Periareolar technique is dependent on skin elasticity and how much excess skin you have around the chest. Patients with good skin elasticity are good candidates, as the skin can more easily mold to the new shape of the chest without resulting in skin folds. Periareolar does not change nipple placement, and patients with larger chest sizes may not qualify due to where the nipples sit on the chest. If you have more excess skin and chest tissue your surgeon may recommend double incision, which allows for more control over final results and nipple dimensions.