Breast Augmentation: Q&A
Ask a QuestionLong-term Problems from Peri-areolar Breast Augmentation Technique?
Does going through the areola for breast augmentation cause any long term problems such as problems with mammograms or cancer? Does a donut lift with small implants on someone 36 D that wants fuller breasts sound right?
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11 Doctor Answers |
Asked by
purplechar
in Phoenix AZ
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Areola incision and implants
The periareolar incision is a great way to place implants for the right patient. It provides direct access for visualization of the pocket and the scar camouflages nicely.
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Periareolar Mastopexy Concerns
I am not aware of any breast surgery that will cause cancer (cosmetic or reconstructive). Breast surgery can alter mammograms, but radiologists seem to be attuned the differences between surgery related changes and signs of cancer.
A periareolar mastopexy is best when your only goal is to move the nipple a little higher on the breast without changing the breast. It is also good when combined with an implant for a smaller breast with very little laxity. It can help correct a condition...
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Periareolar lift
Dear Purple,
The periareolar incision is a very good incision. All incisions have their advantages and disadvantages. This is something that your board certified plastic surgeon can discuss with you. Periareolar lifts are generally better when small implants are placed. Otherwise, the breast assumes a flattened appearance. Also, watch out for scar widening with a periareolar lift. Good luck!
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Periareolar lifts are only good for minor changes.
Periareolar incisions are great for breast augmentation and have no long term problems that you are inquiring about. Periareolar lifts are only good for very minimal changes to the breast. It is a mistake to eliminate the vertical incision with breast lifts. The vertical component is very important in the shaping of the breast.
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Periareolar lifts have breast shaping limitations
There are no safety issues associated with periareolar lifts. For the right patient, it is a very nice way to place an implant and give a slight lift to the breast. This technique can be overused in an effort to avoid the vertical and anchor scars from more formal lifts. In a patient who has enough lax skin (ie a D cup patient like yourself) a periareolar lift can end up with a flat baggy breast with an enlarged areola with a poor scar around it. Hopefully you are going to a Board...
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A donut lift will not lift a D cup
Hello,
A well done areolar incision heals very well. There are some down sides to any incision used to place a breast implant so make sure you review each incision with your doctor.
As far as the "lift" is concerned, I would be concerned that a small implant and a donut lift may not accomplish your goals. If the implant is small , it will not add upper pole fullness. If it is large it will likely make you too large. Finally, a donut lift usually works best in smaller breasts,...
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Peri-areolar technique is very safe.
Hi! I use the "doughnut" lift with small implants all the time. But if you are a D cup already, a better choice for you might be a good INTERNAL lift that will give you long term upper fullness, without implants. The key is not to rely on pulling the skin. The downside of this approach is that you usually need a "lollypop" scar.
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Incision wont cause disease.
The periareolar incision is commonly used in lifts and reductions, and does not cause any disease. Sensation to the nipple may be injured however.
In my experience, I do not like the donut mastopexy, as the amount of lift is limited, the ability to shape the breast is limited, and worst of all, the areola tends to enlarge and be un-aesthetic. Again my opinion on that
Regarding the implant size, I base that decision in close consultation with the patient, and base that decision on...
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Periareolar a versatile choice
There is ongoing confusion about the pro's and con's of the periareolar incision. Some mistakenly call it "through the nipple" which it is not. The scar hides very well along the edge of the areola where the skin changes color. It is not necessary however to go through the breast tissue, so there should be minimal disruption to mammograms if it is done that way. It is also very good access for making the space for the implant as well as any reoperations that may be necessary....
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Periareolar incisions
A strictly periareolar incision to place a breast implant usually heals well. If you look very closely at areolar shape, however, even in the very best of hands, you will often find a reduction in the nipple-to-bottom of areolar distance in patients, and sometimes a slight downward cant of the nipple. Incisions tighten, after all, and exert traction on the nipple. That effect is minimized if a periareolar incision is made.
SInce breast implants must statistically be redone in 10-15...
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These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.
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