What Are the Disadvantages of Breast Implants Through the Nipples?

asked 6 months ago by anon
Latest answer by Steven Wallach, MD
Question viewed 161 times
Tags: nipples, bottom out, comparison, disadvantage, technique

Is there a greater risk of bottoming out with breast implants done by other methods?

7 answers to What Are the Disadvantages of Breast Implants Through the Nipples?

Breast augmentation incisions

The periareola incision is perfectly fine it doesn ot increase the risk for bottoming out. The scar usually heals very well.

Steven Wallach, MD
Manhattan Plastic Surgeon

Disadvantages of breast implant placement through the areola

There is definitely no increase in bottoming out if implants are placed through the areola. I think the scars heal better and more consistently than any other incisions. There is no increased risk of loss of sensation. If you need a lift in the future, the incision can be extended around the entire areola, so no extra incisions need to be made.

Kenneth L. Stein, MD
Chicago Plastic Surgeon

Breast Augmentation Incision?

Thank you for the question. 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 scarring, coverage by clothing/swimming suit etc. Not only does this approach not increase the risk of bottoming out of breast implants; in my hands, it allows for a more precise breast implant... more

Tom J. Pousti, MD
San Diego Plastic Surgeon

Breast Augmentation and the periareolar approach

Breast augmentation through the nipple incision (periareolar) has few disadvantages. While many women are concerned that this approach will decrease nipple sensation (more than other approaches) and result in a bad scar, this is not the case. The scar from this approach is often (but not always) almost imperceptible. There is no increased risk of 'bottoming out' with the periareolar incision; this complication is usually a result of over-dissection below the... more

Eric T. Emerson, MD
Charlotte Plastic Surgeon

Disadvantages of Breast Implants Through the Nipples

In the "nipple" incision for breast augmentation, the incision is actually made where the breast skin and areola come together. In most cases, the incision is very well hidden. One disadvantage is that if the areola is small, it may be hard to place a large silicone gel implant through the small opening. Another is that depending on the surgeon's technique, some breast tissue may be cut. It does not increase the risk of bottoming out

Karol A. Gutowski, MD
Chicago Plastic Surgeon

Disadvantages Of Periareolar Augmentation

There really are not any disadvantages of performing augmentation via a periareolar incision (I assume this is what you mean by thru the nipple) other than than the fact that it is somewhat more difficult to place a silicone implant through this incision. There is not a significant difference, however, in the incidence of "bottoming out".

John Whitt, MD
Louisville Plastic Surgeon

Augmentation incisions

Incisions for breast augmentation typically chosen for ease of access as well as for aesthetics (hiding the scar). There are advantages and disadvantages for each location. The incision at the junction between the pigmented areola and the unpigmented breast skin is a good place to hide a scar. However, to get from there to a pocket under the breast or under the pectoralis muscle requires some dissection through breast tissue and can possibly result in diminished ability to nurse... more

William H. Gorman, MD
Austin Plastic Surgeon

www.whgormanmd.com

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