Objective      To observe the clinical effects between axillary approach and periareolar approach in breast augmentation with subglandular placement of prosthesis.        Methods      Altogether 120 patients with micromastia from June 2006 to June 2012 in our hospital were involved in this study. Anatomical rough surface silica-gel breast implant was applied for breast augmentation with subglandular placement

with 60 patients using axillary approach and the other 60 patients using periareolar approach. The follow-up time was 1 year after operation.        Results      The clinic effects in the axillary approach group were better than those in the periareolar approach group in incision scar

infection

wound healing and nipple areola sense (P0.05). The integrity of mammary gland in the axillary approach group was maintained.       Conclusion      Axillary approach is better than periareolar approach in breast augmentation with subglandular placement of prosthesis

and deserves recommendation for clinical application.