Periareolar mastopexy and augmentation.

The author performs periareolar mastopexy only in cases requiring correction of moderate ptosis and skin redundancy. The size and shape of the implant to be used and the surgical plan are both decided at consultation. The author prefers high-textured cohesive silicone gel-filled implants placed in the subpectoral position. To facilitate the surgical procedure, the author administers profuse local anesthesia and leaves compresses in the dissected pocket. The use of a cinching running suture helps to obtain a good-quality periareolar scar with minimal wrinkling. These techniques can reduce the incidence of complications and minimize the need for surgical revision.