There are three major incision choices for breast augmentation. The first is called the inframammary incision, which is in the fold beneath the breast. The second is the periareolar incision, which is at the bottom edge of the nipple. The third is the axillary incision, which is in the armpit. There was also a fourth incision, which is not used by most plastic surgeons, which is called the umbilical incision, or the transumbilical incision.
We use the inframammary incision exclusively. The inframammary incision, which is the incision in the fold beneath the breast, has a decreased risk of capsular contracture, which is hardening of the tissue around the implant. Capsular contracture can require a very big surgery, and sometimes multiple surgeries to attempt to correct. So trying to avoid this problem is important.