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Transaxillary muscle-splitting breast augmentation: experience with 160 cases.
Rubem Lang Stümpfle1, Lucas Figueras Pereira-Lima, André Alves Valiati
1Hospital Moinhos de Vento, Ramiro Barcelos 910/605, Floresta, Porto Alegre, RS, 90035-000, Brazil.
Aesthetic Plastic Surgery
|November 1, 2011
Summary
This study introduces a new transaxillary muscle-splitting breast augmentation technique, achieving excellent aesthetic results with minimal complications. The approach offers a scarless, natural outcome for patients seeking breast augmentation.
Area of Science:
- Plastic Surgery
- Aesthetic Surgery
- Surgical Techniques
Background:
- Muscle-splitting breast augmentation, a technique popularized by Khan, offers advantages over traditional methods.
- Previous reports have not detailed muscle-splitting techniques via the transaxillary route.
- Combining muscle-splitting augmentation with mastopexy has been explored.
Purpose of the Study:
- To evaluate the outcomes and complications of a novel transaxillary muscle-splitting breast augmentation.
- To assess the feasibility and safety of this approach.
Main Methods:
- A prospective study of 160 patients undergoing bilateral transaxillary muscle-splitting breast augmentation.
- Procedures performed on an outpatient basis under epidural anesthesia.
- Use of 200-350 ml soft, round, textured, cohesive gel implants.
Main Results:
- Rapid patient recovery with no reported cases of infection, capsular contracture, rippling, double-bubble deformity, or implant migration.
- A low incidence of hematomas (2.5%), all resolved pre-discharge.
- All patients achieved aesthetically natural results and were discharged within 24 hours.
Conclusions:
- Transaxillary muscle-splitting breast augmentation is a reproducible technique yielding satisfactory and consistent results.
- This approach ensures an excellent anatomic appearance without common complications like displacement or deformities.
- The technique offers the benefit of no visible breast scarring and a low complication rate.
