Scarless breast augmentation can be achieved using a transaxillary incision, which is Dr. Maercks’s preferred method. A transaxillary incision is made in the armpit to access the breast, and from there the implant is inserted into the breast. This technique can be tricky, but in the hands of a skilled plastic surgeon such as Dr. Maercks, it is often the optimal choice. A scarless breast augmentation can also be done using a transumbilical incision, in which the incision is made in the belly button — however, Dr. Maercks generally advises avoiding this technique as it is unpredictable.