One of Dr. Khalifeh's favorite incisions, popular in brazil, mediterranean europe, and other "beach" friendly places, is the periareolar or around the nipple incison. 

 above example of periareolar scar in an asian patient

 

Dr. Khalifeh finds that this incision heals very well and is difficult to notice.

Like everything else, there are tradeoffs and limitations:

- size of the implant (with silicione): because the silicone implant is prefilled, there is a limit created by existing nipple size to desired implant size ratio.  The scar has to go around your nipple, and the size of your nipple determines how big of an implant can be inserted thru that incision.  For small nipples, the limit tends to be 275 cc.  For medium nipples, the limit tends to be 350 cc.  this limit does not apply to salines

- because of its proximity to the nipple, there is a slightly higher risk of nipple sensation loss or breast feeding interference.  this is still very  rare, since the dissection proceeds AWAY fromt he ducts and towards the IMF fold.

 

periareolar scar in caucasian patient

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explore IMF fold incision