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Hawaii Breast Augmentation - where is the incision for a breast implant? (Transaxillary, Inframammary fold). Visit us online at http://goo.gl/xC8gFb or call 808-201-0540. Dr. Larry Schlesinger, a board certified plastic surgeon for 30 years explains the different incisions for breast implants and explains the benefits of the transaxillary approach when putting in breast implants vs. inframammary, belly button, nipple, and areola). Visit us online at http://goo.gl/xC8gFb or call (808) 597-8835. Video Transcript: Going through the armpit is perfect. Number one, the armpit skin is the second thinnest skin on the body and the thinner the skin the finer the scar. And number two, no one, not even your mother has intentionally looked in your armpits. So, it's a great place to hide the scar and the scar is invisible. It's really good. Here is the scar at 6 weeks. There is no scar. This is average. I mean every once in a while you'll see a little scar but most of the time there's no scar and that's what you want. You want the surgeon to have the ability to do what he has to do inside and have no scar. Armpit, good, other things bad. Putting an implant in through the belly button...the theory was that you would hide the scar. Well, going through the armpit, there's really no scar and you have total control over what you're doing. Putting an implant in through the belly button requires A, you can't use silicone, you can only use saline. B, what you do is push it up this long distance. You put it in there and expand it and it is wherever it is, in other words, it creates it's own pocket instead of dissecting the pocket and creating where you want it. No plastic surgeon in Hawaii does it. There's one non-plastic surgeon doing it. I think it's very dangerous and it's an inappropriate surgery. Inframammary fold. Breast implants put in below the breast. That was the gold standard back in 1963. The scars are unpredictable, usually bad. When you're dissecting from the inframammary fold upward, you've got about a 25% chance of bagging the nerve to the nipple. I think for multiple reasons, that is not a good way to do it. There are about three guys in town that make a teeny little incision at the base of the nipple and put the implant in. If the only thing you're worrying about is the scar, it's a great way to do it. The problem is, how do you create the pocket, how do you stop bleeding, how do you do all those things that you expect a surgeon to do, so I think this is very inappropriate. Going around the areola. The bottom of the areola, is acceptable. It's my fall back and it's acceptable. Sometimes you get a minimal scar, sometimes you get a scar you wish you didn't have. Visit us online at http://goo.gl/xC8gFb or call 808-201-0540.