Where to put the incision?
Breast implant surgery of any kind is going to produce scar tissue. However, you have options as to where you want that scar tissue to appear. These options include: Around the areola / nipple, under the breast, or in the arm-pit. Each location has positive and negative consequences. Sometimes inserting the silicone breast implant through an incision around the nipple can create highly-visible scar tissue. Inserting through an incision under the breast also creates scar tissue, but it is not usually noticeable unless the breast is lifted. Insertion through the arm-pit hides scar tissue but, according to the American Society of Plastic Surgeons, there is some evidence that armpit insertions can damage the implant.