Breast Augmentation Incision Types: What Are The Differences?

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When planning breast augmentation, most patients focus first on implant size and type. But there’s another equally important decision to make: the incision. 

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The type of incision your surgeon uses determines where the implant is inserted, how well scars can be hidden, and in some cases, how your body heals. 

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Choosing the right incision isn’t a one-size-fits-all decision; it depends on your anatomy, your goals, and your surgeon’s expertise. That said, we’ve broken it all down for you… 

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Why Incision Type Matters in Breast Augmentation

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Incisions serve as more than just an "entry point" for your implants. They can influence:

• Scarring: The location of the incision determines the visibility of the scars once they heal.
• Healing: Some types of incisions heal more quickly or easily than others.
• Implant Placement: Certain incision sites provide surgeons more control over accurate implant placement.

Your surgeon’s skill also makes a big difference. A board-certified, experienced surgeon can minimize scarring and create results that look more natural. 

Choosing the right incision isn’t just about appearance; it also impacts your long-term comfort and satisfaction.

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Common Breast Augmentation Incision Types

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Now that we’ve gone over the importance, let’s break down the different types of incisions. 

​​There are four main incision types used in breast augmentation. Each has unique advantages and disadvantages.

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#1. Inframammary Incision: Under the Breast Crease

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Advantages:

• This incision gives the surgeon clear visibility and control, making precise implant placement possible.
• The scar is hidden naturally in the breast fold, making it discreet when standing or wearing clothing.
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Disadvantages:

• In some cases, the scar may be visible when lying down or raising the arms.
• Not ideal for patients with very little natural breast tissue, as the crease may not fully conceal the scar.

All that being said, this is one of the most common and versatile incision choices.

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#2. Periareolar Incision: Around the Nipple

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Advantages:

• The scar blends with the natural border of the areola, making it less noticeable.
• It does offer excellent control for implant placement and pocket creation.

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Disadvantages:

• This incision carries a slightly higher risk of nipple sensation changes because it’s close to nerve pathways.
• There’s also a small chance it could affect breastfeeding if milk ducts are disrupted.

Patients who prioritize discreet scarring often find this option appealing.

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#3. Transaxillary Incision: Through the Armpit

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Advantages:

• There are no scars on the breast itself since incisions are hidden in the natural crease of the armpit.
• It creates a natural breast appearance post-healing.

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Disadvantages:

• This is technically more complex for the surgeon, which may limit availability.
• Implant type and placement options can be more restricted compared to other approaches.

This option works well for patients who want to avoid visible breast scars altogether.

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#4. Transumbilical Incision: TUBA, Through the Belly Button

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Advantages:

• The scar is located in the belly button, virtually invisible after healing.
• There are no scars on the breasts or armpits.

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Disadvantages:

• It can only be used for saline implants, as silicone implants are pre-filled.
• It has a higher complication risk, with less control over implant positioning.
• It's rarely performed today, reserved for select cases.

While intriguing for its hidden scar, TUBA is not as widely practiced due to limitations and risks.

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How Incision Choice Affects Recovery and Results

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Your incision site will influence your short-term recovery and long-term outcomes. Make sure to keep in mind: 

• Healing Time and Scar Care: Certain incision sites heal faster or are easier to maintain with scar-reducing procedures. By following your surgeon’s aftercare advice, like avoiding the sun and using silicone gels, your scars can fade more quickly.
• Breastfeeding and Sensation: Periareolar incisions are the most likely to cause changes in nipple sensitivity or interfere with breastfeeding, but inframammary and transaxillary alternatives are often less problematic.
• Aesthetic Outcomes: Inframammary incisions often give the most consistent results, but transaxillary or periareolar incisions may be chosen based on a patient’s goals or preferences.

Over time, scars usually fade a lot, and most patients find them much less noticeable than they expected.

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Choosing the Right Incision for You

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The "right" incision type for you depends on various factors:

• Implant Type: Silicone implants typically require somewhat larger incisions than saline implants, which may impact location preference.
• Anatomy: Breast size, skin quality, and areola proportions all influence which incision works best.
• Lifestyle: Patients who spend a lot of time in swimwear or strapless attire may prefer scar placement in less noticeable regions.
• Surgeon's Expertise: Some surgeons specialize in specific types of incisions, which may influence the advice given. 

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Bliss Makes Choosing the Best Option Simple

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At Bliss, we’ll guide you every step of the way. Simply leave us a few details about you, and your Matching Expert will walk you through all your options to help you choose the best fit for your goals.

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