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Making Decisions about Breast Augmentation Incisions

Choices in breast augmentation incision locationA carefully planned and well-made incision is critical to the outcome of any operation, including breast augmentation. The incision must allow Dr. Ary Krau optimal visualization of the surgical field, so he can properly dissect the breast tissue and create a pocket for the implant.

However, any surgical incision will leave scarring, and Dr. Krau is mindful of that. He keeps the incisions small, for inconspicuous scarring. In general, though, larger implants will require a larger incision.

Miami breast augmentation patients have three incision options: periareolar, inframammary and transaxillary. Dr. Krau works with each patient individually to select the best incision location, based on the type and size of the chosen implants and other relevant factors.

There are advantages and drawbacks to every incision pattern. This blog post will look at all of them in more detail.

Periareolar Incision

The periareolar incision encircles the areola (darkly colored skin around the nipple).


  • Least noticeable scarring (blends into the edge of the areola)
  • Location of the scar is typically covered up while wearing bra/bathing suit
  • Heals easily


  • Difficult for women with small areolas
  • May interfere with the ability to breastfeed (may scar the breast ducts)
  • Could cause a change in nipple sensation
  • Generally not used with pre-filled silicone implants
  • Potential for bacteria to enter the milk ducts and cause complications

Inframammary Incision

The inframammary incision is made horizontally underneath the breast, in the crease where the breast naturally falls against the torso.


  • Most versatile
  • Ideal for a symmetrical result
  • Causes fewer breastfeeding problems than the periareolar incision
  • Can be used for future revision surgery (if necessary)


  • Larger than the periareolar incision
  • May be more visible than the periareolar incision, especially if the patient is wearing a bra/bathing suit and lifts up her arms

Transaxillary Incision

The transaxillary incision is made in the armpit.


  • No visible scarring on the breast
  • Typically used to place unfilled saline implants
  • Endoscope is used to minimize concerns


  • Offers subpar surgical visibility, compared to the alternatives
  • Not recommended by implant manufacturers
  • Future revision surgery would require a second incision on the breast
  • Scarring is visible in sleeveless shirts

More about Scarring

Every patient heals (and scars) differently. Certain skin types (usually ethnic skin) are prone to more noticeable scarring. Other skin types usually heal beautifully and breast augmentation scarring is barely visible. Dr. Krau will address your personal chances of scarring in more detail during your consultation.

Discuss Breast Augmentation with Dr. Krau

To learn more about breast augmentation incisions and scarring, please schedule a consultation with Dr. Ary Krau today. Call (305) 861-6881 to request an appointment with the doctor.

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Miami Plastic Surgery Center
Ary Krau, M.D.

1143 Kane Concourse
Bay Harbor Islands, FL 33154

(305) 861-6881

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