Axillary endoscopic breast augmentation: processes derived from a 28-year experience to optimize outcomes

Area of Science:

• Plastic Surgery
• Aesthetic Surgery

Background:

• The axillary approach for breast augmentation has been utilized for 30 years.
• This study details 28 years of experience with axillary subpectoral and submammary augmentation.
• It defines evolved processes and surgical techniques.

Purpose of the Study:

• To report on a 28-year experience with axillary breast augmentation.
• To define proven processes and surgical techniques for optimal outcomes.
• To compare axillary approach outcomes with other incision methods.

Main Methods:

• A retrospective review of 690 patients (1977-2005) undergoing axillary augmentation.
• Analysis of implant placement: retromammary (84), partial retropectoral (294), and dual plane (312).
• Utilized dimensional and tissue-based preoperative planning and implant selection post-1993.

Main Results:

• The axillary approach yields aesthetic results comparable to other incision methods.
• Recovery, reoperation rates, and complication rates are similar across approaches.
• Refined techniques enable a predictable 24-hour return to normal activities.

Conclusions:

• The axillary incision is a viable option for breast augmentation, allowing placement off the breast.
• Optimal outcomes and rapid recovery depend on surgeon skill, precise planning, and implant selection.
• Minimizing tissue trauma and bleeding through proven techniques is crucial for success.