Depending on what kind of implant you get, and breast implant is placed, your surgical incision may be about 1 inch to 2 inches long, or 2-6 cms.
There are 2 different kinds of breast implants, saline and silicone. Saline implants are empty, and usually rolled into a very thin tube, carefully placed in the breast implant pocket with the fill tube attached. The saline implant is then filled with saline solution by through the fill tube. Since the saline implant is empty and then filled up, the incision required for a saline implant can be smaller, usually about 1 inch, and sometimes even less.
A silicone implant is filled with gel, so volume can’t be added or subtracted from it. The incision needs to be slightly longer to accommodate the already filled up implant. The incision is only about 1 inch longer, give or take.
There are several variables in determining the length of the incision, including the laxity of your skin, and the size of your breast implant. You may need a slightly smaller incision for a smaller implant, and a slightly larger incision for a larger implant.
The 3 major options for breast implant incisions are in the breast fold, areola, or under arm. The breast fold and areolar incisions are the same length, and are in the breast fold or in curved portion of the areola. The underarm incision is usually longer, to accommodate a little more surgical dissection from the underarm to the bottom of the breast.
It is possible to place a saline or silicone implant through any of these 3 incisions. All of these incisions are very difficult to see long-term after healing.
All of these incision possibilities should end up with a thin, white, well healed scar. If your scar is not healing properly, remember, it takes 6-12 months for a scar to fully mature. Non-surgical treatment is the standard of care within the first 6-12 months. Your scar should not lengthen, or get shorter, with healing- it will remain the same length.
To get the shortest and most aesthetically pleasing scar, please talk and listen carefully to your plastic surgeon to ensure that you fully understand the advantages and disadvantages of your options.
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