Breast augmentation has become one of the most commonly performed cosmetic plastic surgical procedures. Today, women of all ages enjoy the benefits of this experience with results that look and feel natural. Dr.Rojas and his team of specialists will help you determine which augmentation procedure and size is right for you, both to minimize the scarring, and to achieve the desired result. The most common incision is made on the lower portion of the breast, just slightly away from the crease where the breast meets the chest, so that any scar will still be covered, even by a small bathing suit. Another common incision is at the junction of the areola, which is where the colored skin around the nipple meets the surrounding skin. This is called a Per Areolar augmentation and the incision is usually a semi-circle a little less than half the distance around the lower part of the areola. An axillary incision can also be made in the axilla or armpit and this type of augmentation can be done with or without the use of an endoscope. An endoscope is a surgical instrument, a long, narrow, lighted tube used to facilitate the insertion of breast implants. A fourth method less frequently used is through the belly button. This is called a trans umbilical or umbilical augmentation. This usually requires the use of an endoscope. Now, the most common placement for implants is under the pectoral muscle. However, they can also be placed above the pectoral muscle and below the breast tissue or gland (Sub Glandular). Sub Muscular Augmentation usually requires a general anesthetic, whereas the Sub Glandular approach can often be performed with some intravenous sedation and local anesthetic.