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Related Experiment Video

Updated: Feb 13, 2026

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Endoscopic transaxillary prepectoral conversion for submuscular breast implants.

Si-Hyun Park1, Hyung-Bo Sim1

  • 1Department of Plastic and Reconstructive Surgery, Soonchunhyang University Hospital, Seoul, Korea.

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|March 7, 2018
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Summary
This summary is machine-generated.

This study shows endoscopic subfascial conversion effectively treats capsular contracture in breast augmentation patients. The technique utilizes existing transaxillary scars, avoiding new incisions and improving outcomes.

Keywords:
AxillaBreast implantsEndoscopesMammaplastyReoperation

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Area of Science:

  • Plastic Surgery
  • Reconstructive Surgery
  • Medical Technology

Background:

  • Transaxillary approach in breast augmentation minimizes visible scars.
  • Existing transaxillary scars can be utilized for revision surgery in capsular contracture cases.
  • Capsular contracture is a common complication requiring revision surgery.

Purpose of the Study:

  • To evaluate the efficacy of endoscopic subfascial conversion for treating capsular contracture.
  • To assess the feasibility of revision surgery using previous transaxillary scars.
  • To determine outcomes and complication rates associated with the technique.

Main Methods:

  • 17 patients with Grade III-IV capsular contracture underwent revision surgery.
  • Endoscopic subfascial dissection was performed using existing axillary scars.
  • Implants were repositioned from submuscular to subfascial plane with new textured implants.

Main Results:

  • Mean follow-up was 14 months; dissection plane changed to subfascial.
  • Two patients developed Grade II capsular contracture; no malposition or asymmetry.
  • Minor implant palpability in three patients; no additional surgeries required.

Conclusions:

  • Endoscopic subfascial conversion is effective for treating capsular contracture.
  • The technique successfully avoids new breast scarring in selected patients.
  • This method offers a viable option for revision breast augmentation surgery.