Peri-Areolar Incision in Breast Augmentation Surgery

Breast Implants via the Areola Incision

Like the crease incision, the areola incision is very popular. If this is your preferred incision, you should not have any trouble finding a plastic surgeon that is experienced with it, unlike other incisions such as transaxillary or TUBA, which aren’t as common, and are more technically difficult to perform.

The areola is the darker pigmented skin surrounding the nipple. Surgeons place the incision just outside of areola. By doing so, there is less chance of a “white” scar in the darker pigment of the areola. The skin in this area heals very well, and many women find that once their incisions have fully healed, they’re almost invisible.

The areola incision is often called the “nipple” incision among breast augmentation communities. However, it is important to note that the incision is not made in the nipple. While most well-versed breast augmentation patients know the difference, those of you that are new to the process should make sure you understand that the “nipple” incision is just another way of saying “areola” incision.

The video below shows a breast augmentation surgery performed via the crease incision.

Advantages of the Areola Incision

There are several advantages to the areola incision including:

  • Incisions tend to heal very well, leaving a very faint scar.
  • Virtually all surgeons know how to perform breast augmentation with this incision.
  • It is easy to locate a surgeon that performs breast augmentation via the areola.
  • Breast implants can be placed in any plane (over the muscle, partially under the muscle, completely under the muscle, or subfascial) using this incision.
  • The surgeon is working in close proximity to the breast. This allows for more control and the ability to be more precise.
  • Certain complications such as capsular contracture and hematoma can be repaired via this incision, meaning no new incisions are needed.
  • Disadvantages of the Areola Incision

    There are a few downsides to the areola incision.

  • When the areola incision is used, the breast implants must pass through the milk ducts, which naturally harbor bacteria. The exception to this rule is the use of a “sleeve” for inflatable breast implants to pass through upon insertion. When nothing is used to shield the implant from the breast ducts during insertion, the risk of contamination from the milk ducts is much greater. Contamination, even on a very minuscule level, can lead to an inflammatory response, thus resulting in a higher risk of capsular contracture.
  • Some complications may still require a crease incision to correct, depending on the complication and the surgeon’s preference as to which incision he or she prefers for repairing complications.
  • If you have every small areolas, you may be more limited as far as size is concerned (if you are wanting extra large breast implants) when it comes to silicone breast implants, as they are all prefilled.
  • Higher risk of loss of ability to breastfeed
  • Higher risk of loss of sensation to the nipple and areola.