Advantages of the Circumareolar Approach

  • Adrien Aiache


There is definitely a need for circumareolar procedures. By definition, the circumareolar approach allows a repositioning of the nipple-areolar complex with a subcutaneous reshaping of the glandular portion of the breast. In contrast to the “skin brassiere” techniques, the skin does not play a role in maintaining the shape of the breast. Instead, the internal cone development, tissue reduction, and fixation at the new inframammary fold play the major roles. In contrast to the skeletonized pedicles described in the plastic surgery literature, the entire breast serves as a pedicle for the nipple-areolar complex, and the newly created mound is repositioned.


Aesthetic Surgery Inframammary Fold Entire Breast Periareolar Incision Glandular Portion 
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© Springer-Verlag New York, Inc. 1995

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  • Adrien Aiache

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