[Implantation of mammary prosthesis through a periareolar incision].

In the past, the mammary prosthesis has always been implanted through anteroaxillary incisions or lateral incision. These incisions are relatively obvious and the scars are prominent. Since October 1988, the authors have used the periareolar incision to perform mammary prosthesis implantation in 15 cases, 28 breasts. The skin and subcutaneous tissue are incised along the edge of the areola and the tissue are split along the direction of mammary ducts and that of the musculus pectoralis major. Then a cavity is made underneath the pectoralis major muscle and a prosthesis is implanted. According to the patient's demand regarding the size of breast, the volume may be increased or lessened. In this operation the incision is small, the scar is not obvious, and the dissection is easy. The method is used only when an inflatable breast silicon prosthesis is used. During the operation due attention should be paid to the size and position of the prosthesis so that two breasts are symmetrical.