mammary tissue etc finally the customized prosthesis does not only provide a result which correspond to the patient 39 s expectations with regard to size and rudimentary shape round tear shaped but as a whole the methods of the present invention exceed the potential of know asymmetrical implants e g from poly implant prothese pip company france which are produced off shelf on a non individual basis and are based on imaging in a recumbent position thus not respecting gravitational forces and individual design breast implants for reconstruction or augmentation may be placed via various types of incisions such as inframammary periareolar or transaxillary incisions in the inframammary approach an incision is placed below the breast in the infra mammary fold this incision is the most common approach and affords maximum access for precise dissection and placement of an implant it is often the preferred technique for silicone gel implants due to the longer incisions required a periareolar incision is placed along the areolar border and provides an optimal approach when adjustments to the infra mammary fold position or mastopexy procedures are planned the incision is generally placed around the inferior half or the medial half of the areola 39 s circumference a transaxillary incision is placed in the armpit and the dissection tunnels medially this approach allows implants to be placed with no visible scars on the breast furthermore the implants may be placed directly under the skin gland and fatty tissue or underneath the muscle tissue and or its fascia entirely or in parts a u201c tumor u201d or a u201c tumorous tissue u201d in the present context.