What does Dr. Pittman–Waller recommend?
Dr. Pittman–Waller recommends a submuscular or subpectoral placement in most cases. She believes it gives a more natural look and feel to the breast. For most saline breast implants, she uses an endoscopic technique as illustrated above, with the incision made in the armpit, where the scar will be less visible. For silicone breast implants, she recommends a submuscular placement through a periareolar incision, with the incision made around part of the areola where it meets the normal skin tissue. Silicone breast implants are prefilled and cannot be placed endoscopically, from remote locations like the armpit or the navel. (Illustration from Grabb and Smith’s Plastic Surgery, 6th edition, Charles H. Thorne, ed., 2007, p.
