Original Article
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J Cosmet Med 2018; 2(1): 41-45
Published online June 30, 2018
Subglandular mammary augmentation with aqua dissection
Kyungwon Park 
, MD, PhD
Kkumizia Plastic Clinic, Seoul, Rep. of Korea
Correspondence to :
Kyungwon Park, E-mail: gobby1@nate.com, ORCID: https://orcid.org/0000-0001-9483-8047
© Korean Society of Korean Cosmetic Surgery & Medicine
This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0), which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
Background: The traditional transaxillary approach of submuscular implant breast augmentation is accompanied by severe pain, heavy bleeding, and many side effects. This subglandular mammary augmentation with aqua dissection (SMAAD) is developed for cover above problems.
Objective: Surgery with little bleeding is characterized by mild pain, minor side effects, and a short operating time.
Methods: The main accomplishment of sub-glandular mammary augmentation accompanied by aqua dissection and the finger dissection without use of instruments through a half incision of the subareolar area pre-treated by the Klein solution (Aqua-dissection), which is the main technique used to minimize bleeding. An injection of 250 ml of Klein solution was inserted in each breast before incision and the finger-only technique was used for pocket dissection. A 200 to 350 ml textured cohesive gel implant was inserted. The drain-keep time was 2 to 7 days.
Results: Among the 600 operational patients, only 7 cases underwent capsular contracture and 4 cases experienced hematoma. An average operation time was short (about 40 minutes). This caused by short pocket dissection help of aqua dissection. The merits of SMAAD are numerous (a low rate of capsular contraction and short time operation and normal life was possible just after operation), which indicates why it could be said that an epochal method of implant breast augmentation.
Conclusion: This study was performed to evaluate the results of 600 cases of SMAAD. And indicates why SMAAD is a simple, less painful, and less side-effect-inducing surgical technique.
Keywords: aqua-dissection, finger dissection, Klein solution
- Park KW. Augmentation mammoplasty. In: Park KW, editor. Breast surgery. Seoul: MD World; 2010. p. 46-119.
- Tebbetts JB. Augmentation mammaplasty: redefining the patient and surgeon experience. Philadelphia, PA: Elsevier Health Sciences; 2009.
- Lee JG. Insight of the aesthetic breast augmentation. Seoul:MD World; 2010
- Shestak KC. Reoperative plastic surgery of the breast. Philadelphia, PA: Lippincott Williams & Wilkins; 2006.
- Bricout N. Breast surgery. Gewerbestrasse, Switzerland:Springer; 1996.
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Original Article
J Cosmet Med 2018; 2(1): 41-45
Published online June 30, 2018 https://doi.org/10.25056/JCM.2018.2.1.41
Copyright © Korean Society of Korean Cosmetic Surgery & Medicine.
Subglandular mammary augmentation with aqua dissection
Kyungwon Park , MD, PhD
Kkumizia Plastic Clinic, Seoul, Rep. of Korea
Correspondence to:Kyungwon Park, E-mail: gobby1@nate.com, ORCID: https://orcid.org/0000-0001-9483-8047
This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0), which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
Abstract
Background: The traditional transaxillary approach of submuscular implant breast augmentation is accompanied by severe pain, heavy bleeding, and many side effects. This subglandular mammary augmentation with aqua dissection (SMAAD) is developed for cover above problems.
Objective: Surgery with little bleeding is characterized by mild pain, minor side effects, and a short operating time.
Methods: The main accomplishment of sub-glandular mammary augmentation accompanied by aqua dissection and the finger dissection without use of instruments through a half incision of the subareolar area pre-treated by the Klein solution (Aqua-dissection), which is the main technique used to minimize bleeding. An injection of 250 ml of Klein solution was inserted in each breast before incision and the finger-only technique was used for pocket dissection. A 200 to 350 ml textured cohesive gel implant was inserted. The drain-keep time was 2 to 7 days.
Results: Among the 600 operational patients, only 7 cases underwent capsular contracture and 4 cases experienced hematoma. An average operation time was short (about 40 minutes). This caused by short pocket dissection help of aqua dissection. The merits of SMAAD are numerous (a low rate of capsular contraction and short time operation and normal life was possible just after operation), which indicates why it could be said that an epochal method of implant breast augmentation.
Conclusion: This study was performed to evaluate the results of 600 cases of SMAAD. And indicates why SMAAD is a simple, less painful, and less side-effect-inducing surgical technique.
Keywords: aqua-dissection, finger dissection, Klein solution
References
- Park KW. Augmentation mammoplasty. In: Park KW, editor. Breast surgery. Seoul: MD World; 2010. p. 46-119.
- Tebbetts JB. Augmentation mammaplasty: redefining the patient and surgeon experience. Philadelphia, PA: Elsevier Health Sciences; 2009.
- Lee JG. Insight of the aesthetic breast augmentation. Seoul:MD World; 2010
- Shestak KC. Reoperative plastic surgery of the breast. Philadelphia, PA: Lippincott Williams & Wilkins; 2006.
- Bricout N. Breast surgery. Gewerbestrasse, Switzerland:Springer; 1996.
