
Beach time(credit:
Oscar One)
A peri-areolar incision (nipple incision) is one type of incision used in the placement of implants for breast augmentation. The peri-areolar incision is placed along the outline of the areola, or the brown or pink pigmented region surrounding the nipple. It allows for precise pocket modification as necessary to create the desired breast shape and complete hemostatis (controlled bleeding).
The breast comprises a complex group of tissues, including glandular, fatty, and fibrous tissues. The glandular tissues in the breast extend from the middle of the breast to the ducts around the nipple area.
To perform the peri-areolar incision, the plastic surgeon makes an incision at the edge of the areola. The goal of the incision is to place it in the transition area between the dark areola and surrounding breast skin where it can be hidden.
After the incision, the plastic surgeon creates a pocket for the breast implant and then slides the implant through the incision into the breast pocket. Once inserted, the implant is then centered behind the nipple.
Advantages of the Peri-areolar Incision: One possible advantage of the peri-areola surgery is that there may be no visible scar, because of the color and texture characteristics of the areola border. In some cases, a scar may be visible. Another advantage, as with the inframammary incision, this incision allows the implant to be placed in precise pocket formation and provides for absolute controlled bleeding.