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. Jacobsen and Staff are first-class. Great surgeon. Caring and competent. Goes above and beyond in caring for his patients. You won't find a better doctor. The staff is friendly and professional. This group of people are top-notch.

    thumb Janae Shoup
    12/02/2019
  • review rating 5  Dr. Jacobsen and the entire staff are amazing! My 44 year old breast implants had been rupture for probably years without me knowing and an MRI confirmed. After consulting with four other surgeons, I chose Dr. Jacobsen because he is so kind and two of my friends were very happy with outcomes of their surgeries. My plan was to have the implants removed, a lift, and absolutely no new implants! Well, two days before my surgery my husband and friends convinced me that I would not be happy with my appearance. I caved and elected to have an implant exchange. My final words to Dr. Jacobsen were to make sure I wasn’t too large! Dr. Jacobsen delivered and I have smaller and higher breast that change my entire profile. The final result is amazing!! Dr. Jacobsen and his lovely staff have been professional, caring, patient, and an absolute joy to work with:)

    thumb Anne McPherson
    11/17/2019
  • review rating 5  My wife recently had cosmetic surgery by Dr. Jacobsen (Dr. J as he is known). Several other physicians we know recommended him. He is very compassionate and caring and has a very easy to navigate website that very educational regarding his services and pricing. The experience was very positive and she and I are very satisfied with the outcome at this early two week post surgery date. He does his surgery at St. Joseph's Hospital and Medical Center Outpatient Surgery Center in Phoenix and it is obvious that the nursing and other staff there hold Dr. J in high regard. He is a humble man who really wants to learn how he can help you. There are posters and awards on display in his office that indicate he is well respected in the greater Phoenix area. His office staff are very thorough and quick to respond to emailed questions.

    thumb Eben Fetters
    11/10/2019
  • review rating 5  I went to Dr. Jacobsen a few weeks ago for surgery on a keloid scar I had on my chest that was ugly and slightly painful. He removed that awful scar and it looks great now, it’s only a few weeks but I can already see a huge difference in the healing process. The procedure was also painless and he was great!

    thumb Stephanie Collins
    10/31/2019
  • review rating 5  Dr. Jacobsen did a great job on my breast augmentation, they came out exactly how I wanted! The ladies in the office are also wonderful and knowledgeable, especially Ashley!

    thumb Kaity Powell
    10/01/2019
  • review rating 5  Recently had surgery with Dr. J and I can not express my gratitude. The office staff is so kind and caring, paying very close attention to each patient, and incredibly considerate. Lovely and comfortable waiting area and very short wait times to be seen. I highly recommend Dr. J!

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    9/09/2019
  • review rating 5  I would have to say that so far my experience with Dr. J is quit impressive. I do not particularly like going to doctors. As it seems often times the treatment ends up being worse than the original illness to begin with. So I was referred to Dr. J due to surgical incision from two years ago from having a spinal cord stimulator put in my back. Where the battery is placed in my left hip, the incision has never close. I do have to say that the waiting area is very inviting. I would have to say that the staff are very friendly, and they go above and beyond with helping answer any questions. My initial meeting with Dr. J was great, as he understood how nervous I was to be there. He listened to me, when I expressed certain concerns. He did reassure me that although I do have to have surgery, he explained to me exactly what he was going to do, without adding a bunch of scientific names that I would not understand. He assured me that he would take great care in helping with the infection and take the necessary steps to ease any discomfort that I might have. Dr. J seems so far to be extremely understanding, and that is a rare quality that not many doctors have.

    thumb Rlo Olr
    8/24/2019
  • 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  Dr J is the best! I have an ongoing issue with a medical implant that he has cleared up several times. Every time I contact him he is right there. This last time he actually met me on a Sunday to help me. I highly recommend Dr J. His bedside manner makes you feel that no matter what everything will be okay.

    thumb Donna Brockway
    7/14/2019
  • review rating 5  Dr. Jacobsen is a great surgeon. He performed surgery on my melanoma 4 weeks ago and has been very good about following up to help me feel comfortable. He often returns my calls to his office personally and makes time to see me when I am concerned. His office is lovely and well-run. The staff is efficient and caring. My calls are returned promptly. I feel fortunate to have Dr. Jacobsen for a doctor.

    thumb Karen Atkins
    7/12/2019

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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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