Muscle-Splitting Transaxillary Revision Breast Augmentation-A Single Surgeon's Experience.

Area of Science:

• Plastic Surgery
• Aesthetic Surgery
• Breast Augmentation

Background:

• Revision breast augmentation addresses complications from primary procedures, particularly with transaxillary approaches.
• Limited literature exists on managing complications from reused axillary incisions in secondary transaxillary breast augmentation.

Purpose of the Study:

• To present a novel technique for revision transaxillary breast augmentation.
• To convert the approach to a muscle-splitting plane for improved breast coverage and expansion.

Main Methods:

• Retrospective chart review of 41 women undergoing secondary transaxillary breast augmentation (Jan 2016-Jul 2020).
• Inclusion criteria: age ≥18, previous silicone implants, transaxillary incision; Exclusion criteria: smoking, BMI >30.
• Data collected on patient satisfaction with results and scar quality at 1-year follow-up.

Main Results:

• 41 patients (average age 38) included; mean BMI 21.9 kg/m².
• Indications: rippling (100%) and desire for larger implants (n=5).
• 100% patient satisfaction with overall results and scar quality; no major complications reported.

Conclusions:

• The muscle-splitting transaxillary approach is a safe and reproducible technique for revision breast augmentation.
• Demonstrates a low complication rate and high patient satisfaction.
• Offers a cost-effective alternative compared to other revision techniques.