Critical Analyses on the Periareolar Approach to Mastoplasty

Abstract

Introduction: Many techniques that involve making an incision only around the areola have been developed to minimalize scarring in mammaplasties. We use the periareolar mammoplasty approach as the first choice in all our mammaplasties, both reduction mastopexy or breast increases with prosthesis. Method: Because of the postoperative characteristics observed, the side approach is used in most cases, but we believe that it is formally indicated for breasts with mild ptosis and with tuberous breasts characteristics, with or without the use of implants. We show through the case studies and professional opinions why in our personal experience of periareolar breast lift it is not the primary indication in all cases. This approach is rather only indicated for selected cases, which will be shown below. A review of our cases with photographic files of patients operated in our clinic over the years. Discussion: Enlargement of the areola, the nipple projection loss and flatness of the whole breast, most often are consequences of periareolar mammoplasty and a relapse of ptosis may occur. We believe that a consolidated statement regarding the periareolar approach is recommended for breasts with tuberous features, in addition to pseudoptosis or ptosis grade I Renault, in which cases periareolar mammoplasty is still our first-choice approach. Conclusion: We reduced the indication for mammoplasty with only a periareolar incision. We believe that it is necessary to combine a vertical scar and often a horizontal scar to make the correction. Today, in our experience, the indication for periareolar mammoplasty is considered for cases of tuberous breasts with enlarged areola, small ptosis, ptosis stage I, and pseudoptosis Renault classification, and in most cases is associated with the use of polyurethane-covered silicone gel implants.