Breast augmentation incision options and scars

One of the choices in breast augmentation is incision location, which affects scar visibility and a few practical considerations, and understanding the options helps the conversation with your surgeon.

The common approaches are the inframammary incision (in the crease under the breast), the periareolar incision (around the lower edge of the areola), and the transaxillary incision (in the armpit). Each leaves a scar in a different place: the crease scar is hidden under the breast and is the most versatile and popular; the areolar scar blends into the color transition of the areola; the armpit scar avoids any scar on the breast itself. Surgeons choose based on implant type, your anatomy, and the trade-offs each offers for placement and future access.

All surgical incisions leave a scar, but breast augmentation scars are generally well-concealed and fade substantially over a year with proper care. Good scar care, sun protection, and silicone gel or sheets if recommended, helps them mature inconspicuously. The choice of incision is best made with the surgeon based on what suits your case rather than on scar location alone, since placement, implant type, and your tissue all factor in. For most patients, the resulting scars are minor and easily hidden compared with the change in shape they enable.

Related reading: Skin quality, scars, and healing after augmentation.

Further reading: Comparing Nipple and Areola Sensory Outcomes and Nerve-Related Complications Using Different Incision Types in Breast Augmentation: A Scoping Review (Aesthetic Plast Surg 2026); Modern Approaches to Aesthetic Breast Surgery: A Review of Augmentation, Mastopexy, and Fat Grafting (Ann Plast Surg 2026); Endoscopic-Assisted Transaxillary Breast Augmentation (Clin Plast Surg 2023).