Location of your scar is determined by the opening created for insertion of your implants. The three most popular scar locations are at the rim of your areola (periareolar), along the crease at the bottom of your breasts (inframammary), and in your armpit (transaxillary). There is no best scar location for everyone, each location has advantages and disadvantages. Some women prefer one scar location over the other based on swimsuit styles they like, or other considerations. For many women, either approach is suitable. If you are among them, Dr. Laverson will leave the decision entirely to you. Our most common approach is inframammary (beneath the breast), but Dr. Laverson has also operated through the areola and armpit for many patients with excellent results.
Dr. Laverson avoids breast enlargement through areola in the following cases:
If the inframammary crease is poorly defined, asymmetric, or must be lowered an indeterminate amount to achieve a good result, the areola or armpit may be preferred. If a peri-areolar breast lift is to be performed with the augmentation, there is no need for an additional scar, so the periareolar approach is preferred. Large, darkly pigmented areola skin and a well-defined areola border that will conceal a scar well also favor the areola approach. If uncertain whether or not breast lift (mastopexy) is necessary, the areola approach may be recommended.
An armpit scar (transaxillary) is furthest away from the breast, but breast re-shaping over the implant is more difficult to accomplish from a further distance. Placing larger-sized implants through the armpit can be technically challenging, and shaped implants are more difficult to perfectly orient through the armpit (transaxillary) approach. Women who frequently shave their armpit may want to avoid an axillary scar until it is well healed and flat.
Many women are not happy with the shape of their breasts or have asymmetric breasts (right and left breasts are different sizes), inverted nipples, and other problems that can be improved with special techniques. The normally shaped breast is a round or elliptical soft mound with sensuous curves and a pigmented areola centrally located with the nipple projecting above the level of the surrounding areola. This robust, appealing, youthful breast contour, symmetrically sized on right and left, is the goal of most breast procedures, regardless of the starting point. The possibility of achieving beautiful breasts is affected by your anatomy, available implants, the size and location of scars necessary to fix existing problems, and other factors.