For optimal results in breast augmentation the breast tissue needs to be centered under the nipple which should lie about 20cm from the notch between the collar bones & the implant should be centered under both. A large number of women do not have breast tissue centered under the nipple or the nipple in the proper position even if they have never had breast surgery. In these patients some adjustment of the breast tissue is required prior to placing the implant. This can only be reliably performed through a nipple incision. Another problem is some women have breast tissue that is not centered under the nipple but this does not become apparent until after an implant is placed under the breast.

40 years old, 34B bra size, 5'6" tall, 130 lb.
In this case 325cc smooth saline breast implants were placed under the gland — above the muscle via an incision on the lower edge of each areola.

Breast augmentation surgery can enhance your appearance and your self confidence. Realistic expectations are important to be happy with any surgery. As each patient is an individual, different results can be expected in each patient.