Subpectoral Breast Augmentation Through the Abdominoplasty Incision

Rinker, Brian; Jack, Jason M.

doi:10.1097/01.sap.0000239809.48798.88

Cited by 11 publications

(6 citation statements)

References 10 publications

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“…However, several authors described low rates of deep venous thrombosis and development of pulmonary emboli such as our study. 3,8,11 This fact may have been due to early postoperative ambulation, anesthesia care, including adequate volume replacement, use of lower extremity sequential compression devices and prophylactic doses of heparin or enoxaparin, and overall proper patient selection.…”

Section: Discussionmentioning

confidence: 99%

Transabdominal Breast Augmentation With Silicone Gel Implants

2021

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Background Breast augmentation is frequently performed together with abdominoplasty. Although breast augmentation incisions generally heal well, patients almost universally will appreciate having fewer scars; this is the basic rationale for transabdominal breast augmentation. In addition, a transabdominal approach may decrease the risk of implant contamination because there is no contact of the implants with skin. Methods A chart review of the senior author's private practice, from 2012 to 2020, was performed; 68 female patients who underwent abdominoplasty in association with transabdominal breast augmentation, with at least 1 year of follow-up, were included. All patients underwent liposuction, standard abdominoplasty with wide suprafascial abdominal flap undermining, and liposuction of the abdominal flap as needed. Round, silicone gel implants (Mentor Siltex, Santa Monica, CA) were used. Results A total of 68 patients were operated on. Mean age was 49 years (range, 25–68 years), mean body mass index was 25.7 kg/m2 (range, 22.3–29.5 kg/m2). The most commonly used implant volume (mode) was 270 mL (range, 225–395 mL). Implants were high (75%) or ultrahigh profile (25%). Eight patients (15%) had previously undergone breast augmentation. Seven patients (12%) underwent simultaneous breast fat grafting. There were no major complications. There were no complications related to the breast augmentation (ie, no extrusion or infection, malposition requiring revision, or capsular contracture). No patients requested upsizing or other revision of their implants. With regard to the abdominoplasty, there were 4 cases of well-circumscribed seroma treated with serial aspiration in the office. There were no cases of abdominoplasty site infection. Five patients required revision of abdominoplasty incisions. Two patients requested revision liposuction after weight gain. Conclusions Breast augmentation through an abdominoplasty incision may incur benefits beyond the obvious single surgical scar. Overall, transabdominal breast augmentation, in adequately selected patients, is an option which is safe, does not increase operative time, can lead to good results, and may potentially decrease some complications related to breast augmentation through other incision sites.

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Section: Discussionmentioning

confidence: 99%

Transabdominal Breast Augmentation With Silicone Gel Implants

2021

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“…This hypothesis is also mentioned in previous TABA procedure performing authors. [1][2][3][4][5][6][7][8] The post operative antibiotics in addition to the implant wash with rifamycine +SF solution, as cephalosporine and an aminoglycozide for 48 hours IV, oral continuation with quinolone for 5 days more. 6,7 None of the cases had an infection de-…”

Section: Techniquementioning

confidence: 99%

A Modification in Transabdominal Approach for Breast Augmentation (TABA) in Combined Surgery Patients

Güçer¹

2023

MRPRS

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In combined surgery candidates, the transabdominal way to locate breast implants are preferred and applied with the abdominoplasty, aspiration lipoplasty and breast augmentation together in indicated cases. In 46 cases, very rare complication rate is observed as 3 cases with seroma in upper epigastric area and no infection or tissue circulation or nervous (sensorial) problems are observed. The technique contains a lower plane abdominoplasty incision, the wet technique saline infiltration to the abdominal area, aspiration lipoplasty following excess skin of the belly and undermining the central line, reaching medial breast regions, and fish hook shaped dissections from the medial supra fascial pectoral areas for the estimated volume of the breast implants differently from the previously described technique. Following the application of the implants, the skin between the breasts over the sternum, reattached to the base of the prepared hole with a fixation suture to facilitate the tunnel obliteration, and plication of rectus fascia and closing the incision of abdominoplasty completes the operation. A drainage provided by flat (7 or 10 mm Jackson-Pratt) drains applied for 48 hours following surgery. External combined garment for abdominoplasty and breast augmentation is applied for six weeks. By this vertical midline single tunneling technique, the previously described TABA surgery can be performed in a shorter operation time and lesser deformity and complication rate. EBM is accepted as Level V, Opinions of respected authorities, based on clinical experience, descriptive studies, or reports of expert committees.

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“…By manual dilation, Hinderer 1 , Planas 2 , Barrett & Kelly 3 , and Paoliello 4 created routes for the introduction of breast implants using the incision made for abdominal dermolipectomy. Wallach 5 and Rinker & Jack 6 used lighted retractors to create subcutaneous routes and allow detachment of the subglandular and retromuscular la yers, in order to introduce silicone implants through the abdomen and avoid scars on the breast or armpit.…”

Section: Introductionmentioning

confidence: 99%

Mastoplastia de aumento através da abdominoplastia

Sodré¹,

Calil²,

Fonseca³

et al. 2012

Rev. Bras. Cir. Plást.

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Rev Bras Cir Plást. 2012;27(3):435-40 435 Breast augmentation through abdominoplasty Breast augmentation through abdominoplasty Mastoplastia de aumento através da abdominoplastia ABSTRACT Background: This study establishes a technique for dissection of the retroglandular space through abdominoplasty by using a lighted retractor for the introduction of silicone gel breast implants. Methods: A retrospective study was carried out for 44 patients with abdominal flaccidity and hypomastia who underwent breast augmentation through a single-stage abdominoplasty between September 2001 and April 2012. Results: This method enabled improvement of the abdominal contour and breast augmentation through the same incision. The complications observed affected the abdominal area (hematoma, seroma, dehiscence, and hypertrophic scarring) and the breast (capsular contracture and infection). Conclusions: Breast augmentation through abdominoplasty does not cause scars on the breast or armpit and is a safe and reproducible procedure with a short learning curve. Moreover, it provides satisfactory and long-lasting results.

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Subpectoral Breast Augmentation Through the Abdominoplasty Incision

Cited by 11 publications

References 10 publications

Transabdominal Breast Augmentation With Silicone Gel Implants

Transabdominal Breast Augmentation With Silicone Gel Implants

A Modification in Transabdominal Approach for Breast Augmentation (TABA) in Combined Surgery Patients

Mastoplastia de aumento através da abdominoplastia

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