Periareolar breast augmentation is the most popular type of breast augmentation surgery. The name of this procedure refers to the placement of the incision, which encircles the nipple and areola.
By carefully placing the incision along the border between the pigmented areola and the lighter skin of the breast, the surgeon can camouflage the resulting scars. Periareolar breast augmentation is chosen by many women who wish to avoid lengthy and unsightly scars after increasing their breast size with implants. The lack of noticeable scarring is considered the major benefit of the periareolar technique over other types of breast augmentation surgery.
During surgery, the plastic surgeon creates an incision around the nipple and areola. Through this incision, the breast implant may be placed either above or below the chest muscle. Despite the small size of the incision, the surgeon is able to access most of the natural breast tissue during the procedure. The implant is covered by a protective sheath on its way into the body. This prevents bacteria from being introduced into the chest tissue. Once inserted, this sheath is removed and the implants are shifted to the desired position. Finally, the incision around the areola is closed with sutures.
Because this incision around the nipple is shorter than other incision patterns used for breast augmentation, it tends to work best with saline implants, which are more flexible than silicone ones and therefore better able to fit through the smaller opening. However, you may be able to receive silicone implants through a periareolar incision, depending on the size of the implants and the specifics of your surgery.
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