Endoscopic transaxillary breast augmentation: Clinical evaluation of a series of 306 patients over a 9-year period

Giordano, P.; Rouif, Michel; Laurent, Bruno; J, Mateu

doi:10.1016/j.asj.2006.12.012

Cited by 27 publications

(9 citation statements)

References 19 publications

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“…However, this study still has certain limits. Previous studies ( 37 – 39 ) have found that the incidence of capsular contracture after transaxillary breast augmentation is 1 to 7%. The experience of the surgeon, the number of patients, and the follow-up time are related to the rate of capsular contracture ( 38 , 39 ).…”

Section: Discussionmentioning

confidence: 94%

The Application of Anatomy Combined With Ultrasound Knife in Transaxillary Endoscopic Biplane Breast Augmentation

Xiong

Hou²,

Hu³

et al. 2022

Front. Surg.

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ObjectiveWe aim to clarify the vascular and nerve anatomy of the breast and combine it with an ultrasound knife to use in transaxillary endoscopic biplane breast augmentation.MethodsThis study is a retrospective review of patients undergoing transaxillary endoscopic biplane breast augmentation between October and October 2021. Related variables were collected using a standardized data collection template. The detailed process of the transaxillary endoscopic biplane breast augmentation under anatomy instruction is carefully described in this study, and the postoperative effect was closely observed.ResultsSixty-three female patients underwent transaxillary endoscopic biplane breast augmentation. The average implants volume counted 242.46 ± 31.34 cc, and the average operation time was 155.92 ± 22.34 min. Patients were followed up for a mean of 13.67 months (range, 3–27 months), and most of the patients achieved good postoperative results and no severe complications and were satisfied with both appearance and function.ConclusionsThe application of anatomy combined with an ultrasound knife in transaxillary endoscopic biplane breast augmentation is a promising way to achieve good breast shapes with high patient satisfaction and is worthy of clinical promotion and application.

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Section: Discussionmentioning

confidence: 94%

The Application of Anatomy Combined With Ultrasound Knife in Transaxillary Endoscopic Biplane Breast Augmentation

Xiong

Hou²,

Hu³

et al. 2022

Front. Surg.

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show abstract

“…A planned dissection sequence is important while performing subfascial dissection in order to create a sufficiently-sized clear visual field and to control bleeding promptly. Sticking to the sequence minimizes unnecessary motion and promotes faster operations [ 23 ].…”

Section: Discussionmentioning

confidence: 99%

“…If the pinch test has a result of less than 4 mm at the IMF or less than 3 cm at the upper pole, the surgeon should avoid subfascial plane surgery. Generally, the transaxillary approach is not recommended for women with glandular ptosis or constriction of the lower pole, or for difficult reoperations with repeated capsular contracture or late seroma [ 23 , 25 ].…”

Section: Discussionmentioning

confidence: 99%

Endoscopic transaxillary prepectoral conversion for submuscular breast implants

Park

Sim

2018

Arch Plast Surg

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BackgroundDuring breast augmentation, the transaxillary approach provides the advantage of allowing the mammary prosthesis to be placed through incisions that are remote from the breast itself, thereby reducing the visibility of postoperative scars. For patients experiencing capsular contracture who do not want additional scars, the previous transaxillary scar can be used for site change and implant exchange.MethodsThis study analyzed 17 patients (34 breasts) with submuscular breast implants with grade III-IV capsular contracture who received treatment from 2010 to 2015. The mean age of the patients was 29 years (range, 20–38 years). The inclusion criterion was a pinch test of more than 3 cm at the upper pole of the breast. Previous axillary scars were used to expose the pectoralis fascia, and submuscular breast implants were removed carefully. The dissection underneath the pectoralis fascia was performed with endoscopic assistance, using electrocautery under direct visualization.ResultsThe mean follow-up period was 14 months (range, 6–24 months). The entire dissection plane was changed from the submuscular plane to the subfascial plane. Round textured gel implants were used, with a mean implant size of 220 mL (range, 160–300 mL). Two patients developed grade II capsular contracture. There were no cases of malposition or asymmetry. Three patients complained of minor implant palpability. None of the patients required additional surgery.ConclusionsEndoscopic subfascial conversion may be an effective technique for treating capsular contracture and avoiding scarring of the breast in selected patients.

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“…For this reason, endoscopy-assisted breast surgery has been successfully established in the field of aesthetic and plastic surgery [7-9]. The feasibility and oncological safety of EABCS has been shown in short-term results [6,10,11].…”

Section: Introductionmentioning

confidence: 99%

The Feasibility of Endoscopy-Assisted Breast Conservation Surgery for Patients with Early Breast Cancer

Park

Lee

et al. 2011

J Breast Cancer

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PurposeBreast conservation surgery (BCS) has become a standard treatment method for patients with early breast cancer. Endoscopy-assisted BCS (EABCS) can be performed through an inconspicuous periareolar and a small axillary incision for sentinel node biopsy, which may give better cosmetic outcomes than conventional BCS skin incisions. This study was designed to evaluate the feasibility of EABCS for patients with early breast cancer.MethodsForty-three patients were candidates for EABCS, and EABCS was performed in 40 patients with breast cancer between January 2008 and July 2010. Their clinicopathological features were retrospectively analyzed. Operative time, margin status, complications, and relapse-free survival were compared with those of patients treated by conventional BCS and who were treated at the same institute during the same period.ResultsThe most common lesion site of the EABCS and conventional BCS groups was the upper area of the breast. Tumor size in all patients was less than 4 cm (range, 0.4-3.7 cm), and nodal involvement was found in eight (20%) patients in the BCS group. The mean operative time was 110 minutes for the EABCS group and 107 minutes for the conventional BCS group, and those were not significantly different. No significant difference in frozen or final margin status was observed between the EABCS and conventional BCS groups. Relapse-free survival was statistically equivalent between the groups with a median follow-up of 12 months. Postoperative complications occurred in five cases in four patients with EABCS, which was not significantly different from conventional BCS.ConclusionPerforming EABCS in patients with early breast cancer seems to be feasible and safe. Further study with a longer-term follow-up may be needed to confirm the clinical value of EABCS.

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Endoscopic transaxillary breast augmentation: Clinical evaluation of a series of 306 patients over a 9-year period

Cited by 27 publications

References 19 publications

The Application of Anatomy Combined With Ultrasound Knife in Transaxillary Endoscopic Biplane Breast Augmentation

The Application of Anatomy Combined With Ultrasound Knife in Transaxillary Endoscopic Biplane Breast Augmentation

Endoscopic transaxillary prepectoral conversion for submuscular breast implants

The Feasibility of Endoscopy-Assisted Breast Conservation Surgery for Patients with Early Breast Cancer

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