Breast Tissue and the Periareolar Incision?

I am scheduled for a BA on October 24th, 2012. I am having 300cc cohesive gel implants inserted through a periareolar incision and they will be placed under the muscle. My question is this, since the PS has to cut through the breast tissue will this leave my natural tissue lumpy or cause dimpling or any kind unsightly or physical ramifications? Or does the breast tissue repair itself back to its pre-surgery state?

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periareolar dimple lumps under muscle cohesive gel tissue

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12 Doctor Answers | Asked by CheekyChick in Canada

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Periareola incision and implants

Using a periareola incision is a very popular approach for implants placement. It is unlikely to have any issues that you described.

Steven Wallach, MD

12 reviews

Manhattan Plastic Surgeon

Periareolar incision and breast augmentation

Periareeolar incision can be used for both sub-pectoral and sub-glandular placement of implants. The advantage is that the incision is less visible due to the color difference between skin and aureola. However in order to place the implants, breast tissue has to be dissected and some scarring will occur within the breast tissue. A precise layer closure will prevent visibility of these scars, but the may be palpable if not closed properly, and some scarring may be seen on mammograms in the... more

Will a periareolar incision and under the muscle approach for breast augmentation result in lumpiness?

The periareolar incision and placing the implants under the muscle is a very common approacj which usually leads to very satisfactory results. It is very rare to get any kind of postoperative lumpiness as a result of cutting through the breast tissue to have access to the behind-the-muscle pocket. Good luck!

Periareolar incision

As long as you heal properly, the location of the incision should not affect your breast tissue or nipple sensation or the ability to breast feed.

Periareolar breast incison should not end lumpy

The periareolar incision gives access to the lower edge of the breast, and generally a subglandular pocket is developed up the the chest muscle and then continued under the muscle above. If the breast is closed by 'layers' the incision or breast should not be lumpy or affect the nipple either.

Breast Tissue and the Periareolar Incision

If any of the commonly used incisions were demonstrably superior to the alternatives, we would all use the same incision. And we don't. My general preference is for an incision under the fold, which does minimized the tampering with breast tissue. But surgeons get excellent results with any of the insertion sites. Best discussion of the issues involved would be with your surgeon, who can review the pros and cons base upon your individual anatomy and goals. Best wishes. more

Hello

Nothing is guaranteed, but most of our patients when they do the incision through their nipple it come out really nicely. The skin around the areola is very thin and the scar is very forgiving. You have scar therapy you can use to help the scar be is minimal as possible.

Breast augmentation and periareolar incisions.

With the knowledge and experience of many years, I would strongly advise against a periareolar incision today. It's not because of lumpiness or dimpling and it's perfectly possible to put an implant in using this approach. The reason is that although it is not considered proven, I and other plastic surgeons feel that this approach leads to much of the capsule contracture seen with breast augmentation. The other reason is that if you ever need a revision, replacement, or choose to remove or... more

Complications with periareolar incision

Thank you for your question. Provided that the areolar diameter is wide enough, a periareolar incision is a very common approach for implant placement. One of the benefits of this location is the camouflage that the areola provides. The problems you describe should be uncommon if your surgeon precisely closes the tissue in its proper layers. Two criticisms of this scar placement are that 1) the scar is in a more visible location and 2) because the periareolar approach... more

Periareolar Breast Augmentation

Periareolar incisions usually heal very nicely, leave an attractive scar and are unlikely to cause distortions of the underlying breast tissue. As someone who used to utilize the periareolar incision frequently and now has switched to the fold incision, I do think there are some possible downsides that should be mentioned. Most importantly, there is evidence to suggest that the incidence of capsular contracture may be higher with the periareolar incision. While we do... more