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.

Looking to take the next step in a breast augmentation? Contact us today.

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  Dr. J is seriously hands down the best plastic surgeon out there. Bonus, His staff is amazing as well! Amazing work and the best bedside manner there is!

    thumb Stephany Stuhmer
    7/24/2020
  • review rating 5  Dr. Jacobsen surgically treated my husband for a serious and complicated wound infection. It took a lot of determination on Dr. J's part to get him through this ordeal. We would email photos on a regular basis and Dr. J would always personally reply and see him asap if needed. We would definitely recommend him to anyone.

    thumb Judy Shewman
    7/16/2020
  • review rating 5  My beloved Bernie received such wonderful care from Dr Jacobsen. He was seen the very next week for a growth he had on his ankle. Both Dr. Jacobsen and his staff were very professional, warm, kind and compassionate. What impressed me the most about Dr J was his ability to be fully present and listen deliberately to our concerns and then communicated in a language we could understand about what Bernie needed. Bernie was in surgery the next day. Dr J listened to Bernie’s concerns and honored his choices, even though they were different than what Dr J recommended. Although the cancer spread through his body in the next several months and Bernie died, Dr J and his staff were always compassionate and understanding. They took the time to listen and they were especially kind to me, Bernie's beloved wife.

    thumb Victoria Benoit, Author
    7/16/2020
  • review rating 5  Dr Jacobson is the most competent and engaging surgeon I've known. A paralyzed Veteran for 25 years, I developed pressure wounds the VA were incapable to treat, finally the VA gave up completely and drugged me and put me on palliative care,telling nurses I'd be dead by 2015. Dr Jacobson changed all that and gave me new life. He is simply the best. Cosmetically or otherwise,one cannot do better than Dr William Jacobson .

    thumb Eddie Carter
    7/15/2020
  • review rating 5  Love my Results to Dr. Jacobson has a very smooth hand for surgery And I only the felt real pain in the first couple hours but that’s normal but other than that I’m so happy with my breast augmentation I live Nearby Scottsdale Most of them want money for a consultation And when I called they made things seem so complicated but Dr. Jacobson’s website get straight to the point about pricing for ever surgery is what I really liked about it so the night before I have seen his website I told my fiancé just to take me there to Check it out and When I did meet with Dr.Jacobson I No I wanted him to do my breast argumentation Am I couldn’t be happier with my results staff is super nice as well especially Kimberly she’s the best

    thumb Mercedes Ely
    7/03/2020
  • review rating 5  I love Dr. Jacobsen. He really listened to what I wanted and offered his professional opinion on what options were best for me. I am very very happy with the result of my surgery. I am so grateful for his expertise. His bedside manner is also very caring. I had a great experience from start to finish. Kimberly was excellent to work with in the office and there is only a short wait each time on each visit. I'm in and out and super happy.

    thumb Sarah Prenzno
    6/16/2020
  • review rating 5  Dr. Jacobsen or Dr. J as he prefers to be called is the most awesome character to know; he and his professional family!! Kind, soft spoken, informative, well educated and his surgical skills like no other! He brought me hope when I felt none left, at 48 I had fallen after having open heart surgery, losing my sternum due to sepsis and for the past 2 years dealing with Dr.s with attitudes and complex issues and NO bedside manners. I needed a medically necessary breast reduction surgery my infectious disease Dr. overheard my last plastic surgeon at the time literally screaming at me and walked out so she referred me to Dr. J and I am ever so grateful!! With my surgery completed and the weight removed I have less pain and can move a bit more freely allowing me so much more freedom in my life again!! THANK YOU DR. J, Kimberly, Charley and Oliver..xoxo forever in my heart you'll be..there will never be enough words to show my gratitude to you all for you have done for me!! I look forward to our visit in 2 months..So Oliver call me...

    thumb Jenni Lou
    6/16/2020
  • review rating 5  I am still in awe at how easy and wonderful my experience was here. I went in on Tuesday for a consultation and was back in on Friday for my actual procedure . Dr. Jacobsen was so nice and gentle and so was the rest of the staff. This is how every single office should be ran. From start to finish it was amazing ! Def recommend

    thumb Kiarra Dade
    5/24/2020
  • review rating 5  Thanks Dr. Jacobsen and staff. Warming atmosphere friendly informative and caring doctor. This was my first visit and doctor took the time to explain and answer my questions. Nothing was rushed. Staff greeted me nicely with smiles and patience. It took me courage to show up since I’m nervous about having a surgery to begin with. They helped me feel welcomed and relaxed. Thank goodness their office portal was working so no double work to provide my medical information and resigning papers.

    thumb Marylin Giron
    1/25/2020
  • review rating 5  I had many complications with my body healing from surgery, and Dr. Jacobsen demonstrated patience, resourcefulness, vigilance, and compassion. Here are a few specific things he did to help with my healing: he had me email him twice a day with pictures of my incisions so he could monitor, provide feedback and directions, and adjust his care for me as needed; he was always quick to respond to my emails and questions; he met me in his office on a Saturday during a holiday weekend to care for me during an important time in my healing; he provided regular and specific directions to my husband as he cared for me at home with the complications. His compassion and reassuring nature were valued as I put my confidence in his expertise to help me through this difficult time. I appreciate him greatly and give him the highest rating with no hesitations. His staff were also extremely helpful. Don't be bothered about calling the office and leaving a message (when someone doesn't answer) or emailing the office; they are very quick to respond with a phone call or email and this is part of their daily business routines, which allows them to care for their patients in person AND to those reaching out to them for miscellaneous reasons. This was different at first for me but I quickly adjusted, understanding their reasons and seeing their quick responses to me. The staff also worked seamlessly with my insurance company, a medical equipment company who came to my home three times a week to monitor and help with the healing process, and with the needed paperwork for my employment. I was always treated with respect, sensitivity, compassion, and excellent care.

    thumb D Robinson
    1/21/2020

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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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