Currently, there are three options for inserting breast implants. These include 1)Inframammary fold (under the breast), 2)Nipple/Areola (underneath the pink portion of the areola), and 3)Trans-axillary (through the armpit). Breasts are an intimate part of a female in that this decision needs to be made together with your doctor. There are pros and cons of each approach and they should all be discussed with patients. Most plastic surgeons prefer the approach from under the breast. This avoids loss of sensation of the nipple, less interference with mammography, avoids a potentially ugly scar on the center of your breast mound. In the event that you don’t scar well, this is the ideal site for a scar; it will be hidden in the shadow of your breast and it can be treated with laser and scar management therapies.