Tissue-preserving Inframammary Fold Breast Augmentation: A Three-year Clinical Experience.

Area of Science:

• Plastic Surgery
• Aesthetic Medicine
• Surgical Innovation

Background:

• Breast augmentation often disrupts natural breast structures, potentially causing complications.
• Tissue-Preserving Breast Augmentation (TPBA) aims to improve implant stability by preserving key ligaments.

Purpose of the Study:

• To present the minimally invasive TPBA approach.
• To evaluate outcomes and complications over a three-year period.

Main Methods:

• Retrospective observational study of 330 TPBA procedures (augmentation or augmentation-mastopexy).
• Procedures used an inframammary incision and pre-pectoral pocket creation.
• Complications were monitored at multiple follow-up intervals up to 24 months.

Main Results:

• A low overall complication rate of 0.9% was observed at a mean follow-up of 18 months.
• No acute complications (seroma, infection, wound breakdown) or severe implant issues (rupture, capsular contracture) occurred.
• Minor complications included superior malposition (0.6%) and implant rippling (0.9%).

Conclusions:

• TPBA provides a standardized, reproducible method for breast enhancement.
• The technique preserves breast stabilization structures and has a low complication risk.
• TPBA can be performed under local or general anesthesia with a short learning curve.