The Silent Scar Technique for Breast Augmentation

Breast augmentation is more popular than ever. Last year 264,000 breast augmentations were performed, up 24% from 2000 according to the American Society of Plastic Surgeons. Breast augmentation is now the most common plastic surgery procedure. We are seeing an ever-increasing number people interested in this procedure.

One of the drawbacks to any cosmetic surgery is the scar created in order to do the procedure. That's why at Rodeo Drive Plastic Surgery we do more and more of our breast implant procedures with scars hidden under the breast. Since the breast usually hangs over this portion of the skin, this in many ways is a "silent" scar -- far from prying eyes.

See the photo above and notice that the scars are not visible because they are covered by the lower parts of the breasts.

While there are several places where a breast augmentation incision can be placed, some of them have problems. Using the underarm or belly button requires working on the breasts from a distance -- and makes it difficult to put the implant in just the right location to create a perfect new shape. Using the areola, or brown part of the nipple, does tend to heal well but the scar is right in the middle of the breast and even a well-healed scar might be noticeable.

With the "silent scar" breast augmentation technique, we've found we can create nicely shaped breasts with a very well-hidden scar. We have received extremely positive feedback from our plastic surgery patients about the results of this technique. This approach can be used with either saline or silicone breast implants. But when we do Beverly Hills breast implants with silicone, we find the technique especially beneficial, because silicone implants do require a slightly longer incision.

Lloyd M. Krieger, MD is the founder and medical director of Rodeo Drive Plastic Surgery in Beverly Hills, CA. He welcomes your questions and comments by phone at 310-550-6300 or email at

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