Largest Silicone Implant That Can Get Inserted Through Nipple?

asked 2 years ago by anon
Latest answer by Richard P. Rand, MD, FACS
Question viewed 3,148 times
Tags: nipples, silicone implant, 450-499cc, insertion

can i get silicon implants 450cc though my nipple

12 answers to Largest Silicone Implant That Can Get Inserted Through Nipple?

Breast implant scars

It depends upon the size of your areola, the thickness and firmness of your tissue, whether or not the implant is textured, and the degree to which your surgeon will force adn distort your implants through the incision. But this all begs the following quesiton: why? Why would you use that incision? As I see it, that incision has only one possible benefit: that the scar might be good. And that's it. And it's not a guarantee. But what if the scar is bad? You'll see it everytime you look... more

Steven Teitelbaum, MD
Los Angeles Plastic Surgeon

Risk of a large Silicone implant through periareolar incision.

The size silicone implant that you can get through a pure periareolar incision (one without a lateral extension) depends on many factors. The three most important factors are the size of the areolae, the size of the implant and whether the implant is textured or not. Of lesser importance is the thickness of your normal breast tissue. That being said, we can get almost any implant through almost any incision if we try hard enough and are persistent. The problem, however, is that if you... more

Robert T. Buchanan, MD
Highlands Plastic Surgeon

Inserting silicone implants through nipple or areola

To be specific, we do not insert breast implants through the nipple (the raised pencil-eraser shaped portion of the nipple areola complex), we place them via an incision around the areola (the darker pigmented circular area surrounding the nipple). Since gel filled implants come prefilled, the DIAMETER OF THE AREOLA will determine the ease with which gel implants can be placed through it. The advantages of the periareolar approach are much more numerous than its disadvantages and among... more

Peter A. Aldea, MD
Memphis Plastic Surgeon

Maximum implant size through the areola

The answer to your question is that it all depends. It depends on the areolar diameter and its elasticity and the experience of the surgeon. If you force the implant through a keyhole it will permanently deform the implant and its integrity will be weakened predisposing it to future ruptures.

Richard P. Rand, MD, FACS
Seattle Plastic Surgeon

Silicone implant thru peri-areolar scar

Several factors contribute to answering your question-the size and stretch of the areola, the thickness of the breast tissue, the profile of the implant and whether the implant is textured or not. If too large an implant is "forced" thru too small an incision the implant can be damaged. Likewise if the areolar incision is over stretched a poor quality scar may result. I will use this incision if appropriate and if patients specifically request it. My preference though is... more

John E. Gross, MD
Los Angeles Plastic Surgeon

Use of the areola (nipple) incsion for placement of breast implants in augmentation or enlargement

There are a few issues to consider here. While I have performed this procedure without difficulty there are a few concerns that have been raised by surgeons regarding this approach: An implant of this size requires an incision that is typically a minimum of 4 cm and preferably up to 6 cm to minimize trauma to the implant and the possibility of "fracture". Is your areola large enough to accomodated this size of an incision? Other surgeons believe that there is a higher potential... more

Otto Joseph Placik, MD
Chicago Plastic Surgeon

Silicone gel implants through a periareolar approach

The size of a gel implant that can be placed using a periareolar approach really depends upon the size of the areola and the size of the desired implant. An areola diameter of about 4.5 cms can probably accommodate an implant in the 300-350 range, anything larger will have to go through a different approach. An areola diameter that is larger can accommodate a larger implant.

Steven Wallach, MD
Manhattan Plastic Surgeon

Silicone Breast Implant and Incision

I would say it is a periareolar incision, where we place the incision just at the junction of the breast skin and the dark pigmented areola. It all depends on how big your areola are. If you have very small areaolas, then you may need to have the implant inserted via an inframammary incision. Hope that helps.

Farbod Esmailian, MD
Orange County Plastic Surgeon

There are several factors to consider

There is a need, in general , for larger incisions with silicone gel breast implants. The usual approach for gels is the inframammary incision. This is, in my opinion, more aesthetic than a periareolar approach unless you are an exotic dancer ( no offense). If you have small areolae then gel placement through the periareolar incision is impossible. Larger gel implants are likely to stetch the incision in the periareolar space if attempted. Check out other incisions with your plastic... more

Talmage J. Raine, MD
Chicago Plastic Surgeon

Can large breast implant be inserted through peri-areolar approach.

I am assuming that you are asking about inserting the implant through a peri-areolar incision. The answer is yes but depends on how large the areola is. A very small areola diameter will not permit this approach. Hope this helps. Tracy M. Pfeifer, MD, MS

Tracy Pfeifer, MD
Manhattan Plastic Surgeon

drpfeifer.com

Areolar diameter is the key factor in breast implant size

Hello, This will depend on the diameter of your areola. The average areolar diameter is 3.5 cm. It is not difficult to introduce a 350-375cc implant through this incision. A 450 implant is larger and will require a bigger incision. Hope that helps!