periareolar

Going under the knife. Where to cut?

Submitted by Liz S Admin on Sat, 09/15/2012 - 10:29

There are various kinds of plastic surgery that can be performed. Ranging from abdominoplasty (“tummy tuck”) to rhinoplasty (“nose job”), but one of the most popular ones, especially among women, is breast augmentation.

Deciding on what type of breast implants to use is not the only difficult decision to make. Plastic surgery after all is a surgical procedure that requires making incisions on the skin. Scaring is typical after an incision is performed and it is unavoidable. Deciding where an incision will be done will determine where the scaring will be located. In a breast augmentation, the three commonly performed incisions are the infra-mammary incision, the peri-areolar incision, and the trans-axillary incision.

The infra-mammary incision is an incision that is done in the breast fold, which is the crease under the breast where it meets the chest. This is the most common incision in that it offers the plastic surgeon direct visual access making it easier to place the breast implants. Both silicone and saline breast implants can be inserted through this incision. If using silicone breast implants, this incision is preferred, especially if they are large sized ones.

The peri-areolar incision is done on the lower border of the nipple, where it will be hidden between the darker colour of the nipple and the lighter colour of the skin. Both implants can be inserted, but the size of silicone implants may be restricted depending on the border and size of the areola. This incision also gives the plastic surgeon direct visual access.

The trans-axillary incision is an incision done in the armpit. The scar can be noticeable when a woman wears sleeveless clothes. Saline breast implants are preferred over silicone breast implants when this incision is done. It is very hard to position large silicone breast implants and there is no direct visual access for the plastic surgeon. Small silicone breast implants are a better option when using this incision.

Regardless of the incision that is made, a scar will follow. It is an unavoidable end result of a breast augmentation but after obtaining the desired breast size, shape, and look, the scaring will be forgotten with time as the new breasts will steal the spotlight.

Q: Loss of Sensibility After a Breast Augmentation Surgery Through Periolar Incision

Submitted by Q-A from clee on Fri, 05/13/2011 - 07:25

I am a 26 years old female and I just had a breast augmentation and areola reduction through periareolar incision 3 weeks ago. Before the surgery, the sensibility of my nipples was normal and sometimes, when it was cold, not only the nipple but the whole areola contracted. Now, 3 weeks after the surgery, my nipples are numb and the areola does not contract anymore I want to know if the sensibility of the nipples will return as well as the areola contraction?

A:What you are experiencing is common

What you are experiencing is common and expected this early after breast augmentation. Most patients will have improvement commencing at 6 weeks and becoming progressively better in the ensuing year.