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Transaxillary endoscopic breast augmentation with shaped gel implants.

Hyung-Bo Sim1, Sang-Hoon Sun1

  • 1Drs Sim and Sun are plastic surgeons in private practice in Seoul, Republic of Korea.

Aesthetic Surgery Journal
|June 25, 2015
PubMed
Summary
This summary is machine-generated.

Transaxillary endoscopic breast augmentation using shaped gel implants offers excellent aesthetic results with minimal scarring. This technique provides well-defined inframammary folds and natural-appearing breasts, improving patient outcomes.

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Area of Science:

  • Plastic Surgery
  • Minimally Invasive Surgery
  • Aesthetic Surgery

Background:

  • Transaxillary breast augmentation evolved from a blind technique to an endoscopic procedure with improved outcomes.
  • Modern transaxillary augmentation utilizes electrocautery and direct visualization for enhanced safety and aesthetics.
  • Shaped implants allow for patient-specific, natural-looking breast augmentation results.

Purpose of the Study:

  • To enhance transaxillary endoscopic breast augmentation outcomes by using shaped gel implants.
  • To address cases with indistinct or absent inframammary folds (IMF).
  • To offer an alternative for patients seeking to avoid breast scarring.

Main Methods:

  • A prospective study of 116 Asian women undergoing transaxillary endoscopic breast augmentation.
  • Electrocautery dissection and direct endoscopic visualization were used to create a partial retropectoral pocket.
  • Shaped cohesive gel implants were inserted to achieve natural breast contours and defined IMFs.

Main Results:

  • Follow-up ranged from 6 to 24 months (mean 10 months).
  • No pneumothorax, instrument burns, or significant implant deformation occurred.
  • Low complication rates: 2.6% Baker 3 capsular contracture and one hematoma.

Conclusions:

  • Endoscopic breast augmentation offers shorter recovery and reduced drainage needs.
  • The technique achieves excellent outcomes, including well-defined and symmetric inframammary folds.
  • Combining endoscopic surgery with shaped implants yields natural results in transaxillary breast augmentation.