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The Reverse Dual Plane: A Novel Technique for Endoscopic Transaxillary Breast Augmentation
Aesthetic Surgery Journal. Open Forum
|June 18, 2024
Summary
A new reverse dual-plane technique for transaxillary breast augmentation significantly reduced patient pain and improved breast softness compared to the standard dual-plane approach. This innovative method also eliminated breast animation deformity, enhancing patient outcomes.
Area of Science:
- Plastic Surgery
- Surgical Techniques
- Cosmetic Procedures
Background:
- Asian patients often prefer axillary incisions for breast augmentation.
- Current transaxillary breast augmentation techniques require optimization for better results.
Purpose of the Study:
- Introduce a novel reverse dual-plane technique via a transaxillary approach.
- Compare the outcomes of the reverse dual-plane technique with the standard transaxillary dual-plane approach.
Main Methods:
- Eighty-two patients were divided into two groups for comparison.
- Group A (n=40) received Tebbetts' dual-plane technique; Group B (n=42) underwent the reverse dual-plane technique (70% subfascial, 30% subpectoral).
- Pain (Numeric Pain Rating Scale), breast aesthetics, softness, and complications were assessed post-surgery.
Main Results:
- Group B patients reported significantly lower pain scores than Group A (P < .01).
- While seated shape satisfaction was similar, supine breast softness satisfaction was higher in Group B (76.2%) versus Group A (50.0%) (P < .01).
- Breast animation deformity (BAD) occurred in 2 Group A patients but none in Group B (P < .01).
Conclusions:
- The reverse dual-plane transaxillary technique offers significant advantages over Tebbetts' dual-plane method.
- This novel approach reduces post-operative pain and improves breast softness.
- The technique effectively eliminates breast animation deformity without increasing other complications.
