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Possible to Do Silicone Breast Augmentation Via Periareolar Incision?

asked 1 year ago by Jaycee58 in florida
Latest answer by Kim-Chi Vu, MD
Question viewed 1,601 times
Tags: 300-349cc, incision, periareolar

I was looking to get a breast aug with silicone implants of 300ccs. When I went to the plastic surgeon today for my initial consultation, the surgeon informed me that it would not be possible to do the breast aug with the periareolar incision due to the asymmetry of my areolas. I was wondering if this really is a problem (the asymmetry of my areolas), or if it was just this specific surgeon that is unqualified for it. I really don't want to do a under the breast incision. Thanks.

21 answers to Possible to Do Silicone Breast Augmentation Via Periareolar Incision?

Periareolar incision for breast augmentation

Based on the photos you should be able to have a perioareolar incision for breast augmentation. The determining factor whether you can have a periareolar incision is based on the diameter of your nipple areolar complex. If it is a reasonable size diameter, then you should be able to have the periareolar incision. If it is too small, then it would not be recommended. Your plastic surgeon should be able to determine this based on the examination and measurements. The asymmetry of your... more

Kim-Chi Vu, MD
Portland Plastic Surgeon

Incision for Breast Augmentation?

Thank you for the question. I think you will have an excellent result with an infraareola incision. This should not be a problem using saline or silicone gel implants. I agree with you that this tends to be an excellent incision choice. I think the advantages of the infraareolar incision far outweigh any theoretical disadvantages. These advantages include proximity to the planned dual plane submuscular pocket dissection, relatively hidden/forgiving location of... more

Tom J. Pousti, MD
San Diego Plastic Surgeon

www.poustiplasticsurgery.com

Periarerolar incision for augmentation

You certainly can have a periareolar incision if you choose . There is enough size to place a full sized silicone implant through the periareolar scar. There may be some assymetries to your areolae, but then no one is totally even and symmetric and this should not be a big issue for you. The most popular incision is the inframammary incision, but the periareolar incision may be asked for almost as frequently. You may want to get a second opinion... more

Francis (Frank) William Rieger, MD
Tampa Plastic Surgeon

Periareolar approach.

Analizyng your photographs, I think your breast augmentation surgery can be performed via the periareolar approach; yor areola diameter is larger enough for this option. Infra-mamary incision can be another option, and depending on breast implant size selected, probably the inframmary aproach wolud be less noticeable than a periareolar incision (f.e. in a gym).

Enrique Etxeberria, MD
Spain Plastic Surgeon

There should be no problem performing a silicone augmenation through your areolae

The size of your areoale should allow placement of a silicon brest implant through a peri-areaolar incision.

W. Tracy Hankins, MD
Las Vegas Plastic Surgeon

Breast Augmentation Periareolar Approach

Breast augmentation with silicone gel implants can definitely be performed through a periareolar incision/approach as long as your areolas are large enough to accomodate the incision required to safely introduce the implants.

C. Bob Basu, MD
Houston Plastic Surgeon

Periareolar incision breast augmentation

Yes, as long as the areolar size is adequate (> 4 cm across), one could perform the augmentation via the periareolar approach. However, studies show a higher rate of capsular contracture with that incision, compared to the infra-mammary incision. So, there's a trade-off. All the best,

Thomas Fiala, MD
Altamonte Springs Plastic Surgeon

www.plasticsurgeryinflorida.com

Silicone implants and periareolar incisions.

I would not hesitate to do a silicon breast implant via the periareolar incision. You have adequate size areolas for 300 cc. I have not examined you, however, so I may be misreading your photos. Nevertheless my photo only exam says that you would do fine with periareolar for 300cc.

George Commons, MD
Palo Alto Plastic Surgeon

PHOTO: silicone breast implant augmentation through nipple or areola (biofilm) versus crease incisions

As long as your areola can accomodate a 5 cm (2 inch) incision from the 3 to 9 o'clock position, I believe you could easily accomodate a 300 cc silicone implant. However, some surgeons would prefer to avoid this due to potential bacterial contamination and risk for biofilm formation wih implied increased potential for capsular contracture.

Otto Joseph Placik, MD
Chicago Plastic Surgeon

Periareola incison and silicone

As long as your areola are of a decent size( which they look like in the photo) I think it is certianly possible to go that route.

Steven Wallach, MD
Manhattan Plastic Surgeon

Periareolar incisions

Dear Jaycee58, If you really want a periareolar incision just go to another doctor; there is no reason based on your anatomy why you can't have that approach. However, please know that plastic surgery is finally moving into the realm of 'evidence based medicine', and that what we do as plastic surgeons will be governed by data suggesting best outcomes. With that said, patients who have breast augmentation via the tried and true periareolar incision have a... more

Gerald Minniti, MD, FACS
Beverly Hills Plastic Surgeon

Can I do a periareolar breast augmentation?

I would agree with the other doctors in that there is no obvious reason why you could not have silicone gel implants through a periareolar incision. As was pointed out, if they really are that symmetric, then a reduction could be performed at the same time to create a more even size. My recommendation...get a second opinion. I hope that helps! see video

Gregory A. Buford, MD
Denver Plastic Surgeon

www.beautybybuford.com

You are a candidate for peri-areolar incisions

Your areolas are definitely large enough for peri-areolar incisions with 300 cc gel implants. The Keller funnel has made this easier and less traumatic on both the incision edges and the implant. I have used this approach with smaller areolas and larger implants without problems. The asymmetry of your areolas has no real bearing on the decision. The surgeon you saw may not be comfortable with this approach so I would recommend you see another surgeon... more

Lori H. Saltz, MD
San Diego Plastic Surgeon

Treatment of asymmetric breasts

The reasoning does not make sense. If the areola are not symmetric you have to do a periareolar incision because there is no other way to make them more symmetric after surgery. The photos show the left nipple slightly lower and further away from the midline than the right. Also the crease under the breast is slightly lower on the left. Some attempts to correct these asymmetries should be done at the time of breast surgery as the differences may be magnified when the breasts are... more

Aaron Stone, MD
Los Angeles Plastic Surgeon

Yes of course! You can insert silicone implants through areolar incision

I use the areolar approach all the time, and I place cohesive silicone gel implants with a polyurethane shell (which protects against capsular contracture and displacement). I don't use a funnel, as this device may damage the cohesive gel inside the implant by squeezing it through too small a hole. With an areola of 4 cm diameter an incision of half the circumference has a length of 6,3 cm, which is ample to insert almost any silicone implant.

Alexis Verpaele, MD
Belgium Plastic Surgeon

Areolar approach possible with new techniques

As others have stated, the placement of gel implants is a lot easier with a Keller funnel. Your areolas seem large enough to use this approach. If the areola is small, then even saline implants can be hard to place. It might be that your Doctor is uncomfortable with this approach, and you should seek the assistance of someone who is more able to help you.

Victor Au, MD
Chapel Hill Plastic Surgeon

Periareolar approach for silicone implants

Yes you may be able to have a silicone breast augmenation via a periareolar incision. With the advent of silicone implant delivery aids like the Keller funnel we are now able to use smaller incisions than ever before. Your surgeon must take into consideration the type of implant, however, as higher profile implants will need a slightly larger incision.

Delio Ortegon, MD
San Antonio Plastic Surgeon

Perareolar Approach is always possible

You should definitely have it done via a Periareolar incision. You are an ideal candidate for this because of the size of your areolae. Make sure your surgeon is experienced and board certified.

Mark Broudo, MD
Miami Plastic Surgeon

Silicone gel implants through areolar incisions

It is absolutely possible to place silicone gel implants through areolas of your diameter. It is likely that you need to see another plastic surgeon who is more comfortable with this procedure.

Eric Pugash, MD
Vancouver Plastic Surgeon

www.vancouvercosmeticsurgery.ca

Silicone Implants Usually Can Be Placed via Periareolar Incision

It is usually possible to place silicone implants through a periareolar incision but it is more difficult than using an inframammary approach. The size of the areola and the size of the implant are the determinants. The new funnel device makes this somewhat easier than it was before.

John Whitt, MD
Louisville Plastic Surgeon

Gel augmentation through a periareolar incision

It is possible to performa gel augmentation through a periarelar incision. Your areola diameter is not too small. There may be a slightly higher risk of implant contamination leading to capsular contracture through this incision choice. New studies on the Keller funnel may demonstrate that the use of the device may reduce this risk.