Can I Get Silicone Implants Placed Under the Muscle Via Areola Incision?

Hello,

To restate what the other surgeons have said, it is commonly done, and more than likely you would be able to have it performed that way.  Some individuals have a large enough areola that allow easy access via this route.  Those that don't may be better served with either an inframammary incision or an armpit incision.  On the other hand, certain individual with poorly defined inframammary folds might do better with the periareolar or armpit incisions.

From a complication standpoint, the lowest risk incision (specifically capsular contracture, the most common complication) is the inframammary incision.  This is because there is minimal breast tissue or milk ducts that are violated, minimizing bacterial contamination that typically causes capsular contracture.

Best of luck!

Thank you for your question. This is my preferred aproach to submuscular breast augmentation. I go through the areola down to the muscle and than I dissect laterally to pick up the muscle edge. I do not divide the muscle as some surgeons do, but incise the fascia to enter the sub muscular plane. You state that you want to look natural and have good amount of adipose tissue. If that is the case, I prefer to place the implants under the subfascial muscle plane (the tough tissue covering the muscle) instead of submuscular placement. With submuscular placement you will have some degree of breast distortion with muscle flexing. Good luck.