The choices associated with breast augmentation can seem overwhelming, but narrowing down breast implant styles and sizes, incision types, and breast implant placement can be made less stressful by keeping one simple question in mind: What will give me the overall look I want Breast Implants: Gel vs. Saline Silicone gel breast implants tend to have a more natural appearance and feel than saline breast implants. Gel breast implants are prefilled, and they are typically less susceptible to wrinkling over time. Unlike gel breast implants, saline breast implants are filled with a salt water solution after they have been placed in your breast pocket. Both types of breast implants come in a variety of sizes, shapes and profiles. Your board-certified cosmetic surgeon should have a number of samples available for you to "try on," and some surgeons offer a pre-consultation kit that includes trial implants in multiple sizes in addition to a profile bra so you can explore the appearance and weight of various styles in the privacy of your own home. Breast Implant Incision Options Each type of breast augmentation incision has benefits and drawbacks related to the individual and the type of implant. A knowledgeable, experienced plastic surgeon can help you determine which incision will work best for you. Two of the most commonly used breast augmentation incisions-inframammary incisions and periareolar incisions-offer the benefit of allowing a surgeon open access to the breast implant pocket and the ability to insert and position the breast implants directly. Inframammary incisions are made along the breasts' undersides and hide scars in the natural creases below the breasts. Periareolar incisions are made around the areolas, and scarring is typically minimal and masked by changes in the color and texture of the skin in the implant area. Transaxillary incisions-incisions made via the armpit-are performed with less frequency. Not all breast augmentation patients are candidates for transaxillary incisions, which limit a surgeon's access to the breast implant site and require additional surgery tights. Breast Implant Placement Options Breast implants can be placed over or under the muscle. heel lifts Placing them under the muscle provides a more natural look, but women who are athletes or desire smaller breast implants may benefit from placement over the muscle. Your surgeon can make a recommendation on the best incision choice based on your body type and choice of breast implants.