Can I get periareolar breast implants?

Question

Can a female with large natural breast get implants periareolar? Would the implants be inserted behind or between the muscle if periareolar?

Michael Constantin Gartner, DO · Answer

The main determination as to whether the implants can be placed through the periareolar incision is the size of your areolae. Therefore, you would need to see a surgeon to determine whether this is possible for you. It is possible to place the implants behind the muscle.

Richard Baxter, MD · Answer

Placement of implants through the periareolar incision depends on the diameter of the areolas and the size and type of the implant. Under muscle is not a problem through this approach.

William Andrade, MD · Answer

Thanks for your inquiry.  It is possible to insert implants through a periareolar incision, in a female who has larger breasts and areolae.  The implants can be inserted in front or behind the muscle.

Vincent N. Zubowicz, MD · Answer

I seldom do periareolar incisions anymore but when the patient chooses this is no problem putting the implants above or below the muscle.

Hector Milla, MD · Answer

Hi and thanks for your question. It depends on the size of your areola. Implants can be placed either over or under the muscle by this approach. The other important issue if you have large breast is that you may have ptosis and it could be necessary to do something else and maybe periareolar incision wouldn't be the best option. You need to see your PS for an evaluation and better answering to your doubts.Regards.

W. Bryant Walker, MD · Answer

The periareolar incision is a nice incision for breast augmentation because the scar hides well at an area where there is a natural change in color from the areola to the skin.  However, this incision is associated with increased risk of capsular contracture because the breast ducts that you must go through are not sterile.  Once the incision has been made, no matter if it is inframammary, periareolar or transaxillary, the implant pocket can be either subpectoral (behind muscle) or subglandular (in front of muscle).  The decision for pocket placement would be dependent on your individual anatomy.  Best advice is to schedule a consultation and discuss your goals and have all of your questions addressed by a plastic surgeon.  In the meantime, you may find the following link helpful in answering other questions you may have about breast augmentation.  Hope this is helpful!

Ronald V. DeMars, MD (Retired) · Answer

The answer is that you probably can get the periareolar incision for the augmentation as l;ong as your surgeon is comfortable doing it that way. And submuscular placement is not a problem if that is the recommendation. It would take an exam to give you accurate and specific answers.

Can I get periareolar breast implants?

Answers (7)

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