Utility of video-assisted endoscopy in transaxillary breast augmentation

Area of Science:

• Plastic Surgery
• Surgical Techniques
• Cosmetic Procedures

Background:

• Transaxillary breast augmentation offers scarless results on the breasts, preserving breast tissue and ducts.
• The effectiveness of video-assisted endoscopy in this procedure is not well-established.

Purpose of the Study:

• To compare the outcomes of transaxillary breast augmentation with and without video-assisted endoscopy.

Main Methods:

• A prospective, randomized study of 34 women undergoing transaxillary breast augmentation with or without video-assisted endoscopy.
• Patients received silicone implants in the subglandular plane and were followed for 25 months.
• Evaluated parameters included operative time, complications, pain, satisfaction, and aesthetics.

Main Results:

• Procedures using video-assisted endoscopy were significantly longer than non-endoscopic procedures.
• No significant differences were observed in complication rates, postoperative pain, or patient satisfaction.

Conclusions:

• Video-assisted endoscopy prolongs operative time for transaxillary breast augmentation.
• The use of video-assisted endoscopy does not enhance safety or aesthetic outcomes in this procedure.