There are four different incisions that can be used for breast augmentations. These incisions are 1. Inframammary 2. Periareolar 3. Transaxillary (armpit) 4. Transumbilical (belly button). The two most common approaches are the inframammary incision, which is in the breast crease and the periareolar, which is near the nipple. The breast implant incision associated with the lowest complication rate is the inframammary incision, as it has the lowest incidence of capsular contracture (scar tissue). This incision also allows for insertion of larger, cohesive gel implants (“gummy bear”). The selection of incision should be based on the patient’s anatomy as well as the surgeon’s experience. I prefer the inframammary appproach to breast augmentation because there is significant data in the plastic surgery literature to support this incision.