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Breast Augmentation Hawaii   /   Breast Lift

Breast Reduction   /   Breast Reconstruction

Honolulu, Hawaii | Breast Implants

Breast Implant Incision Methods

Breast Augmentation Incision Types
Breast Implant Incision Types

      A breast implant or breast augmentation procedure has a variety of options for how the surgery is done. There isn't one ‘best’ incision choice for all breast implants. While different methods have unique advantages and disadvantages, your body make-up as well as other factors must be taken into consideration to achieve the best results. Dr. Ching believes that the location of the incision, as well as many other factors, should be individualized to the patient so that you receive the best surgery for you.

      A good plastic surgeon, in Hawaii or anywhere else, will guide you to the best procedure specifically for you and your body. One incision method is not best for all breast implant recipients. Dr. Ching has years of experience as well as knowledge of the most current implant techniques. Because of this, he’s able to offer his Hawaii patients, like you, different incision options to fit your case:

Transaxillary Breast Implant Incision
Patient After Transaxillary Breast Implant Incision

Transaxillary Breast Incision:

     The implantation is done through a small incision in the armpit, which usually heals as an invisible scar. There are no visible scars on the breast. Dr. Ching always performs transaxillary breast augmentation with endoscopic instruments.

     This is a highly specialized method of surgery that uses a special camera and small instruments to look directly into the surgical area where the breast implants are placed. Any bleeding during surgery is carefully controlled with these instruments.

      Often, transaxillary breast augmentation is done without endoscopic instruments by other surgeons, which results in more bleeding, increased pain and a higher likelihood of asymmetry.

Your Best Breast Implant Results

     Dr. Ching believes surgery should always be done with the surgeon seeing exactly what he's doing and an endoscopic approach to breast augmentation allows for this. Endoscopic, transaxillary breast augmentation is one of the most advanced methods for breast augmentation available today and Dr. Ching is one of the few surgeons that has perfected this technique - in Hawaii or elsewhere.

Transaxillary Breast Implant Incision
Parieolar Breast Implant Incision

Periareolar Breast Implant Incision:

     This is done by making the incision just beside the areola. The areola is the ring of pigmented skin around the nipple. One advantage this offers is the scar is less visible than when breast implantation is done using the Inframammary method. This is especially true for women with lighter pigment shading of the areola. Plastic surgeons usually prefer this method when the procedure is intended to adjust existing Inframammary breast implants or for a breast lift.


     Inframammary (IMF): This incision method is done just below the breast, slightly above where the breat meets the chest. This is often the most suitable technique for silicone implants as these implants are already filled and require an incision large enough to allow for placement of the implant. The scar can heal thicker under this method, but it is often covered by the draping of the breast.

     Umbilical: This incision uses an incision inside the belly button to place breast implants. It is very difficult to place implants underneath the pectoral muscle using this approach. In addition, there is no control of bleeding during surgery. The surgeon cannot see within the chest with this approach. Due to these problems, Dr. Ching does not perform trans-umbilical breast augmentation.

Perithelial Breast Augmentation Incision
Perithelial Breast Implant Incision

Perithelial Breast Incision:

     In suitable patients, an incision can be placed within the areola, just beside the nipple. The resulting scar can be very minimal.

     Contact us today for a personal, confidential consultation with Dr. Ching. Find out about Breast Implant Surgery in Honolulu, Hawaii and what's best for you.


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Shim Ching MD
Queen's Physicians Office Building III
550 South Beretania Suite #603
Honolulu, HawaiI 96813
tel: (808) 585-8855  /  email: contact@drshimching.com
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