Incision scars are an ugly part of cosmetic surgery. Nobody wants their beautifully sculpted new body to be marred by a large, unsightly scar. However, scarring is something you will need to consider before undergoing any plastic surgery, especially one that is purely aesthetic, such as breast enhancement.
When the purpose of a procedure is to increase your confidence and self-image, what do you do when you’re left with visible evidence of your enlargement? For some women, the scars left behind are minimal deterrents. Many plastic surgeons have developed unique techniques and skills for camouflaging and minimizing scars, although, the severity of scarring is highly individualized.

Darker skinned women have a greater tendency to develop keloids. These kinds of scars are rough, raised high, and can range in color from pink to dark brown or red. They can also cause great discomfort and become itchy or painful. Similarly, some people suffer from hypertrophic scars. This kind of scarring looks like keloids, but the tissue extends further outside of the initial incision area.
If you’re concerned about developing severe scarring or have a family history of keloid development, an alternative to traditional breast implant incisions is TUBA, or transumbilical breast augmentation. This method involves inserting the empty implant through the navel and then tunneling up to the breasts. The saline is then added after the implant shells are in place.
For some, this may seem like an extreme surgery, and there are risks. Few plastic surgeons specialize in the procedure, and some find the implants appear more unnaturally placed and have a greater tendency to be imbalanced than if a traditional method was used. However, it is a viable option for women at risk for keloids.
If you are not predisposed to extreme scarring, there are many possible incision sites that you’ll have to consider before undergoing breast augmentation. The four commonly used methods include around the nipple or areola, through the armpit, or underneath the breast in the natural crease of the skin.
The type of placement you choose for your breast implants, such as over or under the muscle, will affect which incisions are available. And of course each cosmetic surgeon has personal preferences and areas of expertise. Some will swear by the areola while others may be skilled with camouflaging the crease scar.
Although you can’t predict the visibility of scarring, an evaluation of your skin tone and ability to heal should give you a good gauge of what incisions might work best for you. Consult with a few different surgeons after conducting your own research.
Ultimately, a skilled plastic surgeon should make the final call, but you should feel comfortable and confident with his decision as well. Most women will find that the benefits of breast augmentation far outweigh the potential for scarring, and many even find that they can’t detect any traces of the surgery at all.
As with any plastic surgery, breast augmentation involves a degree of visible scarring. However, these new incision options have greatly reduced scar visibility, making your new cleavage appear more natural.
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