The Periareolar Approach: All Seasons Technique for Multiple Breast Conditions

Marco Klinger, MD; Valeriano Vinci, MD; Silvia Giannasi, MD; Valeria Bandi, MD; Alessandra Veronesi, MD; Luca Maione, MD; Barbara Catania, MD; Andrea Lisa, MD; Guido Cornegliani, MD; Micol Giaccone, MD; Mattia Siliprandi, MD; Andrea Battistini, MD; Federico Barbera, MD; Corrado Tinterri, MD; Alberto Testori, MD; Fabio Caviggioli, MD; Francesco Klinger, MD

doi:10.1097/GOX.0000000000003693

Plastic and Reconstructive Surgery, Global Open (Jul 2021)

The Periareolar Approach: All Seasons Technique for Multiple Breast Conditions

Marco Klinger, MD,
Valeriano Vinci, MD,
Silvia Giannasi, MD,
Valeria Bandi, MD,
Alessandra Veronesi, MD,
Luca Maione, MD,
Barbara Catania, MD,
Andrea Lisa, MD,
Guido Cornegliani, MD,
Micol Giaccone, MD,
Mattia Siliprandi, MD,
Andrea Battistini, MD,
Federico Barbera, MD,
Corrado Tinterri, MD,
Alberto Testori, MD,
Fabio Caviggioli, MD,
Francesco Klinger, MD

Affiliations

Marco Klinger, MD: † Humanitas University Department of Biomedical Sciences, Milan, Italy
Valeriano Vinci, MD: † Humanitas University Department of Biomedical Sciences, Milan, Italy
Silvia Giannasi, MD: † Humanitas University Department of Biomedical Sciences, Milan, Italy
Valeria Bandi, MD: † Humanitas University Department of Biomedical Sciences, Milan, Italy
Alessandra Veronesi, MD: † Humanitas University Department of Biomedical Sciences, Milan, Italy
Luca Maione, MD: † Humanitas University Department of Biomedical Sciences, Milan, Italy
Barbara Catania, MD: † Humanitas University Department of Biomedical Sciences, Milan, Italy
Andrea Lisa, MD: † Humanitas University Department of Biomedical Sciences, Milan, Italy
Guido Cornegliani, MD: § Plastic Surgery Unit, MultiMedica Holding S.p.A., Reconstructive and Aesthetic Plastic Surgery School, University of Milan, Milan, Italy
Micol Giaccone, MD: § Plastic Surgery Unit, MultiMedica Holding S.p.A., Reconstructive and Aesthetic Plastic Surgery School, University of Milan, Milan, Italy
Mattia Siliprandi, MD: † Humanitas University Department of Biomedical Sciences, Milan, Italy
Andrea Battistini, MD: † Humanitas University Department of Biomedical Sciences, Milan, Italy
Federico Barbera, MD: † Humanitas University Department of Biomedical Sciences, Milan, Italy
Corrado Tinterri, MD: ¶ Breast Surgery Department, Humanitas Clinical and Research Center – IRCCS, Milan, Italy.
Alberto Testori, MD: ¶ Breast Surgery Department, Humanitas Clinical and Research Center – IRCCS, Milan, Italy.
Fabio Caviggioli, MD: § Plastic Surgery Unit, MultiMedica Holding S.p.A., Reconstructive and Aesthetic Plastic Surgery School, University of Milan, Milan, Italy
Francesco Klinger, MD: § Plastic Surgery Unit, MultiMedica Holding S.p.A., Reconstructive and Aesthetic Plastic Surgery School, University of Milan, Milan, Italy

DOI: https://doi.org/10.1097/GOX.0000000000003693
Journal volume & issue: Vol. 9, no. 7
p. e3693

Abstract

Read online

Background:. The periareolar approach was first introduced by Hollander in 1924 and, since then, numerous contributions have been reported by different authors. Despite all the strengths associated with this versatile technique, the periareolar approach still poses three main problems: large areolar diameter with poor quality scar, flattening of the breast cone, and poor stability of the results. The purpose of this article is to show how this surgical technique, with a good patient selection, can be applied to different situations and obtain excellent results. Methods:. We performed a retrospective study on 5028 consecutive procedures in 4198 female patients treated with a periareolar approach in two regional institutions between 2008 and 2018. We considered 853 pure mastopexies, 362 breast augmentations, 422 secondary breast augmentations, 402 corrections of stenotic breast, 2921 oncoplastic surgeries, and 68 breast reductions. Postoperative complication, as well as patient and surgeon satisfaction were assessed. Result:. Patient and surgeon satisfaction 1 year after the procedure was excellent, and the complication rate was low. Conclusions:. When the indication is set correctly, the periareolar approach can obtain excellent results. This versatile technique, initially introduced as a mastopexy technique, has expanded its applications and can now be used for multiple surgical situations.

Published in Plastic and Reconstructive Surgery, Global Open

ISSN: 2169-7574 (Online)
Publisher: Wolters Kluwer
Country of publisher: United States
LCC subjects: Medicine: Surgery
Website: http://www.prsgo.com

About the journal