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The female breast is a hemispheric projection of variable size positioned anterior to the pectoralis major and serratus anterior muscles. A fascia layer composed of dense, irregular connective tissue connects it to these muscles.
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The Transareolar-Periareolar Approach.

Jonathan Zelken¹, Jung-Ju Huang¹, Chih-Wei Wu¹

¹Private Practice, Laguna Hills, Calif.; Department of Plastic and Reconstructive Surgery, Chang Gung Memorial Hospital, College of Medicine, Chang Gung University, Taiyuan, Taiwan; and Center for Tissue Engineering Center, Chang Gung Memorial Hospital, Taiyuan, Taiwan.

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|October 21, 2016

Summary

The transareolar-periareolar (TAPA) incision offers a viable alternative for breast augmentation in Asian women with smaller areolae. This technique demonstrated high patient satisfaction and maintained nipple sensation with minimal complications.

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Area of Science:

Plastic Surgery
Aesthetic Surgery
Breast Augmentation

Background:

Periareolar incisions for breast augmentation are limited by areolar diameter, particularly in Asian women.
Traditional transareolar approaches can lead to problematic scarring and risks of ductal injury or capsular contracture.

Purpose of the Study:

To evaluate the safety and efficacy of a novel transareolar-periareolar (TAPA) incision for breast augmentation.
To assess outcomes in Asian women with smaller areolae using the TAPA technique.

Main Methods:

A retrospective review of 11 augmentation mammoplasties using the TAPA incision between 2013 and 2015.
The TAPA incision involves three inverted V's traversing the inferior areolar border.
Outcomes were assessed via photographs, clinical charts, and patient surveys.

Main Results:

No hematomas or infections were reported in 20 incisions.
One case each of seroma (9.1%) and unilateral capsular contracture (9.1%) occurred.
All patients reported satisfaction, with 100% maintaining or experiencing heightened nipple sensation.

Conclusions:

The TAPA incision is well-tolerated in Asian women, showing promising results for breast augmentation.
The technique resulted in good aesthetic outcomes and preserved nipple sensation.
Further data are needed to compare TAPA incision risks with traditional approaches.