How likely would the nipple invert with a periareolar incision for breast augmentation?

Although scarring can tether the nipple and cause inversion, the risks are very low. As an Asian, you will likely have more pigmentation and therefore a more persistent darker scar then someone of a less pigmented ethnicity.

Hi passionfruity,
Thank you for your question. The good news is that breast augmentation through a periareolar incision should not lead to further inversion of your nipples. In fact, your nipple inversion could even be corrected during your breast augmentation procedure if you so choose. The main risks with periareolar incisions compared to an incision in the breast fold are a theoretically increased risk of capsular contracture due to contamination of the implant by the milk ducts, as well as the potential for depressed scar if the closure is not performed correctly. Additionally, depending on your areola size, you may or may not be a candidate for this approach, but this would need to be determined by your surgeon at your initial consultation. As far as scarring, this will depend on individual factors and likely related to how you have scarred in the past. I hope this helps!

I highly recommend avoiding any periareolar incision at all cost for multiple reasons including poor scarring, higher risk of infection, higher risk of capsular contracture, nipple pain, scar widening, scar tethering, potential disruption of milk ducts, and more.