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Transaxillary subpectoral augmentation mammaplasty: a single surgeon's 20-year experience
Georgeanna J Huang1, Julian L Wichmann, Dan C Mills
1Goethe Medical School, Frankfurt, Germany.
Aesthetic Surgery Journal
|September 13, 2011
Summary
Transaxillary subpectoral augmentation mammaplasty (TASPA) offers a safe alternative for breast augmentation, demonstrating low complication rates and favorable outcomes over 20 years. This technique provides advantages like inconspicuous scarring and reduced infection risk.
Area of Science:
- Plastic Surgery
- Aesthetic Surgery
Background:
- Transaxillary subpectoral augmentation mammaplasty (TASPA) faces skepticism regarding surgical access and complication risks.
- Limited data exists to validate or refute these concerns about the TASPA technique.
Purpose of the Study:
- To evaluate the safety and efficacy of the TASPA technique.
- Assessing the incidence of secondary procedures, implant revisions, and reoperations over a 20-year period.
Main Methods:
- Retrospective chart review of 1682 primary TASPA procedures performed by a single surgeon.
- Analysis included patient demographics, implant details, and reasons for reoperation.
Main Results:
- The overall rate of secondary procedures was 13.4%.
- Implant-related revision rates included malposition (2.97%), size change (2.5%), and capsular contracture (1.9%).
- Perioperative infection and hematoma rates were very low (0% and 0.12%, respectively).
Conclusions:
- TASPA is a safe and viable option for breast augmentation.
- Advantages include inconspicuous scarring, decreased infection rates, and reduced capsular contracture.
- The TASPA technique demonstrates comparable or superior outcomes to published data.
