*Model
by Dr. Steven Wallach
So which is the best incision for a breast augmentation? The most common approaches are using an incision in the breast fold( inframammary), along the border of the areola ( periareolar), or through the armpit ( transaxillary). each incision has advantages and disadvantages. The most commonly used one is the inframammary approach. It affords direct access and is hidden in the fold. Revisions and secondary procedures such as capsule adjustments and the like are often approached through this incision. The periareolar approach is also popular. It is a direct approach and some secondary procedures can be performed through this approach as well. The periareola incision may not be used in patients with small areola diameters and who desire large implants. The transaxillary approach is a remote access incision, and is often not used for secondary or revision procedures. Commonly an endoscope is used for this approach. Like the periarolar incision, large silicone implants may be difficult to place via the transaxillary approach. All in all, there are many approaches to place implants, and all have positives and negatives. My patients are active decision makers in the process, and that is the way it should be!
Dr. Steven Wallach is a board-certified plastic surgeon in New York City specializing in aesthetic facial and body contouring, as well as reconstructive surgery. He earned his medical degree from NYU School of Medicine and completed advanced training at Albert Einstein College of Medicine/Montefiore Medical Center, followed by a prestigious fellowship in California. A past president of the New York Regional Society of Plastic Surgeons and former executive board member of The Aesthetic Society, Dr. Wallach is frequently recognized for his expertise, including in New York Magazine’s “Best Beauty Docs.” In addition to his clinical practice, he is an Associate Clinical Professor at Albert Einstein and regularly contributes to medical publications and national media. Known for his innovative techniques and compassionate care, he helps patients achieve natural, confidence-boosting results.
reviews 
call 
gallery 
Contact 
