Aesthetic Surgery of Virginia: Enrique Silberblatt, MD
3505 Brambleton Avenue
Roanoke, VA 24018
Phone: (540) 776-1600
Monday–Friday: 8:30 a.m.–5 p.m.

What Are My Breast Augmentation Incision Options?

photo750When placing implants during breast augmentation surgery at our Roanoke, VA, practice, there are several incision options that can be utilized:

  • Inframammary (underneath the breast)
  • Periareolar (around the areola)
  • Transaxillary (in the armpit)
  • Transumbilical (around the bellybutton, which I do not offer)

In this blog post, I’d like to take a closer look at each of these options and their benefits to help you decide which one may be right for you.


For the majority of patients, I use an incision underneath the breast as it enables me to access the breast pocket directly while providing me with the best visibility during the operation. Additionally, this incision is made far enough away from the nipple and breast tissue that it often decreases the chance of bacteria reaching and contaminating the breast implants, and it tends to heal very well for most people.


Another popular option is the incision made around the areola. Though there may be a greater chance for bacteria to reach the surface of the implant, the resulting scar from this incision is usually concealed as an inconspicuous white line next to the darker tissue of the areola. This is similar to one of the incisions used for breast lift procedures. Learn more in our previous blog post.


The incision made in the armpit is also well concealed, but using this technique may increase the possibility that breast implants are placed out of position.


As I mentioned above, I choose not to use the bellybutton incision at my practice. Not only can this technique exclusively be employed for saline implants, but I also do not feel results achieved by using this incision rival the quality of outcomes achieved with other incisions.

In the end, there are pros and cons associated with each incision option, all of which will be discussed in thorough detail during your breast augmentation consultation with a board-certified plastic surgeon. The final decision will be made based on your preference, needs, and goals.

To see examples of the breast augmentation results you can expect at our practice, please visit our before-and-after photo gallery.

If you would like to learn more about your Roanoke, VA, breast augmentation options, please contact us online or call (540) 776-1600.


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