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Related Experiment Video

Updated: Jul 17, 2025

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Endoscopically Assisted Correction of Malpositioned Breast Implants Using Absorbable Barbed Sutures.

Jeongmok Cho1, Ki Hyun Kim2, Won Lee3

  • 1Department of Plastic and Reconstructive Surgery, Etonne Plastic Surgery Clinic, Seoul, Republic of Korea.

Aesthetic Plastic Surgery
|August 28, 2023
PubMed
Summary

Transaxillary endoscopic correction effectively addresses breast implant bottoming out, a common issue in revisional breast surgery. This method, utilizing V-Loc thread, offers a scarless solution for patients previously undergoing transaxillary augmentation.

Keywords:
Breast augmentation complicationMalpositioned implantV-Loc

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Area of Science:

  • Plastic Surgery
  • Reconstructive Surgery
  • Aesthetic Surgery

Background:

  • Breast implant malpositioning is a frequent complication requiring revision surgery.
  • Existing correction methods often result in additional scarring, impacting patient satisfaction.
  • Transaxillary endoscopic approaches offer a potential solution to minimize scarring.

Purpose of the Study:

  • To evaluate the efficacy of transaxillary endoscopic correction for breast implant bottoming out.
  • To assess the utility of V-Loc thread in endoscopic capsulorrhaphy during revision surgery.

Main Methods:

  • A study involving 14 patients who underwent transaxillary endoscopic correction for breast implant bottoming out.
  • Utilized V-Loc thread for endoscopic capsulorrhaphy in all procedures.

Main Results:

  • Immediate patient satisfaction reported in all 14 cases.
  • One instance of overcorrection and one case of recurrent bottoming out occurred, managed conservatively.
  • No additional surgical intervention was required for the complications.

Conclusions:

  • Transaxillary endoscopic correction is a viable technique for breast implant bottoming out in patients with prior transaxillary augmentation.
  • V-Loc thread proves effective for endoscopic capsulorrhaphy in this context.