Is areola incision a non existent thing now ? Looking for a revision but do not want an incision in the breast fold. (Photos)

Question

Are there any doctors who still specialize I’m periareolar incision still ? I had saline implants placed through nipple/areola incision over 10 years ago . Now I’m looking for a revision and it seems like most doctors only do the incision in the breast fold . I am looking for an implant exchange and reshaping of the breast to bring them closer together . Is it possible to have this done or is that a thing of the past ..… besides for silicone implants which may require a larger incision I don’t understand why doctor would prefer the fold incision when the areola incision is much easily camoflouged.. a 2inch incision under my breast is a deal breaker for me especially since my current incision healed so well is non existent u can barely notice it

Paul E. Chasan, MD, FACS · Answer

Thank you for your question.  I have been in practice for over 30 years and revisionary breast surgery is a large portion of my practice.  I totally agree with you that the periareolar incision heals better.  In my 30 years in practice, I have never embraced the inframammary crease incision.  I believe that this incision can heal nicely, but oftentimes is visible and can ride up on the breast itself. I have gone through the periareolar incision many times on the same patient without any indentation at all because I excised all the residual scar tissue each time I perform a periareolar incision.  You should be able to have an excellent result.  Best wishes to you.

Shlomo Widder, MD · Answer

Dear New Yorker,
    I agree with you. Sub areola incision is the best approach for breasts augmentation surgery for many reasons. I have been using that technique for 38 years on over 3000 patients and used exclusively saline implants. From observing your picture it appears that you have quite large areola. You can benefit from areola reduction using the mini lift (donut)  technique if it is a concern for you.
    You are welcomed to contact my office if you can't find a surgeon in your area who specializes in sub areola incision for breasts augmentation surgery.
   Always consult with experienced board certified plastic surgeons who operate in accredited surgery center for your safety. Most importantly, check the before and after photo of breasts augmentation revision in the photo gallery to make sure that they are numerous, consistent and attractive with nice scar, nice cleavage, nice projection, full upper pole and natural looking.
                     Best of luck,
                                     Dr Widder
                           widderplasticsurgery.com
                                     703-506-0300

Thomas A. Mustoe, MD, FACS · Answer

Yes , absolutely. It is true that most surgeons have limited experience with peri areolar incisions which are used less commonly today but they are still very suitable for saline implants and smaller silicone gel implants depending on the size of the areola.  There is no reason why you couldn’t have your implants replaced through an areolar incisions which which I still use routinely for those patients who prefer it. It does add somewhat to the length of the surgery and is technically more demanding.

Darryl J. Blinski, MD · Answer

Based on your one post a photo, many doctors, especially board certified Plastic surgeon would still use the nipple complex incision to do an implant exchange and attempt to get cleavage. Correction exchanging into silicone implants is done with use of a specialized insertion device called the KELLER funnel. Best of virtual consult with for better understanding fee is $10,000. Again, best of virtual consult with.

Mats Hagstrom, MD (license on probation) · Answer

The Peri areolar incision is for many patients the ideal approach for implant augmentation, especially when using saline implants.
For fair skin people, it is the preferred approach in my opinion.
It has so many advantages over other approaches.
It can be done for silicone implants if the Ariola is on the large size.
I found some of the most experienced breast surgeons preferred this approach.
The IMF approach is technically easier, but has some disadvantages.
I guarantee you there are still plastic surgeons who have experience with the Peri areolar incision. Maybe call around and ask each office before making an appointment.
Finding the right plastic surgeon is really important.
Ask providers to open up their portfolios and show as many before and after pictures of previous patients who have similar body characteristics to your own to help that plastic surgeons.
Highly experienced surgeons should have no limitation in regards to the number of before and after pictures they’re willing to show you.
Good luck,
Mats Hagstrom MD

Is areola incision a non existent thing now ? Looking for a revision but do not want an incision in the breast fold. (Photos)

Answers (5)

Answer: Nipple incision to exchange saline implants to silicone implants’s

Answer: Nipple incision to exchange saline implants to silicone implants’s

Answer: Peri areolar incision

Answer: Peri areolar incision

Recommended reading

Everything you need to know about Breast Implant Revision

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Is areola incision a non existent thing now ? Looking for a revision but do not want an incision in the breast fold. (Photos)

Answers (5)

Answer: Nipple incision to exchange saline implants to silicone implants’s

Answer: Nipple incision to exchange saline implants to silicone implants’s

Answer: Peri areolar incision

Answer: Peri areolar incision

Browse related questions

Recommended reading

Everything you need to know about Breast Implant Revision

Our mission is to create a world where every investment in modern beauty is Worth It.