Implant Incisions: Can I Choose the Type of Incision?

There’s this perception that a plastic surgeon will be able to make all the choices for a breast augmentation procedure, and it couldn’t be more untrue. This is your breast augmentation and your body, so you will be able to make the major choices yourself, including which types of incision you want. Whatever incision you pick will leave a scar, so it’s important to be strategic about what kind to get. The good news? It’s up to you to look through the pros and cons and decide for yourself.

Silicone vs Saline

The two types of implants, silicone and saline, will help decide on your incision placement. Silicone implants are pre-filled, so your surgeon needs to make incisions that are big enough to fit the silicone implants. Saline implants however, can be deflated and inserted into the body, then filled up once it’s put in place. For this technique, only smaller incisions are needed.

  • Infra-mammary Incision:


These incisions are placed under the breast crease, and can be hidden by the breasts themselves. These incisions also allow for the longer incisions needed for silicone implants. The infra-mammary incision seems to have a slightly lower incidence of capsular contracture when compared with the peri-areola incision.


These incisions tend to be longer than other incisions, and the scarring might be visible for women with smaller breasts.

  • Peri-Areolar:


This type of incision goes around the border of the nipple in a semi-circle pattern. The dark outline of the nipple is useful for hiding scarring, and can also allow for a reduction in nipple size if that’s what the patient wants. This type of incision is also really useful for the surgeon because it’s close to where the implant is placed, allowing the surgeon to have greater control of the procedure.


There might be some risk of the scarring making the incision more noticeable around the nipple.

  • Trans-Axillary


For women getting a saline implant, the Trans-Axillary incision offers a way for women to have their incisions hidden in their armpit.


A word of caution: trans-axillary incisions are starting to fall out of favor for many surgeons because of their side effects. A trans-axillary incision is the only incision that will be visible when you’re wearing clothes, it also might make you lose sensation in the arm pit, and some patients have reported that the recovery is more painful with this type of incision.

Feel like you might have an idea as to what incision you want? Contact the offices of Dr. John S. Silverton now, for a consultation on the breast augmentation.