Endoscopic Transaxillary Approach for Breast Augmentation: What does the Evidence Say and What Else Can be Done?

Area of Science:

• Plastic Surgery
• Aesthetic Surgery
• Surgical Techniques

Background:

• Breast augmentation is a prevalent aesthetic procedure.
• The transaxillary approach is a favored technique due to its remote incision placement, minimizing visible scarring.
• This letter discusses the advantages of the transaxillary approach in breast augmentation.

Discussion:

• Compares the endoscopic transaxillary approach with the periareolar technique.
• Highlights the benefits of the transaxillary approach over alternative methods.
• Presents evidence supporting the efficacy of the transaxillary approach.

Key Insights:

• The transaxillary approach provides superior scar concealment compared to other breast augmentation techniques.
• Evidence supports the transaxillary approach as a viable and advantageous option.
• Further comparative studies are warranted to fully elucidate technique-specific outcomes.

Outlook:

• Recommends large-cohort studies and systematic reviews comparing transaxillary, periareolar, and inframammary approaches.
• Suggests investigating the combination of cell-assisted lipotransfer with fat grafting and the endoscopic transaxillary approach for enhanced results and reduced complications.