The Different Approaches to Breast Augmentation

We know how difficult it can be to make a decision about which approach to breast augmentation is right for you. There are several approaches you should consider, but Dr. Wallace often advocates for no-scar on the breast augmentation, which allows you to look your best, without any evidence of scarring from your procedure. Dr. Wallace also recommends gummy bear implants, which can even be placed through your armpit.
As an informed patient, you are considering all of your options. We want you to make an educated decision, which is why we put together this primer on the different approaches to breast augmentation:
Endoscopic “No Scar on the Breast” Augmentation
The transaxillary breast augmentation approach when done with Sientra® gummy bear implants makes it completely possible to get a natural look with an armpit incision, which heals very well and in most cases is invisible, with no scarring evident.
Inframammary Breast Augmentation
The inframammary approach in breast augmentation is one of the most popular techniques, but it will leave a scar under your breast which is easily hidden in the crease.
Periareolar Augmentation
The periareolar approach to breast augmentation is a very common approach. It is performed through a half-circle incision on the lower edge of the areola. If you do not have a small areola, it is possible that the periareolar approach will allow your scar to be well camouflaged.
Subglandular Breast Implants
Whether to place breast implants over or under the pectoralis major muscle is a choice that needs to be made by you and your surgeon. Subglandular placement can often look more natural and may be particularly effective if ptosis (or sagging) is an issue, as a subglandular implant lifts the breasts much better.
Submuscular Breast Augmentation
Submuscular breast implants are placed either completely or partially below the muscle. Implants placed below the muscle have more tissue above. This is a decision that you and
Dr. Wallace will make together, as Dr. Wallace will say “no key fits every lock”.
Gummy Bear Implants
Let Dr. Wallace select from a wide variety of shapes and sizes to find the perfect option for you. Made by Sientra® from a new high-strength cohesive silicone gel, gummy bear implants are capable of retaining their shape, providing you with the most natural-looking shape and most accurate simulation of real breast tissue, so you have the feel of a natural breast, while minimizing postoperative sagging.
The Bottom Line
Although you should know the options that exist, the best recommendation for your breast augmentation approach should come from a medical professional. When you schedule your consultation with Dr. Wallace he will evaluate your breasts and make a recommendation.
If you seem to be a good fit, he will likely recommend no scar breast augmentation and/or gummy bear implants through the armpit. We always advocated for the least invasive option, if safe and preferred for your overall breast goals.
There are many different options when it comes to breast augmentation, and we want you to make the choice that is right for you. Contact us now to set up your consultation, and let us help you make the right choice for achieving your aesthetic goals.