Choosing the Right Incision for Your Breast Augmentation
Posted October 27, 2025 in Breast Augmentation, Breast Enhancement
One of the most common questions patients ask before breast augmentation is which incision option is best. Orange County-based, board-certified plastic surgeon Dr. Andres Taleisnik explains that while four popular incision options exist, only two typically provide the control and precision necessary to achieve the most natural and beautiful results.
Understanding Your Incision Options
The four possible incision locations for breast augmentation are:
- Inframammary: along the crease under the breast
- Periareolar: along the lower edge of the areola (the darker skin surrounding the nipple)
- Transaxillary: through the armpit
- Transumbilical (TUBA): through the belly button
Any of these four incisions may be used to insert breast implants. However, Dr. Taleisnik does not recommend the transaxillary or transumbilical approaches because these incisions are much farther from the desired location within the breast, making it more difficult for the surgeon to maintain precise control over implant placement. This also makes it more challenging to ensure optimal symmetry, positioning, and shaping of the implants.
Which Breast Augmentation Incision is Best?
Dr. Taleisnik favors the inframammary and periareolar incisions because they allow direct access to the breast pocket and provide excellent visibility and control for the surgeon. Both options make it easier to produce natural, well-balanced results with minimal visible scarring.
In choosing between these two, Dr. Taleisnik generally recommends the inframammary incision for most patients. One reason is that the inframammary scar typically hides beautifully within the natural crease beneath the breast. Another advantage is that this approach carries a lower risk of developing capsular contracture—a condition where the scar tissue around the implant tightens, causing firmness or distortion.
Choosing Your Incision for Breast Augmentation
Choosing the right incision is an important part of achieving safe, natural-looking, and long-lasting breast augmentation results. While Dr. Taleisnik typically recommends the inframammary incision for most patients, the best approach ultimately depends on each patient’s anatomy, goals, and personal preferences.
Dr. Andres Taleisnik works closely with every patient to explain each option and recommends the incision that offers the best balance of aesthetics, safety, and healing. His goal is always to help patients feel confident and comfortable with both their surgical plan and their final results.
To learn more about your incision options for breast augmentation, call Dr. Taleisnik’s office at (657) 294-8375 or schedule your consultation online today.
