Breast Implant Scars, you will need to have an incision made for your breast implant surgery. You can choose from three main incision sites: the transaxillary, periareolar, and Intramammary. You can learn more about these incisions in this article. You may also want to read about the benefits of each of these methods. The main difference between them is the type of incision used. The periareolar incision is usually less visible and is the most common option for women. There are many advantages to a transaxillary incision for breast augmentation. One is the reduced need for an extensive amount of excision, which is a big plus when a patient has small breasts. Transaxillary placement also offers the added advantage of accessing behind the muscle without having to cut the pectoral muscles. Finally, patients who wish to remove the implant through the same incision have more options. In transaxillary breast implant surgery, the surgeon makes an incision in the armpit fold. This creates a po