Submuscular periareolar approach to augmentation mammoplasty in Korean women

Augmentation mammoplasty can be approached by various methods according to the type of implant and implantation site depending on the. status of the p atient or surgeon's preference. The advantage For submuscular placement is based on problems associated with subglandular placement, especially capsul ar contracture and sensory changes in the nipple, and interference with the interpretation of mammograms is avoided. There are fewer complications suc h as hematoma, infection, and extrusion of the implant with submuscular dis section and relatively avascular, minimal sensory changes in the nipple com pared with subglandular approach. The submuscular periareolar approach to a ugmentation mammoplasty was first described in the 1970s. This approach pro vides easy access to both the subglandular and subpectoral planes. It also provides a central point of access for creation of the implant pocket, whic h allows for easier and moro accurate dissection in all diameters. The resu ltant periareolar scar is usually minimal with less injury to breast parenc hyme and eventual biopsy or mastectomy incision to be performed through or around the areola. During the period of March 1999 to January 2000, 19 case s of who received submuscular periareolar augmentation mammoplasty under ge neral anesthesia resulted in favorable seals with accurate access to pocket margin, easier dissection, and less bleeding compared with submuscular tra nsaxillary augmentation mammoplasty. In our experience with the submuscular periareolar approach to breast augmentation it was highly versatile, safe, and less painful; postoperative hematoma incidence was greatly reduced and boast tissue injury was minimized.