There Are 3 Different Incision Options (infra-mammary, peri-areolar and axillary) For Your Breast Augmentation

Your surgeon will be able to discuss with you which incision and location is best suited for your breast implant surgery.

Infra-mammary incision

An infra-mammary incision is made at the bottom of the breast and remains hidden in the fold. No breast tissue is cut and it should not interfere with breast feeding. This is the most versatile incision and offers your surgeon the most control when placing your implant and is the one that is most commonly used in our practice. This incision allows for more accurate placement of the implant and if a shaped implant is used, it allows the surgeon to make sure the implant is oriented properly.  This method also offers easier access should future surgery of any kind need to be performed. This incision usually  results in a thin “pencil-line” scar.


  • The incision, in the fold beneath the breast, may be irritated by your bra during healing. The scar remains red for a longer period of time (approximately 12-18 months).

Peri-areolar incision

This type of incision is made around the areola, the pigmented area surrounding the nipple,  usually along the lower 1/2 of the areola . The incision is made between the more pigmented area and the surrounding lighted colored skin.  The scar typically hides well at the edge of the areola where skin color changes. This incision can be used by your surgeon  to improve asymmetries in size, shape and position of the areola.


  • The chance of losing nipple sensation is slightly higher (about 2-5%) with a peri-areolar incision.
  • Future breast-feeding difficulties will occur in 20% of patients.
  • Higher risk for capsular contracture

Axillary incision

An axillary incision is placed in the armpit, which prevents the scar from being readily visible.


  • There is more post-operative discomfort associated with this approach
  • The risk of uneven placement of the implants is higher with this type of incision (approximately 10-15%). Any future surgery would require additional incisions resulting in other scars.
  • There is a higher risk for shaped implants not to be oriented properly.

As you can see, there are options available concerning incision placement for breast implant surgery. Where your incisions will be made depends on your choices, your surgeon’s recommendations and the type of implant you are choosing.

Contact us today to learn more about your breast augmentation incision options.