Skip to main content


Log in

Interlocking Circumareolar Suture With Undyed Polyamide Thread: A Personal Experience

  • Letter to the Editor
  • Breast
  • Published:
Aesthetic Plastic Surgery Aims and scope Submit manuscript


In plastic breast surgery, the interlocking areolar suture has gained wide popularity since its introduction in 2007 by Hammond and colleagues. The interlocking circumareolar suture plays its role in the setting of circumareolar excisions to achieve a durable areola shaping and to prevent scar widening/hypertrophy and areola spreading/distortion. This study retrospectively reviewed 49 breasts that underwent interlocking suture after July 2011 for both aesthetic and reconstructive indications. For the suturing, 3–0 undyed polyamide thread with a straight cutting needle (Dafilon; B. Braun Melsungen AG, Melsungen, Germany) was used. This suture material was preferred to Gore-Tex reported by Hammond and colleagues because it is undyed without any microporous configuration, more wieldy, and less expensive. All 49 breasts showed good results in terms of areola shaping and diameter control as well as good scar quality during a mean follow-up period of 12 months (range 2–18 months) (Fig. 2). No infection, suture extrusion, skin fistula, or granuloma were experienced. The suture was not visible at all, and the patients did not report its palpability. However, at careful examination, the thread resulted slightly palpable.

Level of Evidence V This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1
Fig. 2


  1. Hammond DC, Khuthaila DK, Kim J (2007) The interlocking Gore-Tex suture for control of areolar diameter and shape. Plast Reconstr Surg 119:804–809

    Article  PubMed  CAS  Google Scholar 

  2. Righi B, Robotti E (2011) Successfully exploiting two opposing forces: a rational explanation for the “interlocking suture.”. Aesthetic Plast Surg 35:177–183

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations


Corresponding author

Correspondence to Marzia Salgarello.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Salgarello, M., Visconti, G. & Barone-Adesi, L. Interlocking Circumareolar Suture With Undyed Polyamide Thread: A Personal Experience. Aesth Plast Surg 37, 1061–1062 (2013).

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: