I have very small nipples and my skin is very light colored around the nipple, almost matching the rest of my breast skin. I am looking at having 420cc silicone implants - orginally a large A, small B bra size. I am 5'11" and about 150 pounds, so my body can handle the larger implant size. Can the nipple incision be done with such a large implant and small nipple size? I have heard from two doctors no and one highly recommended and esteemed doctor that it can be done. Confused.
Answer: Areola incision for breast implant placement
Commonly areola incision can be used for placement of breast implants. However, when the areola is too small that can create difficulty in placing the silicone implants.
Saline implants are easier to place as they can be rolled in and then filled with saline solution.
Hope this helps.
Ali Sajjadian, MD
Helpful 1 person found this helpful
Answer: Areola incision for breast implant placement
Commonly areola incision can be used for placement of breast implants. However, when the areola is too small that can create difficulty in placing the silicone implants.
Saline implants are easier to place as they can be rolled in and then filled with saline solution.
Hope this helps.
Ali Sajjadian, MD
Helpful 1 person found this helpful
March 18, 2012
Answer: Do not risk damage to the shell of your implant by trying to have large implants placed through small periareolar incisions.
Just because it is possible doesn't mean it is a good idea. You have given several reasons why it is not optimal.
-Large implant size
-Silicone implant
-Small nipples
-Lightly colored nipples
If you try to force a large silicone implant through a small incision, the silicone implant shell could be damaged which would weaken and shorten the life expectancy of your implants.
The inframammary and transaxillary incisions are good alternatives.
I hope this helps.
Helpful
March 18, 2012
Answer: Do not risk damage to the shell of your implant by trying to have large implants placed through small periareolar incisions.
Just because it is possible doesn't mean it is a good idea. You have given several reasons why it is not optimal.
-Large implant size
-Silicone implant
-Small nipples
-Lightly colored nipples
If you try to force a large silicone implant through a small incision, the silicone implant shell could be damaged which would weaken and shorten the life expectancy of your implants.
The inframammary and transaxillary incisions are good alternatives.
I hope this helps.
Helpful
March 15, 2012
Answer: Periareolar Approach
There are widely varied opinions about how large an areola must be to allow this approach. Unless your areola is VERY small (<3cm diameter) or the coloration is very close to the surrounding tissue, you may be a candidate. It is ultimately up to the physician's experience and comfort level. I encourage you to ask a prospective surgeon, what percentage of their breast augmentations are done through your preferred approach.
Helpful
March 15, 2012
Answer: Periareolar Approach
There are widely varied opinions about how large an areola must be to allow this approach. Unless your areola is VERY small (<3cm diameter) or the coloration is very close to the surrounding tissue, you may be a candidate. It is ultimately up to the physician's experience and comfort level. I encourage you to ask a prospective surgeon, what percentage of their breast augmentations are done through your preferred approach.
Helpful
April 3, 2017
Answer: Possible Areolar incision It is possible to place implants up to 550 cc through an areolar size of at least 3 cm. This is best performed using the specific device called a Keller funnel. You should your board certified plastic surgeon regarding use of the same. I believe this device decreases the chances of damaging the implant while being introduced through a small incision. Good luck.
Helpful
April 3, 2017
Answer: Possible Areolar incision It is possible to place implants up to 550 cc through an areolar size of at least 3 cm. This is best performed using the specific device called a Keller funnel. You should your board certified plastic surgeon regarding use of the same. I believe this device decreases the chances of damaging the implant while being introduced through a small incision. Good luck.
Helpful
March 19, 2012
Answer: Large implants through small nipple incision
Because a silicone gel breast implant comes pre-filled, it is very difficult to introduce a large implant through a small incision under the areola. Typically, this approach is not offered to patients whose areolar diameter is less than 3cm, or an inch and a half, across. This is because the incision ends up being so short that the operation cannot be effectively performed through it, and the large implant may be damaged in trying to introduce it through a small scar.
Also, if your areola is lightly pigmented, the areolar scar may end up looking quite visible. This is in contrast to the under-the-breast (inframammary) scar, which is camouflaged well by the breast crease.
All the best,
Dr. Skourtis
Helpful
March 19, 2012
Answer: Large implants through small nipple incision
Because a silicone gel breast implant comes pre-filled, it is very difficult to introduce a large implant through a small incision under the areola. Typically, this approach is not offered to patients whose areolar diameter is less than 3cm, or an inch and a half, across. This is because the incision ends up being so short that the operation cannot be effectively performed through it, and the large implant may be damaged in trying to introduce it through a small scar.
Also, if your areola is lightly pigmented, the areolar scar may end up looking quite visible. This is in contrast to the under-the-breast (inframammary) scar, which is camouflaged well by the breast crease.
All the best,
Dr. Skourtis
Helpful