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Transabdominal Breast Augmentation With Silicone Gel Implants.
Rubem Lang Stümpfle, Pedro Salomão Piccinini, Eduardo Madalosso Zanin1
1Plastic Surgery Division, Hospital de Clínicas de Porto Alegre, Federal University of Rio Grande do Sul, Porto Alegre, Brazil. R.B.L. is in private practice in Porto Alegre, Brazil.
Transabdominal breast augmentation combined with abdominoplasty offers a single scar solution with no major complications. This combined procedure is safe and effective for selected patients, potentially reducing implant-related issues.
Area of Science:
- Plastic Surgery
- Aesthetic Surgery
- Reconstructive Surgery
Background:
- Breast augmentation is often performed with abdominoplasty.
- A transabdominal approach for breast augmentation aims to reduce scarring.
- This method may also lower the risk of implant contamination.
Purpose of the Study:
- To evaluate the safety and efficacy of transabdominal breast augmentation combined with abdominoplasty.
- To assess outcomes and complication rates of this combined procedure.
Main Methods:
- Retrospective chart review of 68 female patients from 2012-2020.
- Patients underwent abdominoplasty with transabdominal breast augmentation and liposuction.
- Follow-up was at least 1 year.
Main Results:
- No major complications or breast augmentation-specific issues (extrusion, infection, malposition, capsular contracture) were reported.
- Abdominoplasty resulted in 4 cases of seroma and 5 revision incisions.
- No patients requested implant revision; 2 sought revision liposuction.
Conclusions:
- Transabdominal breast augmentation via abdominoplasty incision offers benefits beyond a single scar.
- This combined procedure is safe and effective in selected patients.
- It may potentially decrease complications associated with other breast augmentation incision sites.
