What Would Determine Nipple Incision Vs. Under Breast Vs. Armpit Preference for a Person?

There are three
typical incisions for a breast augmentation as you mention in your question. In
general all three approaches can yield very good results for your
augmentation.

Some of the
factors to determine the approach are surgeon preference/experience, nipple
size, tendency to form scars. Most
surgeons have one or two ways that they commonly perform their breast
augmentation. You want your surgeon to perform
the surgery the way he typically does as they do it for a reason and are very
comfortable with that specific approach.


If then nipples
areolar complex is very small this approach may not be an option as the implant
has to fit though the incision. The areola skin border is a great place to hide
the incision as this natural transition of color will make the incision very
difficult to see once it has completely healed.


Under the
breast or IMF incision is very common as it is a direct approach and in the
majority of patients hides very well. In
patients with darker skin or a tendency to form thicker scars I tend to avoid
this incision as it may not hide as well as other methods.

The axillary
approach is great in that it avoids any scars on the breast. With the use of the endoscope the implant
placement can be very precise and a traumatic.
The natural creases in the axilla hide the incisions and are difficult
to find with time. Axillary endoscopic
breast augmentations do take additional equipment and training and thus not
everyone performs breast augmentations through this approach.

Please discuss
your breast augmentation with your board certified plastic surgeon.

from all the choices axillary (armpit) incision makes most sense. If possible (not for all women) this it the best, secure , safe and most predictable approach. It allows larger more beautiful breast without breasts scars. n rit hands it has minimal complication rate and predictable minimally invasive scars. For skille surgeons it is preferred way to perform breast enhancement 

Thank you for your question. All the incision placements are extremely safe. The periareolar incision does raise the risk, although still low, of changes in nipple sensation. It also requires more dissection through the breast tissue itself to get to the pocket in the breast where the implant will sit. It also puts the implant in contact with the milk ducts, which harbor a bacteria which can be a risk factor for capsular contracture. (I put a waterproof, clear, plastic dressing over the nipples during surgery regardless of implant placement to account for this.) One final factor in evaluating the periareolar incision is if you intend to breastfeed in the future. I tend to favor the inframammary fold incision, but I do perform all three common incisions.Good luck, and for more information about other choices to be made before undergoing breast augmentation, take a look at the Guide to Breast Augmentation on my website from the web reference below. I discuss common patient questions I receive, silicone versus saline implants, round versus anatomically shaped implants, smooth versus texturized implants, implant manufacturer, implant insertion incision location, implant location inside the breast, and more. 

There are currently three incisions used for breast augmentation surgery. These include the peri-areolar, trans-axillary and inframammary approaches. All three of these incisions have advantages and disadvantages when used for this procedure.When choosing an incision, most women's primary concern is scarring. All three incisions are associated with scarring to some degree, but the impact of this scarring is dependent upon the patient's lifestyle. For this reason, the incision should be based on the individual patient's needs. For instance, a trans-axillary approach might result in a highly visible scar in a sand volleyball player who brings her arms over her head and, therefore, may not be the best option in this patient.In the majority of patients, we prefer an inframammary approach. This incision is nicely hidden when wearing most types of clothing. In addition, it releases the muscles from the chest wall along the inframammary fold which allows for a more natural look.The choice of incision in most cases is decided by anatomic findings in combination with personal lifestyle choices. For these reasons, it's important to thoroughly discuss this issue with your plastic surgeon prior to surgery.

It really depends on the surgeon and the patient. Some prefer a particular incision. For example, I have found the inframammary incision to achieve the most accurate placing of the implants, however through the armpit can be great for someone who has a small nipple and undefined inframammary fold, making these other incisions difficult. Incisions around the nipple can increase your risk of developing breastfeeding difficulties or nipples sensation changes. You should speak with a surgeon to find out what is best for you.