Surgery News & Resources

Breast Augmentation Pros and Cons

Determine if breast augmentation surgery is the right option for you.

Every day, thousands of women decide to enhance their appearance and quality of life through breast augmentation. While some women undergo the procedure in order to rectify an imbalance of their two breasts, others choose to increase their bust line for aesthetic or personal reasons.

Whatever you are seeking to accomplish with breast augmentation, you must make several choices before undergoing the procedure.  The most important of these decisions are the location of the implant – submuscular or subglandular, as well as the location of the incision – around the nipple, under the armpit, under the breast, or through the belly button. 

The implant may be placed above the pectoral muscle (subglandular) or behind the pectoral muscle (submuscular).  The majority of women choose submuscular implantation.  The shape of the breast will be rounder, and the breast will feel more sculpted.  Essentially behind the muscle approach minimizes the palpability of implants, thus minimizes implant outline and ripples. 

Physically active women with more breast tissue may choose subglandular implantation.  There is less of a chance of the implant displacing during exercise when it is placed in front of the pectoral muscle. Breast also has more natural look since natural breast is all in front of muscle.   However there is also a slightly increased chance of the implant hardening when it is placed in front of the muscle.  A hardened implant may look and feels unnatural. 

Once you have chosen where the implant will be placed, you must decide how it will get there.  There are several pros and cons associated with incisions placed – around the nipple, under the armpit, under the breast, and through the belly button. 

Periarealor approach refers to the incision being made in the areola outline.  Many surgeons prefer this approach because it gives them good visibility for both submuscular and subglandular implantation.  Patients prefer this approach because the scar often blends in naturally along the rim of the areola. 

The downside to the periarealor approach is possible loss of sensation in the nipple.  This may result in complete numbness.  You may also experience difficulty in lactating or breast-feeding in the future. 

The second angle is under the armpit.  Here, the incision will produce a scar but the scar is located in an area that people very seldom notice.  Many surgeons utilize this approach only when making a submuscular implantation. 

The implant may also be inserted through an incision in the crease of the breast.  This approach is a good option for both submuscular and subglandular implantation.  Although this approach will produce a visible scar, this scar is hidden by breast mound.  Since implant is simply slipped behind the breast or behind chest muscle through the crease incision, there is minimal disruption of breast tissue.   

The final option is through the belly button.  If you choose to have your incision in the belly button, you will be left with no visible scar.  Pocket for implant placement is made using an endoscope, attached to a camera.  There is minimal disruption of breast tissue.  Recovery is quicker and there is less risk of loosing breast sensation. 

If you are considering breast augmentation surgery, you need to decide between submuscular and subglandular implantation, as well as the location of the incision.  Your plastic surgeon can help explain the pros and cons of these options, and help decide which approach is best for you.  Currently, Dr. Rai, a Dallas, Texas area plastic surgeon, is offering free consultations for breast augmentation.  Contact him today to learn more about breast augmentation or to schedule a free consultation. 

Article submitted by: Sara Goldstein,, 17301 W. Colfax, Suite 275, Golden, CO, USA 80401

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