Recently, most people think that the ample breast is the symbol of a glamorous woman. This concept made many women knock the door of the plastic surgery clinic for the consultation about their breast and the breast augmentation became rare operation no longer in Korea. For beautiful breast, plastic surgeons should take into consideration of incision placement, optimal implants, dissection plane and so on. Among those considerations, incision placement is largely dependent on the surgeon and patient’s preferences. Surgeons can choose inframammary, axillary, periareolar or umbilical incision. Inframammary approach has been abandoned by the surgeons and patients in Korea for a long time because of the visible scar and hyperpigmentation on the incision site. But Inframammary approach has the advantages of direct vision of surgical field, short operation time and early recovery. If surgeons can overcome the scar and pigmentation problem of incision site, inframammary approach can be a great option for both. In this article, we examined the advantages and disadvantages of many approaches for breast augmentation and reviewed the usefulness of the inframammary approach for breast augmentation.