Transaxillary Subfascial Augmentation Mammaplasty with Anatomic Form-Stable Silicone Implants

Area of Science:

• Plastic Surgery
• Surgical Techniques
• Breast Augmentation

Background:

• The transaxillary approach for breast augmentation is established.
• Limited literature exists on the subfascial pocket technique, particularly with modern anatomic, form-stable implants.
• Anatomic, form-stable implants offer specific aesthetic and safety profiles.

Purpose of the Study:

• To present an overview of the transaxillary subfascial approach for primary breast augmentation.
• To describe the authors' experience with this technique using latest-generation implants.
• To detail the surgical method, focusing on implant superior pole placement.

Main Methods:

• Utilized a transaxillary approach for primary breast augmentation.
• Employed latest-generation, form-stable, anatomic silicone gel implants.
• Focused on creating a subfascial pocket, placing the implant's superior pole under the pectoralis major superficial fascia.

Main Results:

• Successfully applied the transaxillary subfascial technique for breast augmentation.
• Demonstrated feasibility of using anatomic form-stable implants with this approach.
• Provided technical insights into precise implant positioning within the subfascial plane.

Conclusions:

• The transaxillary subfascial approach is a viable option for primary breast augmentation.
• This technique is suitable for use with advanced anatomic form-stable silicone implants.
• Careful placement of the superior implant pole under the pectoralis major fascia is key.