Incision placement usually determined according to personal preference. If you prefer a certain incision, it's very important to find a surgeon who is experienced with that incision, especially if it's the transaxillary or TUBA incisions. The last thing you want your plastic surgeon to do is perform a procedure that he or she is not agreeing with. It is usually best to follow your surgeon's choice of incision. Though, if you inclined to one particular incision; it is worth it to continue your search for a surgeon who can give you what you want. There are advantages and disadvantages to each incision site. The huge majority of surgeons have a particular incision that they favor, so you must find a surgeon who is skilled in using whichever incision site you prefer. Most surgeons are skilled at insertion implants by means of the inframammary crease and areola incisions, as these are the most common incisions presently used. Anyway, if you're interested in having the transaxillary incision (armpit incision), or TUBA (navel incision), you need to find a surgeon who is skilled and experienced in using that particular incision. In other case, you could end up with breasts that are not level. The nipple and crease incisions are the most popular, while the transaxillary method and TUBA is getting in popularity. Unfortunately, there isn't an over-flow of surgeons who perform these two particular procedures, especially the TUBA procedure. Incisions for pre-filled implants, such as silicone gel breast implants, or pre-filled saline breast implants, are a little longer than those of their complements, the inflatable saline implants. However, a skilled surgeon can place a pre-filled implant by the use of a fairly small incision, depending upon the size of the implant. Inserting textured pre-filled implants will involve a longer incision. This is due to the rough texture of the shell. In addition, textured implants are not as soft and flexible as smooth implants; therefore, it is not "manipulated" through the incision effortlessly. Inflatable saline implants will require a smaller incision. The implant is rolled up into a "cigar-like" shape, then inserted, and finally, filled with saline solution. These implants can be positioned by means of any incision. There are 4 incisions your surgeon can use when placing your breast implants, they are: 1. Transaxillary (transax or armpit incision) 2. Areola (nipple incision, peri-areolar incision) 3. Inframammary fold (crease incision) 4. TUBA (transumbilical, belly button, or navel incision)
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