Related Experiment Video
Updated: Jan 14, 2026
Single-Port Robotic-assisted Transaxillary Breast-conserving Surgery: A Prospective, Single-arm, Non-randomized Phase IIa Clinical Trial
Published on: August 19, 2025
Transaxillary Breast Augmentation: A Randomized Controlled Trial Comparing a New Semiendoscopic Video-Assisted
Dominik Boliglowa1, Martina Pontillo2,3, Nunzio Velotti2,3
1From private practice, "Dominik Boliglowa Chirurg Plastyk".
Background:
The pursuit of optimal aesthetic outcomes in breast surgery has led to the evolution of various surgical techniques. The transaxillary approach leads to high patient satisfaction due to its aesthetic advantage of avoiding visible scars on the breast. This approach is particularly useful in procedures such as breast augmentation and reconstructive surgery after breast cancer treatment, in which achieving an optimal cosmetic outcome is key. In this study, the authors compared the transaxillary blind approach with their new semiendoscopic video-assisted transaxillary approach, and analyzed the benefits and limitations of each method.
Methods:
A total of 118 patients were randomized to either the transaxillary blind approach or the semiendoscopic video-assisted transaxillary approach for breast augmentation from April of 2019 through December of 2022.
Results:
The results indicate that the semiendoscopic video-assisted approach required longer operative times but was associated with a lower incidence of complications, including asymmetry (eg, bottoming out, double-bubble deformity), breast animation deformity, and capsular contracture.
Conclusions:
This randomized trial revealed advantages and limitations of the transaxillary blind approach and a new semiendoscopic video-assisted transaxillary approach, highlighting that endoscopic assistance significantly improved surgical outcomes while maintaining an acceptable surgical time.
