Combined transaxillary and periareolar approach for polyurethane coated mammary implants

Utilization of two short incisions, one in the axilla and one periareolar, facilitates the introduction and positioning of the polyurethane coated implants. The creation of a tunnel between the two incisions, and opened at both ends, enables the prosthesis to be pushed from above through the axilla and to be pulled by the plastic sleeve from below the areola. The periareolar incision also helps with the precise positioning of the prosthesis. This approach has been utilized for subglandular placement. Healing of the short incisions has been satisfactory.