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Updated: Jun 18, 2025

Endoscopic Bilateral Nipple-sparing Mastectomy via a Single Axillary Incision with Immediate Pre-pectoral Implant-based Breast Reconstruction
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Aqua Breast Augmentation (ABA): Hydrodissection Breast Augmentation Technique.

Carlos Rubi1, Nitzan Kenig2, Dajie Zhou1

  • 1Plastic Surgeon at Instituto Rubi, Cami dels Reis, 308, 07010, Palma, Spain.

Aesthetic Plastic Surgery
|August 1, 2024
PubMed
Summary
This summary is machine-generated.

The Aqua Breast Augmentation (ABA) technique offers a less painful breast augmentation with reduced recovery time. This hydrodissection-based method shows low complication rates for enhanced patient satisfaction.

Keywords:
Breast augmentationCosmetic surgeryHydrodissectionPlastic surgery

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Area of Science:

  • Plastic Surgery
  • Surgical Techniques
  • Aesthetic Medicine

Background:

  • Breast augmentation is a common plastic surgery procedure.
  • Patient demand for reduced pain and faster recovery is increasing.
  • The Aqua Breast Technique (ABA) aims to improve patient satisfaction and minimize downtime.

Purpose of the Study:

  • To present the Aqua Breast Technique (ABA) for breast augmentation.
  • To evaluate the efficacy and safety of the ABA technique.
  • To highlight the benefits of hydrodissection in breast augmentation.

Main Methods:

  • Retrospective analysis of 238 patients undergoing ABA between 2021 and 2024.
  • ABA protocol includes tumescent anesthesia, a 3cm inframammary fold incision, and hydrodissection.
  • Use of smooth round silicone implants via a Keller funnel, avoiding electrocautery and drains.

Main Results:

  • The ABA technique was applied to 238 patients with a mean follow-up of 14 months.
  • Low complication rates: 0.42% for hematoma/infection, 2.1% for capsulectomy.
  • Ten patients required surgical intervention for complications.

Conclusions:

  • The Aqua Breast Augmentation technique is a viable hydrodissection-based method.
  • ABA demonstrates low complication rates, short downtime, and reduced postoperative pain.
  • The technique successfully addresses the demand for less invasive breast augmentation procedures.