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Breast Augmentation – Periareolar Incision vs. Others: Which is Right For You?

Posted September 19, 2024 in Breast Surgery

Choosing to enhance your breasts is a significant decision that involves various factors, including your goals and lifestyle.  One important consideration is the different types of incisions that are available for breast augmentation.  Understanding the differences between incision types can ensure optimal aesthetic results and recovery experiences.

Let’s explore a popular incision type – the periareolar incision – compared to others, so you can walk into your appointment feeling confident in your decision.

What is a Periareolar Incision?

A periareolar incision is an incision strategically placed along the natural border of the areola, which is the darker skin surrounding the nipple.

frontal chest incisions

If you are wondering how a breast augmentation with a periareolar incision looks like, follow this link to the before and after gallery.

 In addition to breast augmentation surgeries, the periareolar incision can be effectively utilized for nipple reduction procedures, providing access to reshape and resize the nipple-areola complex. One of its primary goals of the periareolar incision is to utilize the natural contour of the breast to minimize visible scarring.

The periareolar incision offers the added benefit of facilitating areola reshaping if necessary, allowing plastic surgeons to adjust the size and shape of the areola for improved overall breast aesthetics.

Advantages of Periareolar Incisions

Minimal Scarring

The periareolar incision scar benefits from the natural color transition between the areola and breast skin, often resulting in a well-concealed and less noticeable post-operative scar.

Many patients report high satisfaction rates regarding the postoperative appearance of their scars, with most stating that the scars become less noticeable over time.

A well healed periareolar incision typically blends seamlessly with the surrounding tissue, demonstrating the technique’s potential for optimal aesthetic outcomes in breast surgeries.

Versatility for Various Procedures

This incision can be utilized in breast augmentation (also known as mammoplasty) procedures and also as one of the incisions in breast reduction surgery, and breast lifts.

Among various mammoplasty techniques, the periareolar incision stands out for its versatility, accommodating a wide range of implant sizes and shapes while offering the potential for customized, natural-looking results.

The versatility of periareolar incisions makes them particularly suitable for breast lift procedures, often allowing plastic surgeons to address both tissue repositioning and volume enhancement concurrently. This not only saves time but can also reduce recovery periods for patients looking to achieve multiple aesthetic goals at once.

Potential Drawbacks of Periareolar Incisions

Breastfeeding Concerns

Depending on the type of incision and where the implant is placed, it may have an impact on breastfeeding. One important consideration for the periareolar incision is the impact on breastfeeding capabilities. Some patients may find that their milk production is affected post-surgery, which can be a critical factor if they plan to have children in the future. 

It’s essential to have an open conversation with your plastic surgeon about all breast augmentation incision options, the impact on breastfeeding and other risks, including the use of general anesthesia or sedation, before making a decision. Many women can still breastfeed after periareolar surgery, but results can vary. Being informed is vital in navigating this aspect of your care.

Limitations for Larger Implants

Another consideration is that periareolar incisions may not always be the best choice for patients desiring larger implants. In some cases, the type of incision selected can limit the plastic surgeon’s ability to effectively insert larger implants without compromising the aesthetic result.

Thus, it’s crucial for patients to have realistic expectations about the outcomes. Engaging in an informative dialogue with your plastic surgeon is essential for assessing whether this incision type is appropriate for your specific preferences regarding implant size and overall cosmetic goals.

Other Risks of Periareolar Incisions

There may be a concern with the periareolar incision that nipple sensation may be lost.  This is a valid concern but usually nipple numbness is temporary and will return in several months.  Fortunately, most patients with the periareolar incision will have normal nipple feeling.

The advantage of the periareolar incision is that it heals well and is barely seen in the vast majority of patients. However, in some patients, the incision may heal poorly and be more visible.  In patients that may be prone to bad scarring,  the periareolar incision may not be a good choice.

In some patients,  using the periareolar incision may lead to higher risk of infection and capsular contracture. This risk may be higher in younger women of child bearing age. 

It is important to discuss these risks with your plastic surgeon when considering the periareolar incision.

Comparing Periareolar to Other Incision Types

Periareolar vs. Inframammary Fold

When examining different incision types, it’s crucial to consider the inframammary fold incision as a point of comparison. The inframammary fold incision is made underneath the breast, which is advantageous for certain outcomes. While both incision types offer the opportunity for less visible scars, patients often prefer the periareolar method for its discreet placement.

Ultimately, the choice between these incision types depends on individual preferences, the desired implant size, and the general aesthetic goals of each patient.

Periareolar vs. Transaxillary

The transaxillary approach, which involves making an incision in the armpit, is another alternative to consider. This method allows for breast augmentation without visible scars on the breast itself. The transaxillary incision is a specialized technique that select plastic surgeons perform.  The transaxillary technique leaves minimal scarring in the armpit as good or better than the periareolar incision.   However, periareolar incisions can facilitate a more straightforward procedure, as the plastic surgeon has direct access to the breast tissue.

Periareolar vs. Transumbilical

The transumbilical incision is made through the belly button. This incision type allows for breast augmentation without any visible scars on the breast, similar to the transaxillary approach.

However, the transumbilical method can pose challenges regarding implant placement, making the periareolar method sometimes the preferred choice. Ultimately, the decision should be made in consultation with your plastic surgeon, who will evaluate your unique anatomy and aesthetic desires.

Factors to Consider When Choosing Your Incision Type for Breast Augmentation

Your Body Type and Breast Anatomy

The individual characteristics of your breasts, including their size and shape, significantly influence the incision choice.  The size of your areola may limit the implant size that can be used with the periareolar incision. A comprehensive assessment of your unique anatomy can help inform the decision-making process, allowing for outcomes that look and feel natural.

Consulting with Dr. Lo, an experienced and award-winning plastic surgeon, will ensure that your specific anatomy is taken into account, leading to an informed decision about the best incision for your needs.

Implant Size and Type

The size and type of implant also play a pivotal role in determining the best incision approach. Larger implants may limit your options, as some incision types are not suitable for accommodating them effectively. It’s crucial to discuss your preferences and potential trade-offs with your plastic surgeon.

Having a conversation with your plastic surgeon can include which types of implants work best with various incision methods and how to achieve the results you desire while maintaining safety and effectiveness.

Your Lifestyle and Aesthetic Goals

Finally, consider how your lifestyle and aesthetic goals align with your surgical decisions. Take time to reflect on your daily activities, future plans, and aesthetic preferences. This introspection can help in making choices that support your overall well-being and satisfaction with the desired outcomes.

Aesthetic goals vary from person to person, and establishing what is most important to you will enhance the consultation experience with your plastic surgeon.

Schedule a Consultation with Dr. Adrian Lo

As you navigate the decision-making process regarding breast surgery, consider the value of personalized consultations. Speaking directly with Dr. Adrian Lo at our New Jersey and Philadelphia plastic surgery offices can help you explore your options in-depth and ensure you find the right incision type for your breast augmentation procedure.

With his expertise and experience in breast surgery, you’ll be better equipped to make a decision on the best approach for achieving your desired results.

Contact us to schedule a consultation today to discuss your unique concerns and goals. Your journey to enhanced confidence and happiness awaits!

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