03. Widened hemi-areolar access in additive mastoplasty
KEYWORDS: hemi-areolar access, breast implant
Often, because of the small dimensions of the areola it is not possible to insert mammary prostheses through a lower hemi-areolar incision. This means that an alternative access must be used, for example, the inframammary fold, which is not always welcomed by patients or surgeons.
This problem can be overcome by increasing the size of the areolar access without compromising the final result of the scar from the wound.
The procedure consists of lengthening the peri-areolar incision in the mammary skin, at 3 o’clock and 9 o’clock, to form a 30° angle opening out towards the bottom.
This simple procedure increases the access by approximately 4 cm, allowing easier insertion of the prosthesis.
The two small triangular skin flaps are removed and suturing restores the regularity of the access borders.
Cecchi F., Gabrielli A.(2007): Widened Hemi-areolar Access in Additive Mastoplasty. CRPUB Medical Video Journal. Other techniques. http://www.crpub.org
Why should a hemi-peri-areolar access be used?
An areolar a hemi-peri-areolar access enables large prostheses to be implanted in breasts with a small areola and is less visible than an incision in the mammary fold.
This technique is particularly useful and should be considered when large prostheses are to be implanted through the areolar access in patients with small areolae.