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Related Experiment Video

Updated: Jul 19, 2026

Endoscopic Bilateral Nipple-sparing Mastectomy via a Single Axillary Incision with Immediate Pre-pectoral Implant-based Breast Reconstruction
13:35

Endoscopic Bilateral Nipple-sparing Mastectomy via a Single Axillary Incision with Immediate Pre-pectoral Implant-based Breast Reconstruction

Published on: May 17, 2024

Endoscopic transaxillary subpectoral augmentation mammaplasty: a safe and predictable procedure.

Arash Momeni1, Nestor Torio Padron, Holger Bannasch

  • 1Department of Plastic and Hand Surgery, University of Freiburg Medical Center, Freiburg/FRG, Hugstetter Strasse 55, 79095 Freiburg i. Br., Germany. arash_ali@yahoo.de

Journal of Plastic, Reconstructive & Aesthetic Surgery : JPRAS
|September 26, 2006
PubMed
Summary

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Endoscopy-assisted transaxillary submuscular augmentation mammaplasty offers a safe and effective approach for breast augmentation. This technique avoids visible scars, providing predictable aesthetic outcomes with no observed complications in a recent study.

Area of Science:

  • Plastic Surgery
  • Aesthetic Medicine
  • Surgical Innovation

Background:

  • Breast augmentation is a widely accepted cosmetic procedure.
  • Transaxillary augmentation mammaplasty offers scar concealment compared to inframammary or periareolar approaches.
  • Safety concerns regarding the transaxillary route necessitate further investigation.

Purpose of the Study:

  • To evaluate the safety and aesthetic outcomes of endoscopy-assisted transaxillary submuscular augmentation mammaplasty.
  • To assess complication rates in patients undergoing this specific breast augmentation technique.

Main Methods:

  • Retrospective analysis of 47 patients undergoing endoscopy-assisted transaxillary submuscular augmentation mammaplasty between 1999 and 2004.
  • Inclusion criteria focused on aesthetic breast augmentation for hypoplasia, excluding patients with prior malignancy or mastectomy.

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Last Updated: Jul 19, 2026

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  • Exclusion of tuberous breast deformity and concomitant mastopexy procedures.

    • Main Results:

    • No complications were observed that impaired the final aesthetic outcome.
    • No early operative interventions were required due to adverse events such as infection or hematoma.
    • The technique demonstrated predictability in aesthetic results.

    Conclusions:

    • Endoscopy-assisted transaxillary submuscular augmentation mammaplasty is a safe procedure for suitable patients.
    • This technique provides a hidden incision option with reliable aesthetic results.
    • The method is well-tolerated, with no significant complications reported in this patient cohort.