Breast Implants: Q&A

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Can I Get Silicone Implants Placed Under the Muscle Via Areola Incision?

I am considering getting implants next month. I want my implants to look as natural as possible. I am currently a 34 small B cup. I have a good amount of adipose breast tissue and my breasts are not droopy or saggy. I do not want the incision under the breast fold. I am considering getting the high profile smooth implants.

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17 Doctor Answers | Asked by AZLatina in Arizona

Doctor Answers (17)
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Silicone Implants through a Peri-Areolar Incision

The short answer is, yes. Silicone implants can be placed under the muscle through a peri-areolar (around the areola) incision, provided the areola are large enough. If not, another incision choice should be used such as underneath the breast (infra mammary).

Silicone implants

Silicone implants can certainly be placed trough an areolar incision. However, it becomes more difficult if your areolae are small, in which case your surgeon may advise the inframammary Incision instead. And that's okay, because the inframammary incision heals quite nicely. I use it frequently, with almost no complaints.

Areola incision for submuscular implants

Yes, the areolar incision can be used for breast augmentation and still have the implants placed beneath the muscle. The size of the areola determines if this can be done. The circumference of the lower half of the areola (distance around the lower border) should probably be at least 6 cms for a modest high profile implant.

Periareolar incision

You absolutely can have silicone implants placed through the areolar incision. There are three acceptable incisions for placing silicone implants. The transaxillary, the periareolar, and the inframammary. In my opinion, the least favorable one is the transaxillary approach. Firstly, all surgeons if they operate, have some patients that require revisions. It is usually impossible to perform revisions through the transaxillary approach. These patients now... more

Silicone implants through areola incision

The ability to use the areola incison depends upon the size of your areola and the size of the silicone implants. This was my preferred method of access when I did saline implants.

Steven Wallach, MD

12 reviews

Manhattan Plastic Surgeon

Peri areolar incisions can be used for either under the breast or under the muscle or dual plane or subfascial

The answer is that the implant can be put any where through the peri areolar incision and the results are great. I feel that if you are going under the muscle the trans axillary (arm pit) is best. Best scar and fewest problem. If you have a good deal of breast tissue in the upper pole of your breast to cover the possible ripples from the implant and you want the most natural looking and feeling breast, I would recommend the peri areolar sub mammary (under the breast) with textured... more

AREOLAR INCISION

Hi AZLatina, The short answer is yes. This is a common approach used for breast augmentation either placement on top or under the muscle works well. There has been some recent data that feels there may be a slighter higher capsular contracture rate with this approach. It has been shown that the bacterial contamination from the ducts and nipple is higher increasing the Biofilm risk. Personally I have not seen a higher contracture rate with an areolar... more

Periareolar Incision for Silicone Gel Breast Augmentation

Hello, To restate what the other surgeons have said, it is commonly done, and more than likely you would be able to have it performed that way. Some individuals have a large enough areola that allow easy access via this route. Those that don't may be better served with either an inframammary incision or an armpit incision. On the other hand, certain individual with poorly defined inframammary folds might do better with the periareolar or armpit incisions. From a... more

Periareolar augmentation for submuscular implant placement

Thank you for your question. This is my preferred aproach to submuscular breast augmentation. I go through the areola down to the muscle and than I dissect laterally to pick up the muscle edge. I do not divide the muscle as some surgeons do, but incise the fascia to enter the sub muscular plane. You state that you want to look natural and have good amount of adipose tissue. If that is the case, I prefer to place the implants under the subfascial muscle plane (the tough tissue covering the... more

Yes, silicone implants can be placed through an areolar incision

It is common and not technically difficult to place implants through a peri-areolar incision in most patients.

Areolar incision with submuscular pocket

This is probably the most common incision to put silicone implants under the muscle. I prefer an endoscopic trans-axillary(armpit) breast augmentation in the right patient as the scar is off the breasts and implant malposition is minimized with the use of the endoscope. Most women have a crease in their armpit which hides the incision almost completely

Robert Kearney, MD, FACS

6 reviews

La Jolla Plastic Surgeon

Periareolar breast incision for breast augmentation

The periareolar incision is a commonly used approach to breast augmentation. Natural results are achieved routinely using this incisional approach. The color change from the dark areola skin to the lighter breast skin provides contrast minimizing the appearance of the scar. Seek out a board certified plastic surgeon to describe the procedure and view results. The word Natural means different things to different people. Images are objective criteria to evaluate results and help... more

Can I Get Silicone Implants Placed Under the Muscle Via Areola Incision?

Implants can be placed through the areola even if the areola is relatively small This is facilitated by the use of the Keller funnel which compresses the implant while it is inserted I prefer the sub fascial position for implants.it avoids the muscle contraction that can be seen with submuscular placement

Periareolar incision

While the periareolar incision is a popular approach to submuscular implants, whether or not this is advisable depends on the size of the areolar and the relative size of the implant. Very small breasts may have areola that are too small to be used to place large implants without undue trauma to the incision or to the implant. Your surgeon can discuss the pros and cons of various incision and relative implant size. Robin T.W. Yuan, M.D.

Robin T.W. Yuan, MD

4 reviews

Beverly Hills Plastic Surgeon

Yes, breast implant under the muscle via an areola incision is possible

Hello, Thank you for the question. There are several incisions that can be used to place a breast implant. Among these the areola incision is most often the second most common incision used. The implant can be placed under the breast gland, in the subfascial position, or under the muscle using this incision. If you have a relatively small areola and desire a moderate to large implant size your plastic surgeon can also utilize a device to place the implant through... more

Breast implants through the areola

There are four basic incision sites for inserting breast implants: 1. Under the fold of the breast: This is the easiest approach from the doctor's perspective. Saline and silicone gel implants can be inserted through this incision. The downside is that the bra may rub on the incision site and irritate the scar. Also, if you wear a two-piece bathing suit and lift your arms up then the scar may be visible below the top. 2. Under the areola: If you have an... more

Silicone Implants under the Muscle through Areolar Incision

Silicone implants can be placed through a periareolar incision and placed under the muscle. This approach may not be possible for women with very small areolae requesting large implants, although a funnel may help.