Periareolar Incision Deformity: Correction of Infra-areolar Indentations with Acellular Dermal Matrix.
David A Hidalgo1, Tara M Chadab2
1Division of Plastic Surgery, Weill Cornell University Medical College, New York, NY.
Plastic and Reconstructive Surgery
|November 26, 2025
Summary
The peri-areolar incision for breast augmentation can cause infra-areolar indentation. This study presents techniques using acellular dermal matrix (ADM) to correct this common periareolar incision deformity (PD).
Area of Science:
- Plastic Surgery
- Reconstructive Surgery
- Aesthetic Surgery
Background:
- The peri-areolar incision is a common approach for breast augmentation due to its cosmetic advantages.
- A known complication is postoperative infra-areolar indentation, particularly with revision surgeries or in patients with thin breast tissue.
Purpose of the Study:
- To describe and illustrate techniques for correcting periareolar incision deformity (PD).
- To highlight the utility of acellular dermal matrix (ADM) in managing this specific complication.
Main Methods:
- Review of surgical techniques for PD correction.
- Application of acellular dermal matrix (ADM) to reconstruct the infra-areolar area.
- Case examples demonstrating the use of ADM in secondary breast augmentation revisions.
Main Results:
- Acellular dermal matrix (ADM) can effectively restore volume and contour in cases of infra-areolar indentation.
- The described techniques provide a reliable method for addressing periareolar incision deformities.
- Successful correction of PD was achieved in the presented cases.
Conclusions:
- Peri-areolar incision deformity (PD) is a manageable complication of breast augmentation.
- Acellular dermal matrix (ADM) is a valuable tool for correcting infra-areolar indentation.
- These techniques offer improved aesthetic outcomes for patients with previous peri-areolar incisions.


