Is it possible to have breast augmentation with cohesive gel silicone implants through an incision other that the periareolar?

I am 20 years old and have tuberous breast

Doctor Answers 5

Implants not enough to correct shape and position of tuberous breasts

Yes, the other incisions available are transaxillary and inframammary. Inframammary is the best incision since it is a direct approach to the under surface of the pectoralis major muscle. However, if you have tuberous breasts, the circumareola approach is recommended to reshape your breast tissue. Implants alone are not enough to correct the tuberous shape of your breast. Implants only change size, not shape and position of the breast mound.

Best Wishes,

Gary Horndeski, M.D.

Texas Plastic Surgeon
5.0 out of 5 stars 177 reviews

14887 Southwest Freeway
Sugar Land, TX 77478

Breaset augmentation incisions

There are several options for incisions commonly used for breast augmentation. Periareolar, inframammary, and transaxillary.

Steven Wallach, MD
New York Plastic Surgeon
4.5 out of 5 stars 20 reviews

1049 Fifth Ave
New York, NY 10028


I prefer to insert silicone gel implants through an inframammary fold incision in the crease of the breast.  This scar hides really well in the crease of the breast after it heals. 

David C. Watts, MD
Vineland Plastic Surgeon
4.5 out of 5 stars 12 reviews

1051 W. Sherman Avenue
Vineland, NJ 08360

Silicon Gel implants inserted in the crease under the breast

I usually insert the silicone gel implants through the crease under the breast. The suture line does not show after a few weeks and heals very nicely.
Difficult to evaluate with tuberous breasts without seeing the patient.

Guillermo Koelliker, MD
Mexico Plastic Surgeon
5.0 out of 5 stars 19 reviews

San Miguel de Allende


It is possible BUT if you have tubular breasts, you will need a peri-areolar incision to address the herniation of your areola so using another incision will just add an extra scar for no reason. 

Asif Pirani, MD, FRCS(C)
Toronto Plastic Surgeon
5.0 out of 5 stars 31 reviews

199 Avenue Road
Toronto, ON M5R 2J3

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.