Breast Augmentation Access Incision Choices


Posted by Dr. Hardesty on February 27, 2019

There are advantages and disadvantages to all access incisions.

1. Periareolar (nipple)


  • Incision blends with pigmented areolae
  • Revisions can be accomplished


  • Limited incision length (larger silicone implants difficult to place)
  • Slightly higher rate of long-term capsular contracture (when internal scar tissue forms a tight or constricting capsule around the implant, contracting until it becomes misshapen and/or hard)

2. Inframammarybreast-augmentation-access-incision-choices


  • Lowest chance of developing long-term capsular contracture
  • Incision length not limited (can extend as necessary)
  • Revisions can be accomplished


  • Scar on breast

3. Axillary (armpit)


  • No scars on breast


  • If revision is needed, it is difficult to use this incision scar
  • Technically more challenging
  • Limited size of larger silicone implants

4. Umbilical (tummy button)


  • No scars on breast


  • Can only use normal saline-filled implants
  • Impossible to use this incision for revisions
  • Sometimes a large incision around the umbilicus needs special instruments

Unfortunately breast augmentation requires an external incision. The length of the incision can be minimized if you choose normal saline-filled implants, because they’re inserted in the deflated state and then filled in contrast to silicone-gel implants — which are pre-filled and sealed thus requiring a larger incision to insert.


Bottom line: The scar is worth the improvement in breast appearance, shape and size.


The Staff of Imagine Plastic Surgery serving many of the communities of the greater Inland Empire including but limited to Riverside, CA and Inland Empire, Redlands, Rancho Cucamonga, Ontario, Corona, Upland, and Chino Hills.

One Goal, Many Options

The most important factor to consider for your procedure or treatment is seeking the opinion and services of a skilled, experienced and Board Certified Plastic Surgeon who are experts in techniques. The Imagine Plastic Surgery team uniquely provides the full array of both non surgical and surgical alternatives thus filling our motto of “One Goal, Many Options.” For over 30 years Dr. Hardesty, an award winning, Board Certified Plastic Surgeon, has proudly been serving Riverside and San Bernardino counties of the Inland Empire and the communities of Rancho Cucamonga, Ontario, Upland, Corona, Chino Hills and Redlands. For over 30 years Dr. Hardesty and the Staff of Imagine Plastic Surgery have provided comprehensive Cosmetic Plastic Surgery services and procedures to Riverside and San Bernardino counties of the Inland Empire and the communities of Rancho Cucamonga, Ontario, Upland, Corona, Chino Hills and Redlands.

What is the cost?

At Imagine Plastic Surgery, we offer a variety a different procedures that all vary in prices. We strive in being transparent to all potential patients and being up front with how much our services may cost. For more information regarding the costs and prices, visit our plastic surgery prices page!


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