Implants can be placed either above or below the muscles...

Implants can be placed either above or below the muscles of the chest.  There are several choices for the site of the incision as well:

-In the crease below the breast

-In the armpit

-In the belly button

-Around the edge of the areola

The choice of whether the implants should be above or below the muscle depends on factors relative to each individual patient.  Where the incision will go is discussed by the patient and the surgeon.  The belly button approach (T.U.B.A. - transumbilical breast augmentation) can only be used when saline implants have been selected.  As the belly button is the only scar you are born with there are no new scars so the result is basically free of any visible scar.