Breast augmentation, using the armpit or belly button approach, may seem very appealing to patients considering breast implants. The problem with these approaches is that the surgeon to have direct access to dissecting out the implant pocket in an accurate manner I think, most plastic surgeons who have high levels of experience and disease breast augmentation practices will use a peri-areolar approach to saline implants, because it gives the best direct access to forming an accurate and anatomically correct implant underneath the pectoralis muscle. getting this done correctly with transection of the pectoralis muscle at the right level and keeping the inframammory fold intact is important in a quality augmentation. This leads, the higher Rivian rate, and a higher degree of secondary issues after augmentation, using either the armpit or belly button approach. Revision surgery cannot be done through the armpit or belly button. Generally speaking down some surgeon may try not adding a new incision. There is no non-surgical way of addressing this, so I suggest having a few in person consultation with a plastic surgeon who do a lot of breast augmentation surgery to get a better assessment, and better understanding of revision strategies. The best shot at getting quality outcomes is having it done correctly the first time around. Most plastic surgeons, shy away from indirect approaches to breast augmentation because they realize the importance of having control over the creation of an accurate implant pocket. These are only my personal thoughts and other plastic surgeons may have very different views on the topic. If somebody can get consistent quality results minimizing the scarring on the breast, then my hat goes off to them. Unfortunately what I see is what you present with all too often making the approach not all that desirable. Best, Mats hagstrom MD