Skin incision is placed either in the inframammary fold or in the areola circumference. Even though the first incision is more obvious, the latter is more often complicated with infection of the silicone implant and capsular contracture. In general, I prefer to place the skin incision in the inframammary fold in order to create the pocket either in a subglandular or in subpectoral plane. Dual-plane seems to be an ideal option for the majority of patients. The shape and size of the implant is an issue discussed preoperatively according to your needs and desire. An alternative breast augmentation method is use of fat grafting (lipo-transfer) which creates natural results without the need of alloplastic materials but we can achieve only small or moderate augmentation.