02nd Sep, 2020

What’s the best placement for breast augmentation incisions?

Sydney Wollongong breast augmentation

Breast augmentation is a very personalized procedure, and each woman must make a variety of choices (in consultation with her surgeon) during the planning process. One of these is the location for the incisions. Every surgical procedure does leave scars, and so the choice of where the incisions are will determine where those scars will be.

There are three main options for breast augmentation incisions. Each one has its advantages and disadvantages.


This incision is placed in the crease under the breast. The main advantage of this incision choice is that it allows the surgeon the best access to the breast implant pocket. This can create better results, as the surgeon is able to be very precise in the placement of the implants and creating the right size pocket. 

The disadvantage is the visibility. The scar will be easily hidden by a bra or swimsuit top, but it will be visible when viewing the naked breasts. Additionally, it’s not always possible to predict precisely where the breast crease will be on the new breast when making the incision. The breast crease can change position after implant placement, particularly as the implants “drop” during the weeks after surgery. Sometimes the scar may end up being on the underside of the breast itself, rather than in the crease, which can make it a little more visible.


This incision is placed in the armpit. Most women who choose this incision location do so because it leaves no visible scars on the breast itself. This makes it the most discreet option. However, it’s important to note that the scar in the armpit may be visible when the arms are raised while wearing a swimsuit or sleeveless top; it won’t be completely invisible, although it’s generally well-hidden in a natural crease in the armpit.

Another disadvantage of this choice is that the surgeon must access the breast from somewhat farther away, which can make it difficult to place the implants precisely. It also limits the size of the implant that can be placed; while saline implants can be placed through this incision and then inflated after they’re inside of the body, placing silicone implants through a transaxillary incision is harder, especially if the implants are larger or are made of highly cohesive silicone.


This incision is made at the border of the areola, which is the dark area around the nipple. The edge of this dark area helps to disguise the incision after healing, but it’s still located in a very visible location on the breast. This incision also has a high likelihood of interfering with future breastfeeding, so it’s not recommended for any woman who may want to have children in the future. Women who choose this incision location often do so because they also want to have the size of their areolas reduced as part of their breast augmentation procedure, and so they would already have an incision in this location.

Sydney Wollongong breast augmentation

If you’re considering a breast augmentation, then you will want to consult with a plastic surgeon to discuss your various options. There are many decisions to make, but you don’t have to figure it all out alone. A good plastic surgeon will talk over all of your options with you and help you understand the advantages and disadvantages of each one.

Dr. Sjarif has a lot of experience with breast augmentation procedures. During his prestigious training programs completed in Australia, the US, and Germany, he learned many state-of-the-art surgical techniques. During a consultation, he will offer you the benefit of his years of expertise, taking the time to really listen to you and answer all of your questions. To schedule your appointment, you can send us a message or simply call our office.

Posted on September 2, 2020 in

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