Dallas Breast Augmentation Incision Types
Breast Augmentation Incisions in Dallas: Inframammary, Areolar, or Armpit?
When considering breast augmentation in Dallas, one of the most pivotal choices you'll make is where your surgeon will place the incision. Each approach comes with unique benefits, aesthetic considerations, and long-term implications for scar visibility and healing.
Under-Breast Incision (Inframammary)
The under-breast incision, also known as the breast crease incision, is the most widely used technique among Dallas surgeons.
- Incision placed discreetly in the natural fold beneath the breast
- Offers maximum precision and control, especially for silicone implants
- Preferred for larger implants or complex revisions
- Scar typically concealed within the bra or bikini line
Around-the-Areola Incision (Periareolar)
The periareolar incision follows the lower border of the areola, allowing the scar to blend with natural pigment contrast.
- Ideal for patients with medium-to-darker areolas
- Enables dual-plane placement and excellent control
- Slightly elevated risk of nipple sensitivity changes or visible scarring
- Not always recommended for individuals with light or indistinct areolar borders
Through-the-Armpit Incision (Transaxillary)
This approach places the incision within the natural fold of the armpit, leaving the breast itself scar-free.
- Favored by patients wishing to avoid chest scars
- Requires specialized training and endoscopic equipment
- Fewer Dallas surgeons offer this method due to complexity
- Can limit implant placement precision for certain body types
What Determines the Right Incision?
There’s no one-size-fits-all answer. Skilled Dallas cosmetic surgeons weigh several factors during surgical planning:
- Breast fold anatomy and nipple height
- Type, size, and projection of the implant
- Muscle placement (subglandular vs. submuscular)
- Skin tone, elasticity, and history of scar formation
- Your comfort level with scar location
A board-certified surgeon will prioritize both safety and aesthetics, helping you select an incision that suits your body, lifestyle, and cosmetic goals.
Scar Healing & Visibility Over Time
Regardless of placement, most breast implant scars follow a predictable healing trajectory:
- Initial fading begins around 6–8 weeks
- Scars continue to soften and lighten over 6–12 months
- Daily use of silicone-based scar treatments, high-SPF sunscreen, and avoidance of tanning beds is essential
- Tight, supportive bras help minimize movement that can worsen scar width
Right now, the average Breast Augmentation cost Dallas patients pay is $6,900, with most quotes sitting between $6,400 and $10,600, depending on surgeon, facility and add-ons.
Price-Range Breakdown (Low $6.5k → High $10.8k)
| Cost Driver | Typical Range | What to Know |
|---|---|---|
| Surgeon’s Fee | $4,500 - $7,500 | Board-certified plastic surgeons charge more for experience and revision work |
| Anesthesia | $800 - $1,200 | General anesthesia adds 90-120 minutes to operating room time |
| Facility | $1000 - $1,500 | AAAASF-accredited suites cost less than full hospital operating rooms |
| Surgical garments & meds | $150 - $500 | Includes post-surgical compression bra, stabilizer band, and pain RX |
Source: 2025 Realself Cost Survey, ASPS 2024 Stats Dallas dataset (31 board-certified
How to Choose the Right Dallas Surgeon
To ensure optimal outcomes, look for a provider who offers:
✅ Before-and-after photos showing all incision types
✅ Personalized surgical planning—not templated approaches
✅ Clear communication about risks, healing, and expectations
You can start your research with our Dallas breast augmentation specialists or browse verified RealSelf reviews from local patients.
FAQ
Q: Which incision heals fastest?
A: Incisions placed in the under-breast fold or around the areola often heal more predictably than armpit incisions due to less tissue disruption.
Q: Which scar is least visible long-term?
A: The under-breast incision is generally easiest to conceal in clothing. Areolar incisions may fade well when there's strong pigmentation contrast.
Q: Can I choose the incision site?
A: Yes—your preference matters. However, your surgeon will guide you based on your anatomy, implant type, and long-term outcome.
Sources: ASPS Procedure Database 2024 • RealSelf Dallas Patient Reviews • RealSelf internal survey (Dallas breast cohort)