Breast Augmentation and the Periareolar approach. The dimensions of the areola.

Breast augmentation procedures are common. Patients often choose to undergo breast augmentation via the periareolar approach. Patients often ask, "if I have implants placed, will this cause my areola to become wide?" Depending on the size of the implant placed, there are different forces exerted on the skin that cause the skin to stretch. The diameter of the areola may increase but it is usually not significant or it is in proportion with the increase in the breast size.

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Tuberous Breast Deformity-Breast Augmentation

Tuberous breast deformity is best corrected with a breast augmentation procedure via a peri-areolar approach. The tuberous breast has a typical constellation of features. The breast base is usually restricted. The areola is wide and there is often a herniation of breast tissue through the areola.  The breast is often hypoplastic to various degrees.

The periareolar approach tends to be best for correcting this deformity as the areolar incision allows greatest range to score and release the constricting fibers and also allows appropriate correction of the fold levels. In patients who are thin, I prefer silicone gel prosthesis as there is often less rippling. Saline reconstruction is perfectly fine as well.

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Breast Augmentation. Peri-Areolar Incision

Patients often ask where the periareolar incision will be placed and what the scar will look like. I tell all patients that everyone will have a scar, but how visible the scar is depends on several factors. The periareolar incision is typically placed on the inferior (bottom) half of the areola. The areola tends to be a relatively privileged area for scarring. That is, it is rare for keloid scars to develop on the areolar skin. 

For the first three weeks after surgery, steri-strips are placed on the incision. After three weeks, the steri-strips are removed. At that point I tell patients that they can place lotion on the incisions provided it is the same lotion they use on the rest of their body skin. Patients should not use Vitamin E cream, capsules, etc. on their incisions. After six weeks, if the incisions show signs of a thick or hypertrophic scar, patients can use silicone gel sheeting to flatten out the scar.

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Breast Augmentation Orange County

Breast augmentation is a common procedure in Orange County and Los Angeles California. Breast augmentation with either silicone or saline implants is common in the spring and summer months.

Patients often wish to undergo breast augmentation in the spring so that they are ready to go in their bikini or strapless dress in the summer. Complete breast augmentation healing takes several weeks to months.

Patients that choose to undergo augmentation procedure that is a right size and fit for their body, tend to get a great longevity to their augmentation.

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