Simultaneous breast augmentation with periareolar mastopexy.

Augmentation mammaplasty is frequently used to fill out the soft tissue envelope of the breast. This is most successful with minimal skin laxity or when there is no need for significant nipple movement. The addition of a periareolar mastopexy can reduce the skin envelope; however, its value is limited to those with no more than mild second-degree ptosis. Although this is a valuable technique, the risks involved with the operation are additive, and, accordingly, patient selection and surgical technique is important.