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Breast augmentation through periareolar

asked 1 year ago by mimizinha79 in orlando,florida
Latest answer by Stanley Castor, MD
Question viewed 275 times
Tags: areola, female, periareolar

Hello I've been thinking of getting silicone implants and have visited 3 cosmetic surgeons so far and all of them had different opnions, so i am kind confused. I want to have it done though periareolar because the doctor will be able to make my areola a little bit smaller that way... I dont like my areola sizes...I think something a little bit smaller would look better on me since I am 118 pounds and a size 2. MY GOAL is FULL C/SMALL D CUPSIZE, SMALLER AREOLAS AND NATURAL LOOKING. Thank you so much!

12 answers to Breast augmentation through periareolar

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Breast augmentation through periareola

A periareaolar incision is a good choice especially if your areola size is larger. Then you can have your surgeon decrease the size of your areola. I always recommend placing the implants under the muscle since that will decrease capsular contracture, wrinkling and visible ripples in the implant.
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Breast Augmentation

There are many options for breast augmentation.  Always seek out a qualified plastic surgeon.  My patients will travel to see me. Placing the implants through the areola is a good option.  I use the Keller Funnel and this is a innovative adjunct to breast augmentation.  The advantages of using this funnel:  Easy to insert the implant, less chance of infection and capsular contracture (+/-). 
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Periareolar breast augmentation

Breast augmentation through a periareolar incision is a very common approach.  There is a slightly higher risk of capsular contracture (scar tissue) through this approach however I personally like this incision.  You can also decrease your areolar diameter as well. The implant should be located subpectorally (under the muscle) regardless of the incision. Discuss this in more detail with your board certified plastic surgeon. Best wishes, Dr. Bruno more
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Silcone through periareolar

This is perfectly ok if your arela is big enough.Silicone is the best and will give you,in my opinion, a softer and more natural result.the less breast tissue you have the more important it is to get silicone.
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Smaller areola

The periareolar incision is a very common approach for breast augmentation. A complete circle incision would be needed to reduce the size of the areolae.  A submuscular placement of a silicone implant is performed through this incision. If the areola incision is too small,  a Keller funnel can be used to place the implant in the submuscular pocket. So any size silicone implant can be placed through the incision. 
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Periareolar Approach

With large areola, your surgeon should be able to perform an augmentation with a silicone implant and reduce the size of your areola. Understand that their will be an incision that runs completely around the areola and this will be somewhat more noticeable than just an inferior periareolar incision. 
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Breast Implants via Periareolar (Nipple) Incision

Hi mimizinha79, The periareolar incision is one of the two most commonly used incisions and it is, in fact, a very good one. Whether or not it can be used (aside from whether or not you want it used) depends on the size of the areola and the size of the implant being inserted. A saline implant can almost always be inserted via the periareolar approach (technically an infra-areolar incision since the incision is made around the bottom portion of the areola rather than all the... more
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Periareolar insertion of silicone gel implants along with areola reductions

Because your areolas are larger than you desire and want them to be reduced, placing the implants through the lower portion of the incision would be quite prudent in most situations. However, if your areolas are actually not of a size that would allow a silicone gel implant to be inserted then another approach for insertion would have to be considered. Were the physicians that you saw reputable board certified plastic surgeons? This is very important though it still doesn't... more
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Peri-areolar breast augmentation with lift

The problem with performing a strict periareolar lift and augmentation is that all of the tension on your incision line will be transferred to your areola. This will compromise the healing of your surgical incision line. Instead, you should consider a vertical mastopexy lift with augmentation. This will provide you the ability to make a smaller areola yet transfer the tension down on your breast and not around the areola.
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Areolar size in breast augmentation

If you want your areolas to be smaller in diameter, going through the armpit or fold is not going to change that.  The only way to reduce your areola is to remove some of the outer circumference. This means an incision and scar that goes all the way around the areola and yes, the implants can be placed through that approach. Ask to see photos of patients who had areoals made smaller.
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Areola reduction and augmentation

If your areola are large, the implants can certainly be placed through this approach and a reduction of the areola can be done at the same time.
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Lift Breast with Incision around Nipple only

In many cases it is possible to get a breast lift, reduce the size of the areolae and place breast  implants using only an incision around the areola.

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