Primary Breast Augmentation Using Axillary Skin Incision, Submuscular Implants, and Intraoperative Tissue Expansion.

Area of Science:

• Plastic Surgery
• Aesthetic Surgery
• Breast Augmentation

Background:

• Primary breast augmentation for small, pointed, or tubular breasts presents unique challenges.
• Axillary skin incision, submuscular cohesive gel implants, and intraoperative tissue expansion offer a novel approach.
• This technique aims to minimize complications associated with traditional breast augmentation methods.

Purpose of the Study:

• To evaluate the efficacy and safety of primary breast augmentation using axillary incision, submuscular cohesive gel implants, and intraoperative tissue expansion.
• To assess complication rates and patient outcomes in a large cohort undergoing this procedure.
• To analyze long-term results including capsular contracture, implant rupture, and reoperation rates.

Main Methods:

• A retrospective analysis of 1,310 primary breast augmentations performed between 2004 and 2019.
• Utilized a 2.5- to 3.5-cm axillary incision with submuscular placement of textured, cohesive round implants.
• Incorporated intraoperative tissue expansion and strict sterile techniques, with a 2-year follow-up period.

Main Results:

• A low reoperation rate of 0.8% (10 out of 1,310 patients).
• Minimal complications including 2 cases of Baker grade 3-4 capsular contraction and 2 implant ruptures.
• No instances of infection were reported, and 6 cases of malposition were surgically corrected.

Conclusions:

• The axillary incision technique for breast augmentation is highly efficient with a low complication profile.
• Preservation of the lymphatic drainage system and maintaining virgin implant pockets contribute to favorable outcomes.
• This method demonstrates excellent safety and efficacy for primary breast augmentation in specific breast types.