Inframammary Crease Incision in Breast Augmentation Surgery

Breast Implants via the Crease

Breast Augmentation Incision in the Crease

The inframammary crease, also known simply as the “crease” incision, is very popular. The crease is the area just beneath the breast in the area which your bra band fits. Incisions can range from 1cm to over 4cm depending on the type of breast implant being inserted. Most surgeons try to place the incision slightly above the crease so that it will not be seen when a bikini or lingerie is worn. Silicone requires a larger incision than its inflatable saline counterpart.

The crease incision allows the surgeon to work very close to the breast, thus giving him or her the best visibility possible of the surgical site. This allows the surgeon to be much more precise during surgery. More control is afforded with this incision because of the close proximity to the surgical area.

Some surgeons feel that the crease incision leaves a patient more at risk for bottoming out. This should not be the sole reason for choosing against this incision since there is no firm data either proves or disproves this theory.

As with all breast augmentation incision options, there are advantages and disadvantages of having your breast implants inserted via the crease incision. It is important to weigh the pros and cons prior to making a decision on which incision is best for you. Some women don’t have a preference, while others do.

The video below shows a breast augmentation surgery performed via the crease incision.

Advantages of the Crease Incision

There are several advantages to the crease incision including:

  • Offers the best view for surgeons.
  • Virtually all surgeons know how to perform breast augmentation with this incision.
  • The scar is hidden in the crease, so it is not noticeable without lifting the breast up.
  • The implants do not come into contact with the milk ducts, which harbor bacteria naturally unless the breast implants are placed above the muscle, in which case they do come into contact with the breast ducts
  • Breast implants can be placed in any plane (over the muscle, partially under the muscle, completely under the muscle, or subfascial) using this incision.
  • In the event of a complication, the same incision can be used
  • Disadvantages of the Crease Incision

    There are a few downsides to the inframammary crease incision.

  • If you choose an inexperienced surgeon, he or she may not place the incisions in the proper place, which many result in the incisions being higher on the breast than they should be, instead of in the crease are where should be hidden. This is even more of a risk when you start out extremely flat-chested and no natural crease can be seen prior to surgery.
  • Even when the incisions are properly placed, there is still a scar on the breast.
  • If you remove your breast implants at some point down the road, your incisions may wind up being beneath your natural breast crease, which would make them visible when wearing bikinis, etc.
  • If you are getting breast implants beneath the muscle, the muscle will need to be cut or dissected in some way in order to gain access to the submuscular plane
  • If you are prone to keloid or hypertrophic scarring, you run the risk of a nasty scar on your breast.
  • Crease Incision Scar Photos

    6 months post-op scar.

    6 months post-op scar.