Areola or crease incision for explant?

450
cc implants are quite large. When these
implants are removed, you will have excess hanging skin. For that reason, I recommend a new technique
called Explant with Mini Ultimate Breast LiftTM. Using only a circumareola incision it is
possible to reshape your breast tissue creating upper pole fullness, elevate
them higher on the chest wall and more medial to increase your cleavage. Through the same incision, the implants can
be removed and excess skin can be resected.
Aligning the areola and breast tissue over the bony prominence of the
chest wall maximizes anterior projection.
This technique avoids the ugly vertical scars of the traditional
technique, maintains nipple sensation and the ability to breast feed. An inframammary crease incision allows only
implant removal and you will end up needing a second operation later to remove
the excess hanging skin. Best Wishes,Gary Horndeski, M.D. 

It is true that the inframammary crease incision has the downside of extra scars.  Your surgeon does make a good point about using the areolar incision.  I have done explanations through the original areolar incision, only for there to be a resultant puckering and indentation at the site of the scar.  The ultimate choice is yours.

The same incision could be used and if you get some puckering that could be addressed. The alternative is to use the fold incision.  I think it just depends on your preference and how likely your PS thinks reusing the areolar incision will cause you a problem

My custom, unless contra-indicated, is to use the scar you already have.  This has always worked out for explantation alone, even when capsulectomy necessary. If transaxillary scar, situation different, but that doesn't apply to you.

Thanks for your question. I would only do this through an IMF crease incision. This provides me the exposure I need to remove scar tissue and manipulate the pocket. The scar heals exceptionally well. Best of Luck!