Video Links

• Periareolar - Areola - Nipple Incision
• Inframammary - Breast Fold Incision
• TransAxillary - Under Arm Incision

3D Animated Procedure Videos

Sometimes it can be difficult to visualize the differences between procedures. For Breast Augmentation this can be particularly challenging and to help our patients, potential patients and their friends and family we present these dynamic 3D Animated Procedure Videos.

We hope that these presentations will inspire confidence as you view animated versions of your desired procedure. You may refer to these videos during your consultation if you wish and we hope you will feel free to direct your friends and family to this dynamic educational tool.

Incision Sites

To permit the smallest possible incision, the breast implant is typically inserted empty, and then filled with saline or silicone. You should discuss with your plastic surgeon, the pros and cons for the incision site specifically recommended for you. There are three common incision sites: under the arm (axillary), around the nipple (periareolar), or within the breast fold (inframammary).
If the incision is made under the arm, the surgeon may use a probe fitted with a miniature camera, along with minimally invasive (very small) instruments, to create a "pocket" for the breast implant.

Periareolar - Areola - Nipple Incision

See a video for Periareolar Subglandular Breast Augmentation

See a video for Periareolar Submuscular Breast Augmentation

This incision is most concealed, but is associated with a higher likelihood of inability to successfully breast feed, as compared to the other incision sites. This incision is a half-circle at the outer edge of the areola, the colored area around the nipple. The scar is extremely favorable and blends well with the areola. It grants the plastic surgeon with the best access for precise placement of the implant, resulting in a strong cleavage and better symmetry. There is also better control of any bleeding during surgery, which ultimately affects the chance of scar formation or capsular contraction.

Inframammary - Breast Fold Incision

See a video for Inframammary Subglandular Breast Augmentation

See a video for Inframammary Submuscular Breast Augmentation

This incision is less concealed than periareolar and associated with less difficulty than the periareolar incision site when breast feeding. This is a one to two incision made by your cosmetic surgeon near the under-breast fold. Like the peri-areolar incision, this approach affords the plastic surgeon the greatest control over the position of the implant, giving the patient more attractive cleavage. The final scar is very favorable.

TransAxillary - Under Arm Incision

See a video for Trans-Axillary Subglandular Breast Augmentation

See a video for Trans-Axillary Submuscular Breast Augmentation

This incision is less concealed than periareolar and associated with less difficulty than the periareolar incision site when breast feeding. An incision placed in the arm pit is also known as a Trans-Axillary incision. Despite the myth that this scar is usually unnoticeable, it can be more prominent than other scars, especially when a woman is wearing sleeveless cloths. This access point is very far from the central location of the implant making it very difficult to precisely position the implants, thus causing the implants to sit away from each other, creating a wide cleavage. It is associated with a higher risk of bleeding and less control, often forcing the surgeons to use drains which can increase the risk of infection.