Endoscopic transaxillary subglandular breast augmentation using silicone gel textured implants

• Published in: Aesthetic plastic surgery Vol. 24; no. 3; pp. 212 - 215
• Main Authors: VILLAFANE, O, GARCIA-TUTOR, E, TAGGART, I
• Format: Journal Article
• Language: English
• Published: New York, NY Springer 01.05.2000
• Subjects: Biological and medical sciences; Breast Implantation - methods; Breast Implants; Endoscopy; Female; Humans; Medical sciences; Silicone Gels; Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases; Surgery of the genital tract and mammary gland; Technology. Biomaterials. Equipments; Human; Endoscopic surgery; Implant; Increase; Capsule; Texture; Plasty; Treatment; Surgery; Biomaterial; Mammary gland; Technique; Siloxane polymer; Freeze
• ISSN: 0364-216X; 1432-5241
• DOI: 10.1007/s002660010035

We present our experience with endoscopic transaxillary subglandular breast augmentation using textured silicon gel implants. Fourteen implants were placed in seven patients through a 4 cm axillary incision, in a subglandular pocket, with the help of a 10 mm, 30 degrees endoscope with a subcutaneous retractor and endoscopic diathermy. The implant was inserted with the help of a plastic bag. No drains were left in place. The duration of the procedure was 1 h 30 min in the most recent cases. Bleeding during surgery was kept to a minimum, and there were no complications such as capsular contracture, hematoma, or hypertrophic scar. Infection occurred in one implant and it was necessary to extract it. This technique is an excellent tool for patients requiring subglandular implants who prefer a distant incision. It provides good control over dissection and allows the use of silicone gel implants, thus avoiding the risk of deflation. In addition, recovery is faster and there is less bruising and pain.