Breast Augmentation Using the Periareolar Approach

Abstract

After selecting the implant type, the patient and surgeon should decide which incision to use after the options, risks, and benefits of each choice have been explained in detail. The most popular surgical approach for breast augmentation is by the inframammary route. However, a significant drawback of this technique is the placement of a scar on the aesthetic unit of the breast. The indications for periareolar approach include virtually every patient who is a candidate for augmentation mammaplasty. One exception would be that patient who had unusually small areola. The scar in the periareolar area has been more than satisfactory in most cases. The ability to visualize the nerves to the nipple and avoid them is easiest through the periareolar approach, as is the ability to obtain complete hemostasis. The periareolar incision does not usually limit the size of the implant that can be inserted.