Considering a breast augmentation - which incision placement would work best for me? (photos)

Hi arua,
An incision underneath the breast would be favorable for 2 reasons. First of all, if you are prone to keloid scarring, an under the breast incision would be better hidden than a incision around the border of the areola. Second, incisions under the breast are known to have a lower risk for infection around the implant, when compared to incisions around the areola.
Hope this helps.
Best,Christopher Pannucci MDBoard Certified Plastic SurgeonPlastic Surgery NorthwestSpokane, Washington

For those with a history of childbirth, the skin of the lower pole is loose, so even those with a short nipple to inframammary fold (IMF) distance have a good IMF scar quality. However, if the keloid tendency is very strong, an auxiliary scar may also be bad. Therefore, it is better to decide on the preferred location under the assumption that there is a high possibility of scarring no matter where the incision is made. The periareolar incision has a higher capsular contracture rate and a higher possibility of sensory change than other methods, so it is not used well these days.

For my patients, I typically make an incision in the inframammary fold which is the fold under the breast. That way when the implant settles that it will hide the scar when you are upright. I really have not had a patient complain about this scar. However any scar can be visible but hopefully the color will fade with time. Look at our photo gallery link below. The majority of these has the incision in the inframammary fold.