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"No-touch" submuscular saline breast augmentation technique

R A Mladick1

  • 1Center for Cosmetic Plastic Surgery, Virginia Beach, VA 23454.

Aesthetic Plastic Surgery
|January 1, 1993
PubMed
Summary

The "no-touch" subpectoral technique for saline breast implants significantly reduces complications like capsular contracture and wrinkling. This method, applied over 17 years, demonstrates excellent safety and aesthetic outcomes.

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Area of Science:

  • Plastic Surgery
  • Surgical Techniques

Background:

  • The use of saline implants in breast augmentation has evolved over time.
  • Surgical site infections and implant-related complications remain a concern.

Purpose of the Study:

  • To evaluate the long-term outcomes of saline breast implants using a "no-touch" technique.
  • To compare complication rates between submammary and subpectoral implant placement.
  • To assess the efficacy of the "no-touch" technique in reducing adverse events.

Main Methods:

  • Retrospective review of 2863 saline implants in 1327 patients over 17 years.
  • Comparison of submammary versus subpectoral placement techniques.
  • Implementation and analysis of the "no-touch" surgical technique, adapted from orthopedic surgery.

Main Results:

  • Subpectoral placement showed significantly fewer complications (capsules, wrinkling, deflations) compared to submammary placement.
  • The "no-touch" subpectoral technique resulted in a marked decrease in overall complications, with capsular contracture rates as low as 0.6%.
  • No infections were reported across the entire series of patients.

Conclusions:

  • Saline implants achieve excellent results when placed subpectorally using the "no-touch" technique.
  • The "no-touch" subpectoral approach is highly effective in minimizing complications associated with breast augmentation.
  • This technique offers a safe and reliable method for breast augmentation with saline implants.

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