

• Not ideal for all implant types: Some implant types, especially larger or shaped implants, may be difficult to place through the armpit incision.

Best for: Women who want no breast scars and are willing to accept a slightly higher risk of asymmetry or longer surgery time.

4. Transumbilical Incision (TUBA – Belly Button Incision)

The transumbilical incision is made near the belly button, and the implant is tunneled up to the breast pocket. This technique is less common and not suitable for all cases.

Advantages:

• No scars on the breast: The only scar is near the belly button, which is usually hidden.

• Suitable for certain saline implants: This method is typically used for saline implants because they can be inserted empty and filled later.

Disadvantages:

• Limited control and visibility: The surgeon cannot see the breast pocket directly, making it harder to place the implant accurately.

• Not suitable for silicone implants: Silicone implants are pre-filled and cannot be inserted through this method easily.

• Higher chance of complications: Because of the long tunnel and limited control, this technique may increase the risk of misplacement or uneven results.

Best for: Women who want no breast scars and are choosing saline implants, but this method is less commonly recommended due to its limitations.

How to Choose the Right Incision Type in Riyadh

Choosing the best incision depends on your priorities and body anatomy. Here are the main factors to consider:

• Scar visibility: If you want minimal breast scarring, the transaxillary or periareolar incision may be best.

• Implant type and size: Larger implants or silicone implants may be better suited for inframammary incision.

• Breast anatomy: Women with thin breast tissue may benefit from the inframammary incision for better control and placement.

• Future breastfeeding: If you plan to breastfeed, you may prefer to avoid the periareolar incision.

• Surgeon’s experience: The surgeon’s skill and preference play a major role in determining the best incision type for you.

Conclusion

There is no single best incision type for everyone. The best choice depends on your body, goals, implant type, and lifestyle. In Riyadh, many women choose the inframammary incision for its precision and reliable results. However, the periareolar and transaxillary incisions also offer excellent cosmetic benefits for women who prioritize scar placement.

A detailed consultation with a qualified plastic surgeon is essential to choose the right incision type. The surgeon will assess your anatomy, discuss your goals, and recommend the best option for a safe and natural-looking result.