The periareolar incision is made along the lower border of the areola, where the darker skin meets the lighter breast skin, so the scar blends into the colour transition.
Advantages
- Scar often well camouflaged at the areolar border.
- Central access, useful when combined with certain lifts or areolar reduction.
Considerations
- Passes through breast tissue/ducts, which some studies associate with a higher risk of capsular contracture and possible effects on breastfeeding or nipple sensation.
- Limited by areola size for larger implants.
Suitability depends on areola size, implant choice and whether a lift is planned. Compare with the inframammary approach.