Advantages/disadvantages to periareolar insicions? (photo)

I prefer to use a periareolar incision because it allows a
simultaneous lift at augmentation.I
recommend a new technique called Breast Augmentation with Mini Ultimate Breast
LiftTM.Using only a
circumareola incision it is possible to reshape your breast tissue creating
upper pole fullness, elevate them higher on the chest wall and more medial to
increase your cleavage.Through the same
incision, implants can be placed.Aligning the areola, breast tissue and implant over the bony prominence
of the chest wall maximizes anterior projection with a minimal size
implant.Small round textured silicone
gel implants placed retro-pectoral look and feel more natural, are more stable,
less likely to ripple or have complications needing revision.Implant profile is irrelevant in the
retro-pectoral position since the muscle compresses it.450 to 475 cc implants are large, will not
fit retro-pectoral, will extrude inferiorly and laterally requiring
revision.Best Wishes,Gary Horndeski, M.D.

The advantages of a periareolar incision are that the scar heals nicely in most patients and is easily concealed under any bikini (with a top).The disadvantages of a periareolar incisions are:1.  if any amount of scar deformity occurs, it is on the front of the breast2.  a possible increased risk of loss of nipple sensation3.  a possible increased risk of inability to breast feed in the future4.  the size of the areola may limit the size / style of silicone implant that can be used5.  several clinical studies have been published that have found an increased risk of capsular contracture with periareolar incisionsI would recommend that you consult with board-certified plastic surgeons experienced at breast augmentation who can review the different options as well as the risks and benefits of each, to help you decide the best way to achieve your goal.Best wishes.