Hi Dr. Yates, You do great work. What incision you prefer and why? Do you think periareolar incision has a higher chance of loosing nipple sensitivity? I saw most of your example are crease incision. Please also advise the BA fee, saline & silicone. Thank you.
Dr. Yates Reply:
Personally, I think of the three major decisions: 1) type of implant, 2) size of implant, and 3) location of scar, that the scar location is by far the least important.ย As I am sure you have read I do not prefer the armpit or belly button incisions for their lack of accuracy, leaving the periareolar and crease incisions.ย I used to believe that the periareolar incision had the opportunity to hide better because of the anatomic boundary between nipple and skin that you could hide the scar.ย I think the crease is even a better anatomic boundary.ย However, If the crease incision starts at the crease it usually ends up a little above it on the breast which is not desired.ย ย It does take some skill and experience to allow the final scar to END UP at the crease.
Yes there is a slightly higher risk of issues with nipple sensitivity and also breast feeding with the periareolar incision.
The cost of breast augmentation in my office is $4100 for saline and $5200 for silicone.ย ย My fee has not changed substantially in 6 years and it will likely increase at the first of the year when I audit my fee schedules.