Periareolar mammaplasty: double-skin technique with application of mesh support.

The increasing demand for reduced scars has led to the development of numerous minimal incision procedures, which constitute the most recent and exciting advances in breast surgery. Numerous different periareolar techniques are described in an attempt to eliminate scars on the breast surface by restricting them to the interface between the areola and the skin. These conclusions show a clear evolution of the technique as well as an improvement in the obtained aesthetic results. The author has developed new techniques for periareolar mammaplasty based on repositioning the breast parenchyma and maintaining this new architecture with a stronger and more durable supporting system. The development of new materials, technical refinements in the technique, and increased experience will undoubtedly lead to even better results in the future.