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J Cosmet Med 2018; 2(2): 96-99

Published online December 31, 2018

https://doi.org/10.25056/JCM.2018.2.2.96

Endoscopic transaxillary dual-plane breast augmentation: a four-year retrospective clinical study

Jeong-Ho Seo , MD, PhD

Department of Plastic Surgery, Yoonho Hospital, Seoul, Rep. of Korea

Correspondence to :
Jeong-Ho Seo, E-mail: drseokr@naver.com, ORCID: https://orcid.org/0000-0003-1466-2139

Received: October 15, 2018; Accepted: November 7, 2018

© Korean Society of Korean Cosmetic Surgery

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: Endoscopic transaxillary dual plane breast augmentation is currently the treatment of choice of breast augmentation. Although the dual-plane pocket technique yields excellent outcomes, there are few reports that describe a dual-plane transaxillary approach technique using an endoscope.
Objective: The purpose of this study was to evaluate the results and complications of patients who had undergone endoscopic transaxillary dual-plane breast augmentation.
Methods: The patients who had undergone transaxillary dual-plane breast augmentation using endoscope from January 2014 to December 2017 were reviewed.
Results: A total of 58 patients underwent endoscopic dual-plane breast augmentation through the axillary incision approach. Of these, only one patient (1.7%) showed bilateral superior dislocation as a complication, which was treated by endoscopic transaxillary capsulotomy. No serious complications were reported during the course of this study. All patients were discharged on day one postoperatively and recovered quickly.
Conclusion: Endoscopic dual-plane pocket breast augmentation through the axillary approach is a safe operation, has a low complication rate, and yields satisfactory results in the patients.

Keywords: axillary approach, breast augmentation, dual-plane, endoscopes

  1. Lang Stümpfle R, Figueras Pereira-Lima L, Alves Valiati A, da Silva Mazzini G. Tansaxillary muscle-splitting breast augmentation:experience with 160 cases. Aesthetic Plast Surg 2012;36:343-8.
    Pubmed CrossRef
  2. Tebbetts JB. Dual plane breast augmentation: optimizing implantsoft-tissue relationships in a wide range of breast types. Plast Reconstr Surg 2001;107:1255-72.
    Pubmed CrossRef
  3. Ho LC. Endoscopic assisted transaxillary augmentation mammaplasty. Br J Plast Surg 1993;46:332-6.
    CrossRef
  4. Serra-Renom J, Garrido MF, Yoon T. Augmentation mammaplasty with anatomic soft, cohesive silicone implant using the transaxillary approach at a subfascial level with endoscopic assistance. Plast Reconstr Surg 2005;116:640-5.
    Pubmed CrossRef
  5. Momeni A, Padron NT, Bannasch H, Borges J, Björn Stark G. Endoscopic transaxillary subpectoral augmentation mammoplasty:a safe and predictable procedure. J Plast Reconstr Aesthet Surg 2006;59:1076-81.
    Pubmed CrossRef
  6. Villafane O, Garcia-Tutor E, Taggart I. Endoscopic transaxillary subglandular breast augmentation using silicone gel textured implants. Aesthetic Plast Surg 2000;24:212-5.
    Pubmed CrossRef
  7. Lee SH, Yoon WJ. Axillary endoscopic subglandular tunneling approach for types 2 and 3 dual plane breast augmentation. Aesthetic Plast Surg 2014;38:521-7.
    Pubmed CrossRef
  8. Hoehler H. Breast augmentation: the axillary approach. Br J Plast Surg 1973;26:373-6.
    CrossRef
  9. Tebbetts JB. Augmentation mammoplasty, redefining the patient and surgeon experience. Edinburgh: Mosby Elsevier;2010. p. 429-31.

Article

Original Article

J Cosmet Med 2018; 2(2): 96-99

Published online December 31, 2018 https://doi.org/10.25056/JCM.2018.2.2.96

Copyright © Korean Society of Korean Cosmetic Surgery.

Endoscopic transaxillary dual-plane breast augmentation: a four-year retrospective clinical study

Jeong-Ho Seo , MD, PhD

Department of Plastic Surgery, Yoonho Hospital, Seoul, Rep. of Korea

Correspondence to:Jeong-Ho Seo, E-mail: drseokr@naver.com, ORCID: https://orcid.org/0000-0003-1466-2139

Received: October 15, 2018; Accepted: November 7, 2018

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: Endoscopic transaxillary dual plane breast augmentation is currently the treatment of choice of breast augmentation. Although the dual-plane pocket technique yields excellent outcomes, there are few reports that describe a dual-plane transaxillary approach technique using an endoscope.
Objective: The purpose of this study was to evaluate the results and complications of patients who had undergone endoscopic transaxillary dual-plane breast augmentation.
Methods: The patients who had undergone transaxillary dual-plane breast augmentation using endoscope from January 2014 to December 2017 were reviewed.
Results: A total of 58 patients underwent endoscopic dual-plane breast augmentation through the axillary incision approach. Of these, only one patient (1.7%) showed bilateral superior dislocation as a complication, which was treated by endoscopic transaxillary capsulotomy. No serious complications were reported during the course of this study. All patients were discharged on day one postoperatively and recovered quickly.
Conclusion: Endoscopic dual-plane pocket breast augmentation through the axillary approach is a safe operation, has a low complication rate, and yields satisfactory results in the patients.

Keywords: axillary approach, breast augmentation, dual-plane, endoscopes

References

  1. Lang Stümpfle R, Figueras Pereira-Lima L, Alves Valiati A, da Silva Mazzini G. Tansaxillary muscle-splitting breast augmentation:experience with 160 cases. Aesthetic Plast Surg 2012;36:343-8.
    Pubmed CrossRef
  2. Tebbetts JB. Dual plane breast augmentation: optimizing implantsoft-tissue relationships in a wide range of breast types. Plast Reconstr Surg 2001;107:1255-72.
    Pubmed CrossRef
  3. Ho LC. Endoscopic assisted transaxillary augmentation mammaplasty. Br J Plast Surg 1993;46:332-6.
    CrossRef
  4. Serra-Renom J, Garrido MF, Yoon T. Augmentation mammaplasty with anatomic soft, cohesive silicone implant using the transaxillary approach at a subfascial level with endoscopic assistance. Plast Reconstr Surg 2005;116:640-5.
    Pubmed CrossRef
  5. Momeni A, Padron NT, Bannasch H, Borges J, Björn Stark G. Endoscopic transaxillary subpectoral augmentation mammoplasty:a safe and predictable procedure. J Plast Reconstr Aesthet Surg 2006;59:1076-81.
    Pubmed CrossRef
  6. Villafane O, Garcia-Tutor E, Taggart I. Endoscopic transaxillary subglandular breast augmentation using silicone gel textured implants. Aesthetic Plast Surg 2000;24:212-5.
    Pubmed CrossRef
  7. Lee SH, Yoon WJ. Axillary endoscopic subglandular tunneling approach for types 2 and 3 dual plane breast augmentation. Aesthetic Plast Surg 2014;38:521-7.
    Pubmed CrossRef
  8. Hoehler H. Breast augmentation: the axillary approach. Br J Plast Surg 1973;26:373-6.
    CrossRef
  9. Tebbetts JB. Augmentation mammoplasty, redefining the patient and surgeon experience. Edinburgh: Mosby Elsevier;2010. p. 429-31.

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Journal of Cosmetic Medicine

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