Personally, An areolar incision can be hidden provided the breast has a large enough areola and short lower pole. Under the muscle is also possible.An exam and consultation with a plastic surgeon is recommended to discuss your options and expectations.
Hello and thank you for your question. Implants can be placed under the muscle with a peri-areolar incision. There are several advantagesand disadvantages to over vs under the muscle. Under the muscle has theadvantage of lower capsular contracture rates, less risk of rippling, andbetter visualization with future mammograms. Most patients say that underthe muscle also has a more natural look and feel. The size, shape,and profile of the implant is based on your desired breastsize/shape, your chest wall measurements, and soft tissue quality. This decision should be based on a detailed discussion withequal input from both you and your surgeon. Make sure you specifically look at beforeand after pictures of real patients who have had this surgery performed by yoursurgeon and evaluate their results. Themost important aspect is to find a surgeon you are comfortable with. Irecommend that you seek consultation with a qualified board-certified plasticsurgeon who can evaluate you in person.Best wishes and good luck.Richard G. Reish, M.D.Harvard-trained plastic surgeon