Breast Augmentation Incision Placement

Some of the most common questions before a breast augmentation are about incisions and scarring. There are a few incision techniques that may be used during a breast augmentation, all of which are designed to minimize scarring.

Breast Augmentation Incision Placement Options

At your pre-operative appointment(s), you will discuss these options with Dr. Ortiz to find the incision placement that is right for you.


breast augmentation incision placement options An inframammary incision is a short incision made in the crease underneath the breast (the inframammary fold). The scar from an inframammary incision is thin and typically just 1-2 inches in length. In addition to being very effective at hiding the scar, this type of incision allows Dr. Ortiz to place larger implants with more precision. This type of incision also allows for subglandular (in front of the pectoral muscle, behind the mammary gland), subpectoral (behind the pectoralis major muscle), and submuscular (behind the pectoralis major and all supporting connective tissue and muscle groups) implant placement.


Periareolar incisions are made around the outer edge of the areola so the scar is hidden by the natural change in pigmentation. This type of incision is ideal when you are receiving a breast lift in conjunction with implants.

Since this incision is made around the areola, many patients are concerned with their ability to breastfeed after having a periareolar breast augmentation. While risk is present in every surgery, the risk of a donut incision interfering with your ability to breast feed is very slim. Since the nerves and milk ducts enter the nipple from below, a skilled surgeon can avoid cutting them during a breast augmentation. If you have concerns about this, Dr. Ortiz is happy to discuss it during your pre-op consultations.


A transaxillary incision leaves the least noticeable scar as the incision is made in the armpit. In addition to minimal scarring, this incision is the least disruptive to the mammary glad, making it a popular choice for younger women who may still want to have children.

If you choose this type of incision, it’s important to know that if or when your implants need to be replaced, the incision cannot be reused. Your implant revision surgery will require a periareolar or inframammary incision.

Schedule Your Breast Implant Consultation with Dr. Ortiz Today!

Whether you have just started researching breast implants or are ready to take the next steps, we encourage you to learn about the types of breast implants and breast implant shapes. When you’re ready to schedule your consultation, contact our plastic surgery center! Dr. Ortiz will address any concerns you may have, answer questions, and leave you feeling more confident about your figure than ever before. To schedule your personalized consultation, give us a call at 919-532-2270 or complete our contact form below.