Breast augmentation surgery is probably the most commonly performed plastic surgery procedure in the world. This means that on a daily basis, thousands of women undergo the procedure all over the world. However, many of the women who go to the plastic surgeon’s office for the pre-operative consultation for breast augmentation surgery know few details of the procedure. In a vast majority of cases they would say they want a certain brand and a certain volume, based from all the research they made before meeting the plastic surgeon. This is not a bad thing; however, there are many other important things to discuss with the plastic surgeon. Among these, the type of scars to expect is essential information for the patient interested in undergoing the procedure. Undergoing augmentation to get bigger breasts is not like going to the shop and getting an expensive push-up bra. The procedure will leave behind permanent scars, and the patient should get used to this idea and understand that this is a long-term consequence of this plastic surgery procedure. Implants are inserted using small incisions either under the breasts, under the arms, or on the level of the areola. The plastic surgeon should recommend the best approach for you depending on your anatomical characteristics, desires, and the type of implant to be used. The right choice in terms of incisions will help you achieve the results you desire with minimal scarring. The incision performed under the breasts is called an inframammary incision, and it has the main advantage to be the same incision when placing or removing large silicone implants. The size of the incision is often dependent on the volume of the implants to be used. We can’t insert an implant with a volume of 800-1000 ccs through an incision of a few millimeters. During the pre-operative consultation, the plastic surgeon will be able to estimate the length of the incision depending on the type of implant recommended. The incision performed around the areola’s edges is called a periareolar incision and is preferred by many plastic surgeons and patients when it comes to inserting smaller silicone or saline solution implants. When this incision is performed, the plastic surgeon can also correct minor or moderate ptosis by eliminating some of the skin around the areola. The incision localized under the arms is called a trans-axillary incision. The plastic surgeon will create a channel between the underarm area and the breasts to be able to insert the implant. This type of incision allows for little control and visibility for the plastic surgeon and can result in asymmetries.