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"I am a 37 year-old African-American female who has decided to have breast augmentation surgery. My question relates more to the optimal location for the incision (under the armpit, around the areola or in the crease of the breast). Although I personally have no problems with keloids, I would prefer minimal to no scarring on the breast. Also, I am still planning on having children, so I would prefer minimal interference with the nipples."


— Answered by Galaa M. Agban, MD
Rochester, NY


The best location for the incision depends on individual patient factors including the shape and size of the breasts. If possible, I prefer an incision at the lower border of the areola (the pink skin around the nipple). However, given your specific concerns, it is important for you to have a personal consultation a qualified plastic surgeon who can give you the best advice for your particular situation.

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