Abstract: 

Breast enlargement is the commonest aesthetic surgery procedure. The two commonest routes for breast augmentation are via the periareolar and inframammary incision. To avoid scars being evident, the periareolar incision is a good choice. If areolar diameter is small, the patient will not qualify for periareolar augmentation. Marking is done with the patient in an upright position. Incision is usually made in the inferior half of the areolar margin. The Sub pectoral pocket is developed deep to the fascia but superficial to the muscle fibres. The cavity is irrigated thoroughly and dissection on the opposite side is done. Gloves are changed and implants inserted. 3-0 Prolene was used to give a water tight closure in the deepest layer, avoiding any inadvertent bite into the implant. Superficial layers are closed by interrupted stitches of 3-0 Monocryl. Followed by a running subcuticular 3-0 Monocryl. 412 breast augmentation via a periareolar incision was done, from Jan 2012 till August 2022. Healing was satisfactory in most cases in unmarried girls. The periareolar incision, if given accurately, usually yields almost imperceptible scars. So this approach is a favourable choice for many, especially those who are unmarried.