Breast Augmentation Incisions


Breast augmentation can be done through several different incisions. There are generally 3 different incisions are utilized.

Breast augmentation with the incision under the breast:

This is by far the most common incision used for breast augmentation. This is most well tolerated by women. Women wish to have minimal scars and the base of the breast as the most minimal of scars. This also gives great access and visualization to the surgeon to be able to see all the anatomic elements under the breast and the muscle to give the best shaped breast and to get the implant into the most optimal position. I found throughout my career that women like this scar the best and have the least problem with the scar. The scar is hidden under the brassiere and is hidden under the bikini wear as well. The incision is not exactly on the base of the breast is slightly up on the breast, so it does not show even if you lift your arm up and do your bra or your bikini rises a little bit. As a result, this does not show much at all on the parts of the breasts that are normally exposed. This is the incision that most women wished.

Breast augmentation with the incision around the nipple:

The incision around the nipple some think is more favorable because it is no incision under the breast or under the arm or any place on the breast at all. However, the incision around the nipple requires a surgeon to go directly through the areolar complex down through the breast tissue and through the muscle. This can cause internal scarring of the breast and causes the breast tissue to be manipulated surgically which causes scarring and future mammograms. This can be done and Dr. Jacobsen is able to perform this and occasionally performs for various anatomic or technical reasons but for the most part Dr. Jacobsen does not recommend this operation for breast augmentation. This incision that is more apparent when the naked breast is observed because it is to central focus point of the observation of the breast around the nipple. Generally, the incision under the breast is not nearly as visible when reviewing the breast straight on.

Breast augmentation with the incision under the arm:

Dr. Jacobsen has done many times the incision under the arm operative breast augmentation. This is called the axillary incision or the underarm incision. Dr Jacobsen has found some women that have had this underarm incision in his experience are not happy with his incision. The scar does show at times even when you are dressed. As a result, when you lift up your arm up there is generally a scar there that can be seen by an observer. Although the advantage is that there is no incision at all on the breast itself there is an incision under the arm. Also the underarm incision requires a surgeon to use various surgical instruments to place the implant under the muscle. As a result, the anatomic elements are not directly visualized for the most part and as a result in Dr. Jacobsen opinion the shape of the breast cannot be tactically manipulated adequately to give an optimal nice shape to the breast. Dr. Jacobsen does not recommend this technique as the incision is not significantly better and at times can be more distracting to an observer and the quality of the shape of the breast is somewhat compromised.

Breast augmentation with the incision around the belly button:

This incision is through the belly button crating a tunnel then from the belly button up to the breast implant and placing then the breast implant through a tubular surgical instrument up under the breast. This was intended to avoid any incision on the breast. Some surgeons are very good at this and do this frequently, but it is an infrequent utilized incision. The downside of this incision is that the belly button now has a significant scar around it. With modern fashionable clothing the belly button is exposed, and this incision sometimes is quite noticeable rather than a small incision on the breast which is normally hidden. This is intended to leave no scar in the breast to allow the breast to look better however this technique does not allow sophisticated placement of the breast implant and dissection of the muscle and soft tissue to give a perfect pocket and idealized shape to the breast. The breast implant is essentially push through a tube up into under the breast and then manipulated by pushing the implant around under the breast until it’s in a favorable position. This does not allow sophisticated favorable positioning of the breast implant. As a result, Dr. Jacobsen does not utilize this technique.

Dr J and his staff look forward to understanding the details of your unique case, desires and aspirations, and to providing you with realistic, safe and attainable results that leave you looking beautiful, and truly feeling like yourself. Take the first step toward your healing or rejuvenating procedure with Dr J by filling out our contact form to request a consultation, or to inquire about any of the services we offer. We look forward to treating you!


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  • review rating 5  Incredible does not begin to describe Dr. J and his amazing staff! From my first consultations to any questions I had post op, I was treated like I was the only patient. Dr. J is a true professional who cares about his patients. Without hesitation, I highly recommend Dr. J!!

    thumb Kara Sehr
    3/10/2019
  • review rating 5  I'm having a hard time with this because, I can't say enough good things about this office! Dr. Jacobsen is an amazing surgeon. He is always available, for any questions or concern. His staff go way beyond any other office I have seen. They are more than helpful with insurance, appointments, or any issue or questions. The office is both beautiful, and comfy. Like I said can't say enough.

    thumb J Basom
    1/25/2018
  • review rating 5  I had skin cancer removed from my forehead for the first time and my dermatologist's office scheduled an appointment with Dr. Jacobsen on my behalf. Not only was the staff accommodating but they actually got another patient to reschedule so that they could fit me in to close up the (rather large!) wound. I still had no idea what was going on, what everything was going to look like, how much it was going to cost, etc and I was under a considerable amount of stress. Every staff member I interacted with put me more and more at ease; they're more worried about you as a person than they are about you as a payment. Dr. Jacobsen is very kind and so concerned about the wellbeing and comfort of his patients. I was in very good hands. I am now going through round two and I am back in his hands -- and couldn't feel more secure. The pictures shared are from my first procedure -- about 2 weeks apart. The scar has disappeared even more and is nearly unnoticeable even without a light layer of makeup (as in the after photo)

    thumb Kristen Costanza
    6/15/2018
  • review rating 5  So pleased with my whole experience! I thank everyone for making me feel good about myself again and being fantastic through my whole experience!

    thumb Sandy Cosper
    3/12/2019
  • review rating 5  Dr. Jacobsen and his team are beyond exeptional! From the moment you walk in you are treated with care and professionalism. Very very impressed! Thank you Absolutely recommend!!!

    thumb ester zav
    7/25/2018
  • review rating 5  Dr Jacobsen performed surgery on the back of my leg to remove melanoma, I also had a sentinel lymph node biopsy at the same time. Dr J is professional, knowledgeable and very dedicated to patient care. I had to have the lymph node incision drained several times and he got me in quickly and also worked around my hectic schedule. He even came in while he was on vacation! He was always so reassuring and very kind. Dr J goes above and beyond! His office staff is very responsive and they are so pleasant to work with. I am grateful to have been referred to Dr J and his office😌

    thumb Pam Kline
    7/22/2019
  • review rating 5  My experience with Dr Jacobsen, MD has been a stunningly positive experience. Is he a highly skilled surgeon? Yes, without a doubt and I would not hesitate to seek his help with any problem whatsoever. He is an excellent communicator and answers any and all questions and concerns so that I knew what was going to happen and what to look forward to. His staff is excellent as well. Dr Jacobsen has put together a highly professional team across the board. Bob N. 2/28/18

    thumb Ive Nuffet
    3/01/2018
  • review rating 5  I think he’s a wonderful surgeon and extreme talent. I can in for a bilateral breast augmentation after having breast fed my 2 sons. What he did to my body and self esteem is immaculate. I’m so happy with his hand I work. I had almost NO bruising at all and they gave the the perfect amount of pain medicine to get me though and still functioning. I gave him a 5 star rating because of his skills and professionalism. How ever if you don’t come stacked with your own questions and concerns he can’t do anything for you. He’s a surgeon who knows all this stuff but not exactly the fountain of information. He will litterly only tell you and give you what you ask for. Don’t make him guess or try to let him lead the conversation when it comes to concerns and post up care. Make a list of questions and stick with it. He will answer them all perfectly. It’d help to do your research and bring your own pictures with a ‘cc’ in mind. HE WILL GIVE YOU WHATEVER YOU ASK FOR!❤️

    thumb Laura Hoskins
    3/24/2019
  • review rating 5  My experience with Dr Jacobsen, MD has been a unbelievable first time experience for my procedure. He is a extremely skilled surgeon that that I would highly recommend. He is professional, compassionate, knowledgeable and has excellent bedside manners. Do not hesitate to set up a free consultation, your will never regret it. Jim K. 4/15/18

    thumb Jim Kleeman
    4/17/2018
  • review rating 5  He is the best doctor I am so so happy with my tummy tuck thank you DR William m .Jacobson

    thumb Nehmah Salem
    2/12/2019

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Dr J and his staff are committed to providing you with exceptional and compassionate care. On behalf of our entire team, we invite you to request a consultation to talk to Dr J about your goals, expectations and aspirations. We can’t wait to find out how our 20-plus years of experience in cosmetic and functional plastic surgery can help change your life, and make you a happier, healthier person.

Dr. William Jacobsen
Plastic Surgery
2525 East Arizona
​Biltmore Circle, Ste C236
Phoenix, AZ  85016

Phone: 602-212-0100
Fax: 602.279.1701
info@drjsoffice.com

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Dr J considers every surgery an opportunity to express his vision with his patients, and believes in natural, beautiful results that leave you feeling confident and beautiful, but most importantly, feeling like yourself. From extremely rare and complex surgical cases, to cosmetic surgery, Dr J has the experience, compassion and understanding to help you achieve your surgical goals.

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