We tell you the advantages of each type of scar in breast augmentation
1) Scar in the groove
It has the advantage that it avoids touching or crossing the mammary gland in order to make space for the implant. By falling directly on the submammary groove, where the breast ends below, the pectoral muscle is easily accessed (under which the breast prosthesis) without the need to touch (or even see) the mammary gland at any time. The scar usually measures about 4 cm and is properly hidden right in the fold of the groove. As a disadvantage: if the patient tends to do pigmented scars or darker (generally patients with darker base skin) may be more noticeable than if the areola is selected for those cases.
We recommend it if you have a well-defined breast crease and your healing style does not tend to be pigmented (dark).
(Breast augmentation in Madrid with anatomical implant, scar in groove).
2) Scar on the areola
It is also useful if the patient does not have a well-defined mammary crease (otherwise the crease is usually preferred). As a disadvantage, it is necessary to have a moderately sized areola to have at least 4 cm of space to be able to pass the implant. It also has the disadvantage of crossing the areola. mammary gland until access is made to the pectoral muscle under which the prosthesis is placed. Finally, in many cases it is preferred not to touch the areola to avoid scarring in the “aesthetic centre” of the breast, which is the areola itself.
We recommend it if you have a poorly defined breast crease and tend to scar with pigment (dark).
(Breast augmentation with anatomical implant, scar on areola).
The advantages of performing surgery through the submammary fold are:
- Avoid possible bacterial contamination resulting from handling of the mammary gland. In the periareolar incisions must be made through the mammary gland o lead us near her until we find the pectoral muscle. While when accessing through the submammary fold, as soon as we cross the skin we find the pectoral muscle. Manipulation of the mammary gland and milk ducts can lead to bacterial contamination. due to the presence of bacteria in these areas.
- Avoid scars in the middle of the areola, that is, in the center of the breast. Depending on how the scar is, it will be more or less visible. However, the scars produced by the approach via the submammary groove will always remain hidden in a less visible area of the breast.
- Avoid generating radiological artifacts in the gland that could be seen on subsequent mammograms or ultrasounds and could generate confusion in diagnoses.
All of this is Avoidable in cases where a simple increase is indicated, that is, without breast lift or mastopexy.
Which of the two options affects sensitivity more?
It is normal to wonder Why sensitivity is lost in operated breastsThe answer is simple: the loss of sensation in the operated breast, if altered, is usually temporary and affects the same amount of the breast crease or areola.
Which of the two options is more complicated?
Studies do not clearly show that either option poses more risks than the other.
In conclusion
Each type of incision has its advantages and disadvantages, so it must be personalized and the most suitable one must be selected in each case, always taking into account the patient's personal preferences. For this, a prior consultation with the plastic surgeon is essential, in which each case will be evaluated individually and each patient will be advised.
El Dr. Gustavo Sordo It is one of the few plastic surgeons in Madrid, specialist in breast augmentation in Madrid, which uses the “24h Recovery” technique. A technique that minimizes complications from surgery obtaining natural results. Come visit us at our Plastic surgery clinic in Madrid.
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