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Related Experiment Videos

Subfascial endoscopic transaxillary augmentation mammaplasty.

R M Graf1, A Bernardes, A Auersvald

  • 1hansgraf@bsi.com.br

Aesthetic Plastic Surgery
|July 13, 2000
PubMed
Summary
This summary is machine-generated.

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Endoscopic breast augmentation using an axillary incision offers high patient satisfaction with minimal complications. This technique, involving submuscular, subglandular, or subfascial implant placement, shows promising results for breast hypoplasia.

Area of Science:

  • Plastic Surgery
  • Minimally Invasive Surgical Techniques

Background:

  • Video endoscopy has been employed for breast augmentation since 1996.
  • Transaxillary access with an S-shape incision is a key feature of this technique.
  • Implant placement has evolved from submuscular/subglandular to subfascial locations.

Purpose of the Study:

  • To evaluate the efficacy and safety of endoscopic breast augmentation.
  • To assess patient satisfaction with the transaxillary approach.
  • To report complication rates associated with different implant pocket locations.

Main Methods:

  • A total of 62 patients underwent endoscopic breast augmentation between August 1998 and January 1999.
  • Implants were placed in submuscular (49), subglandular (5), or subfascial (8) pockets.

Related Experiment Videos

  • McGhan 410 anatomical biodimensional implants (155-235 g) were utilized.

    • Main Results:

    • Three complications occurred: two cases of implant malpositioning (rotation) requiring reoperation and one hematoma treated with drainage.
    • High patient satisfaction was reported, particularly concerning the axillary incision.
    • No instances of capsular contracture were observed during the study period.

    Conclusions:

    • Endoscopic breast augmentation via a transaxillary incision is a safe and effective procedure.
    • The subfascial plane represents a recent advancement in implant placement.
    • High patient satisfaction and a low complication rate, including absence of capsular contracture, support this technique.