Breast Augmentation Incision Types in Fort Lauderdale, FL
Incision Types for Breast Augmentation
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The South Florida Center for Cosmetic Surgery, located in Fort Lauderdale, has served over 10,000 clients. Known for delivering the highest level of service, quality, and the latest techniques in cosmetic care.
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Why Your Breast Incision Choice Matters
The incision your surgeon chooses during breast augmentation directly affects scarring, implant placement, and your overall results. At the South Florida Center for Cosmetic Surgery, our board-certified plastic surgeons — Dr. Brandon Elnekaveh, Dr. Rohan Policherla, and Dr. John Pinnella — evaluate your anatomy, implant type, and aesthetic goals to recommend the incision approach that gives you the most natural-looking outcome with the least visible scarring.
There are four primary incision types used in breast augmentation surgery: inframammary, periareolar, transaxillary, and transumbilical. Each has distinct advantages depending on your body, your implant choice (saline vs. silicone), and whether you may want a breast lift performed at the same time.
Breast Implant Incision Placement
Inframammary Incision
Inframammary incision is the most commonly used approach in breast augmentation. Your surgeon makes a small incision (typically 3–5 cm) in the natural fold beneath the breast. This gives the surgeon the most direct access to create the implant pocket, which allows precise placement of both silicone gel and saline implants. The resulting scar sits in the breast crease and is typically concealed by the breast itself. At the South Florida Center for Cosmetic Surgery, our surgeons most frequently recommend this approach because it provides the greatest control over implant positioning.
Periareolar Incision
Periareolar incision is made along the lower border of the areola, where the darker skin meets the lighter breast skin. This natural color transition helps camouflage the scar. The periareolar approach is a strong choice if you are considering combining breast augmentation with a breast lift, since both procedures can be performed through the same incision site. This incision works best with smaller implants.
Transaxillary Incision
Transaxillary incision is placed in the natural crease of the armpit. The implant is inserted through a small tunnel created from the armpit to the breast pocket. This approach leaves no scarring on the breast itself. It is most commonly used with saline implants, which can be inserted deflated and then filled once in position. Some surgeons use endoscopic tools for greater precision with this technique.
Inframammary fold (IMF)
This small incision is placed in the natural breast crease. This is the most common type of incision, which offers optimal access to the internal issue and offers a discreet scar that is hidden under the breast once the implant settles.
Periareolar
This incision is placed around the border of the areola (the pigmented skin around the nipple). This incision allows your surgeon to reach the precise area where the implant will be placed. Once the incision is healed, it blends with the natural color of the areola.
Transaxillary
This incision is placed in the natural underarm fold. This technique doesn’t leave any scars around the breast area. However, a proper evaluation needs to happen because this technique is not appropriate for every patient or implant type.
How Do Our Surgeons Choose the Right Incision for You?
Your incision type is not a one-size-fits-all decision. During your consultation at the South Florida Center for Cosmetic Surgery, Dr. Elnekaveh, Dr. Policherla, or Dr. Pinnella will evaluate several factors before recommending an approach:
- Implant type and size — Silicone gel implants require a slightly larger incision than saline, which makes the inframammary or periareolar approach more appropriate for silicone. Saline implants are compatible with all four incision types.
- Your anatomy — Breast shape, chest width, existing breast tissue, and skin elasticity all influence which incision gives the best access and the most natural result.
- Combined procedures — If you are having a breast lift at the same time as your augmentation, a periareolar or inframammary incision typically allows both procedures through one site.
- Scar sensitivity — If minimizing visible scarring is your top priority, your surgeon may recommend the transaxillary or inframammary approach.
- Revision considerations — If you may need a future implant exchange or revision, certain incision sites (especially inframammary) provide easier surgical access.
Every breast augmentation plan at our Fort Lauderdale practice is customized to your goals, your body, and your lifestyle.
Breast implant placement: over vs. under the muscle
Another key decision is the placement or position of your breast implant. This decision can be affected by your type of lifestyle and anatomy, and your surgeon will help you choose the best option for your chest muscles (pectoralis major).
Your surgeon will carefully evaluate your anatomy, breast tissue, and goals to recommend the ideal implant placement for your body.
Under the Muscle
Sub-muscular
This is the most common placement for breast implants. The implant is placed partially beneath the pectoral muscle. This type of placement achieves a more natural result and better implant coverage. This technique is beneficial for patients with thinner breast tissue. It may also reduce the risk of complications like rupture and capsular contracture and minimize visible rippling.
Over the Muscle
Sub-glandular
This implant placement sits right behind the breast tissue but on top of the muscle. Placing the implant over the muscle can offer a more dramatic round look, with quicker recovery. This option is good for patients with a good and healthy amount of natural breast tissue.
Dual Plane
The dual plane technique is typically used for those patients with signs of mild sagging, improving their shape and contour. This advanced technique places the implant partly under the muscle and partly under the breast tissue, combining the benefits of both placements.
What To Expect During Your Incision Healing & Scarring After Breast Augmentation
Most breast augmentation incisions heal well and fade significantly over the first 12 months. Here is what a typical healing timeline looks like:
- Weeks 1–2: Incisions are closed with sutures or surgical tape. Mild swelling, bruising, and tenderness around the incision site are normal.
- Months 1–3: Scars may appear pink or slightly raised. Your surgeon may recommend silicone scar strips or topical treatments to support healing.
- Months 6–12: Scars continue to flatten and lighten. For most patients, the incision line becomes a thin, pale line that is difficult to see.
The final appearance of your scar depends on your skin type, genetics, incision location, and how closely you follow your surgeon’s post-operative care instructions. Our board-certified plastic surgeons at the South Florida Center for Cosmetic Surgery use precise closure techniques designed to minimize scarring from the start.
Our Fort Lauderdale breast augmentation plastic surgeons
M.D.
Dr. John Pinnella
John Pinnella, MD is a plastic and reconstructive surgeon who specializes in aesthetic surgery.
M.D.
Dr. Rohan Policherla
Rohan Policherla, MD is a plastic and reconstructive surgeon who specializes in aesthetic surgery.
Real breast augmentation patients. Real results.
Breast Augmentation Cost Starting at: $2,398
Financing options as low as $200 / month
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Breast Augmentation Reviews in Fort Lauderdale
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Oustanding results!
I recently had a procedure done by Dr. Brandon and I couldn’t be more pleased with my experience. From start to finish, every aspect of my journey exceeded my expectations. I highly recommend Dr. Brandon and their team. The moment I stepped into the office, I was greeted by a warm and welcoming atmosphere. Nurse Tamika made me feel at ease, addressing all my concerns with patience and understanding. Her kindness went a long way in calming my pre-surgery nerves.
Dr. Brandon and staff (nurse Laura, Miriam, Maria, Valencia, Laura, Carolina) exude professionalism. Dr. Brandon and Nurse Laura were thorough in explaining the procedure, potential risks, and expected outcomes. I felt fully informed and confident in my decision to proceed. The results of my procedure are truly remarkable! Dr. Brandon’s skill and attention to detail are evident in the natural-looking outcome. Thoroughly impressed by the results.
The exceptional care continued after surgery. The follow-up appointments were comprehensive, and the staff was always so kind and patient. I am so appreciative for their flexibility with scheduling also! Thanks Tamika and Jacqueline. If you’re considering plastic surgery, you’ll be in excellent hands with Dr. Brandon and team. They offer comfort, professionalism, and outstanding results!
Breast Augmentation
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Beyond pleased with the experience
My wife had a breast augmentation today with Dr. Brandon. We’re both beyond pleased with the experience. So far, it looks great. The doctor was easy to talk to. Explained everything. They didn’t treat you like money and throw you right out fast after the procedure was done. They allowed my wife to recover nicely there instead of rushing her out. The after care has been surprisingly good. The doctor himself reached out late the night of the surgery. It’s more expensive than other places but worth the extra for sure. They don’t run you through a bunch of BS before surgery they’re very to the point and I love that.
Breast Augmentation
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Treats you like family
I had a wonderful experience from start to finish. Melinda helped me every step of the way and was absolutely phenomenal!! She truly cares about patients and will go above and beyond to make sure that you are fully heard. I was kind of hesitant since I’m from out of state but everything went so smoothly and I would recommend this place to anyone..if your looking for a facility that treats you like family and exceeding your expectations this is the place! A big thanks to Dr. Pinnella he is absolutely AWESOME
Breast Augmentation
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I highly recommend this company
I went to South Florida Center for Cosmetic Surgery last week for a breast augmentation consultation, and the service was excellent. The staff were very helpful and friendly. I am from Ohio and will be moving to Florida very soon. I am excited for my upcoming surgery and to see the “new me.” Dr. Pinnella will be doing my surgery and I appreciate him suggesting the best recommendation to meet my needs. Melinda was informative and helped me find the best options to ensure a smooth procedure as well as recovery after the surgery. Thank you to all of the staff! I’m looking forward to getting my breast augmentation soon! I highly recommend this company for your upcoming desired surgeries.
Breast Augmentation
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Thank you so much Dr. Brandon!
Dr. Brandon did an amazing job on my breast augmentation, lift with mesh bra. Impressive bedside manner, he really listens to concerns/wants and is very thorough. I came from out of town and was so impressed that Dr. Brandon called me the night before to see how I was feeling and discuss any concerns. The staff was also so great to work with remotely and in-person. I am only 1 week post-op so far and very happy with how my final results are coming out so far. Can’t wait to see my final results. Thank you so much Dr. Brandon!
Breast Augmentation
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1000/10 recommend!
Dr. Brandon is such an amazing doctor! I couldn’t have chosen anyone better! He made me feel really comfortable and his communication skills are amazing and on point! I’m on post op day 2 and I already love my results 😍 The staff down to the nurses and anesthesiologist were so amazing and helpful!! They all made me feel extremely comfortable and I’m glad I decided to go with South Florida Center!! 1000/10 recommend!
Breast Augmentation
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From start to finish it was a smooth ride
I had a great experience here at South Florida Center for Cosmetic Surgery. Melinda was the first person I spoke with when I got the process started, she is delightful; most cheerful and lively woman. She answered all of my questions, and provided me with guidance throughout my journey. The whole joint is extremely organised, from start to finish it was a smooth ride. I had the honor of being treated by Dr. Robert Cucin, who is a double board-certified plastic surgeon. Dr. Cucin’s meticulous expertise, and polished dexterity has resulted in a flawless ramification. Thank you so much team, it was a pleasure.
Breast Augmentation
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I felt safe every step of the way
The experience with working with Dr Brandon was great from beginning to end. He is extremely professional, listened to all my fears, took my health and safety very seriously and is such an overall knowledgeable Doctor. I felt safe every step of the way. The nurses there and the entire staff are just so kind. I cannot recommend south florida surgery center and doctor brandon enough!! Hes amazing!
Breast Augmentation
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The staff was very helpful from start to finish
Moving to Florida and spending numerous hours researching a facility for a breast augmentation. These folks were very honest, open, and forthcoming. Dr. Ro was amazing and answered all my questions. Also, the staff was top notched!! Give them a call and find out what they can do for you. The staff was very helpful from start to finish.
Breast Augmentation
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Breast Augmentation FAQs
Can I choose my own incision type?
You can express a preference, and your surgeon will factor that into the recommendation. However, the final incision choice depends on your implant type, breast anatomy, and whether you are combining procedures such as a breast lift. Your surgeon at the South Florida Center for Cosmetic Surgery will explain the trade-offs of each option during your consultation.
Which breast augmentation incision leaves the least visible scar?
You can express a preference, and your surgeon will factor that into the recommendation. However, the final incision choice depends on your implant type, breast anatomy, and whether you are combining procedures such as a breast lift. Your surgeon at the South Florida Center for Cosmetic Surgery will explain the trade-offs of each option during your consultation.
Does the incision type affect how my implants look or feel?
The incision type affects surgical access and scar placement — not the final shape or feel of the implant once it is positioned. What matters most for your result is the implant pocket (above or below the muscle), the implant size, and the implant type (silicone vs. saline).
Is one incision type safer than another?
All four incision types are considered safe when performed by a board-certified plastic surgeon. Complication rates are comparable across approaches. The key safety factor is your surgeon’s training and experience — Dr. Elnekaveh, Dr. Policherla, and Dr. Pinnella each bring extensive surgical expertise to every breast augmentation procedure at our Fort Lauderdale practice.
Can I get silicone implants through any incision?
No. Silicone gel implants come pre-filled, so they require a slightly larger incision. The inframammary and periareolar approaches accommodate silicone implants well. The transaxillary approach can work for silicone in some cases, but TUBA (transumbilical) is only used with saline implants.
