What Are the Disadvantages of Breast Implants Through the Nipples?

Hello! Thank you for your question!  Your surgeon will discuss the risks and benefits of various incisions.  However, periareolar incisions are reasonable.  There is a slightly increased risk of infection and nipple sensation changes.  Breast procedures such as the
breast augmentation and breast lift/reduction certainly result in a more
shapely,
perky, and fuller appearance of your breasts. With any breast procedure
there is a risk, albeit very small, of change in
sensation to the area. The reported rate of sensation changes
(decreased, loss, or increased) is ~7% for lift/reductions and much
smaller for breast augmentation. In my experience, this rate is
reportedly much lower, but is higher when tissue is excised or the
amount of lift that is needed, so the breast reduction procedure has a
slightly greater risk. It can take up to a year for full sensation to
return. Re-educating your nerves to these areas by using different
textures when showering and putting on lotion often helps.It is one risk of such a procedure, and
one that you must consider, amongst others, as with any surgical
procedure. You should consult with a plastic surgeon well-trained in
breast procedures who will examine and discuss with you the various
risks and benefits of the procedure(s) and assist you in deciding if
such a procedure will be the right decision for you.

The periareola incision is perfectly fine it doesn ot increase the risk for bottoming out. The scar usually heals very well.

Thank you for the question.

I think the advantages of the infraareolar incision far outweigh any theoretical disadvantages. These advantages include proximity to the planned  dual plane submuscular pocket dissection,  relatively hidden/forgiving location of scarring,  coverage by clothing/swimming suit etc.

Not only does this approach not increase the risk of  bottoming out of breast implants;  in my hands, it allows for a more precise  breast implant pocket dissection (crucial in preventing breast implant malposition issues)  that can be accomplished from remote incisions ( such as trans axillary or trans-umbilical).

I hope this helps.

Breast augmentation through the nipple incision (periareolar) has few disadvantages.  While many women are concerned that this approach will decrease nipple sensation (more than other approaches) and result in a bad scar, this is not the case.  The scar from this approach is often (but not always) almost imperceptible.  There is no increased risk of 'bottoming out' with the periareolar incision; this complication is usually a result of over-dissection below the infra-mammary fold.  

Placement of silicone implants through the nipple incision can be very difficult (for the surgeon).  The surgical dissection also is somewhat more challenging and often takes a little longer.  These concerns should not be a deterrent to this approach in the hands of an experienced plastic surgeon.  Good luck.

In the "nipple" incision for breast augmentation, the incision is actually made where the breast skin and areola come together. In most cases, the incision is very well hidden. One disadvantage is that if the areola is small, it may be hard to place a large silicone gel implant through the small opening. Another is that depending on the surgeon's technique, some breast tissue may be cut. It does not increase the risk of bottoming out

There is definitely no increase in bottoming out if implants are placed through the areola.  I think the scars heal better and more consistently than any other incisions.  There is no increased risk of loss of sensation.  If you need a lift in the future, the incision can be extended around the entire areola, so no extra incisions need to be made.

There really are not any disadvantages of performing augmentation via a periareolar incision (I assume this is what you mean by thru the nipple) other than than the fact that it is somewhat more difficult to place a silicone implant through this incision.  There is not a significant difference, however, in the incidence of "bottoming out".

Incisions for breast augmentation typically chosen for ease of access as well as for aesthetics (hiding the scar). There are advantages and disadvantages for each location. The incision at the junction between the pigmented  areola and the unpigmented breast skin is a good place to hide a scar. However, to get from there to a pocket under the breast or under the pectoralis muscle requires some dissection through breast tissue and can possibly result in diminished ability to nurse.

Bottoming-out is a complication that is not related to the skin incision, but rather to the pocket dissection and other factors.