Introduction: This study assessed the periareolar incision as a versatile approach for the removal of palpable
benign breast masses and measured objectively its aesthetic outcome.
Methods: This prospective study included 44 adult patients with clinically and radiologically suspected 
palpable benign breast masses which were excised through the periareolar incision. It was done at the Plastic
and General Surgery Departments, kasr El Eini University Hospital, Cairo University and Sohag University 
Hospital, Sohag University in the period from February 2006 to May 2009. 
The diagnostic work-up included clinical examination, breast ultrasonography and/or mammography. The 
postoperative complications and the aesthetic outcome were recorded. 
Results: Forty women (91%) and 4 men (9%) with average age 31.5 (range, 16-47) years were enrolled. The 
histopathological diagnosis was 24 fibroadenomata (54.5%), 7 duct ectasia (15.9%), 5 chronic breast abscess 
(11.3%), 4 asymmetric fibroadenosis (9%), 4 gynaecomastia (9%). Seven cases were bilateral and 4 were 
multiple. The cosmetic outcome was excellent in 42 cases (95.5%) and fair in 2 cases (4.5%).
Conclusion: The periareolar incision is a versatile approach for excision of benign breast masses. Its use can 
improve the aesthetic outcome of breast surgery as the resulting scar is virtually invisible.