Most women have a some differences in their breasts. My preference for the incision of the breast implant has always been the inframammary fold.
This incision gives the best results for creating the breast pocket and the placement of the breast implant.
I find this incision is the most reliable and leads to much less revision due to breast placement.
Although you have very little breast tissue the scar incision will fade with time and if you ever need breast revision surgery in the future this will most likely be the place where your breast implants will be removed.
If you choose silicone breast implants the incision is usually in the inframammary crease or around the nipple.
Breast augmentation incision sites armpit
I find that the nipple scarring can be very visible and therefore suggest clients to select the infarmammary incision approach. (John Ward, MD, Phoenix Plastic Surgeon)
The scars are almost never an issue in breast augmentation. If you are unhappy after wards, it will be because of bad shape or symmetry. I think you have the best chance of having a good result with infra mammary incisions. (George J. Beraka, MD (retired), Manhattan Plastic Surgeon)
There are trade-offs with all breast augmentation incisions, and no one approach is right for all. Given your skin type and the fact that you have no fold in which to conceal a scar, I would favor a transaxillary or under the arm approach to keep the scar off the breast and out of sight. (Peter E. Johnson, MD, Chicago Plastic Surgeon)
Incisions in breast augmentation
Breast augmentation incision sites areola scar
Well placed incisions end up usually giving excellent scars. I would suggest either an inframammary incision or a periareolar incision, depending on the size of your implant and choice of saline vs. silicone. By the way, nothing will “fix” breast asymmetry. You have some modest asymmetry that may be better if implants of different sizes are used, but you will never be equal no matter what different implants are used. Everyone has differences in their breasts (including models) and the goal is to minimize any asymmetry, but not to “fix” it. Your areolas, for example, are of different sizes, and will remain different. If you try to “fix” them, you will add an additional scar all the way around one areola and no guarantee that it will match the other one. (Francisco Canales, MD, Santa Rosa Plastic Surgeon)
Breast augmentation incision sites scar in 2 years
All these 3 incisions are popular. each only has been the #1 over the years, each rotating in popularity. Today the infra mammary is the “new” hot one. For you scarring not an issue. I recommend either the infra or peri before the trans, but I do all 3. (Darryl J. Blinski, MD, Miami Plastic Surgeon)
Breast augmentation incision decisions
From the photo you have the choice of either the infra mammary incision or the transaxillary (TA) incision. Each has it’s advantages and disadvantages. Through the inframammary incision the asymmetry can be corrected and a silicone implant can comfortably be placed.
Breast augmentation incision sites scar under breasts
As for the TA you are limited to a smaller silicone implant or a saline implant. The scar can be well hidden in the creases of the axilla. (Dana Khuthaila, MD, FACS, New York Plastic Surgeon)
I find that whenever there is asymmetry, nothing beats an inframammary incision for unparalleled exposure of the breast pocket as well as precision in correcting asymmetry. It allows precise assessment of the lower edge of the implants to ensure that they are even. Also, as the creases will almost certainly need to be lowered in your case, the incisions can be placed within the new planned creases to minimize visibility after surgery. (Mark D. Epstein, MD, Stony Brook Plastic Surgeon)