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

Abstract

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.

The Reverse Dual Plane: A Novel Technique for Endoscopic Transaxillary Breast Augmentation

“…In contrast, different from Western countries, quite a few Asians, especially Chinese, dislike inframammary fold (IMF) and areolar incisions, because they do not want to leave a scar in the aesthetic view of their breasts despite recommendations by surgeons. 16-18 They worry that the symmetric scar on the breasts makes them less attractive. A fair number of patients in Asia prefer axillary incision for breast augmentation.…”

“…To respect such patient choices, Tebbetts’ dual-plane technique through a transaxillary approach has been performed by many surgeons, especially Asian surgeons, following which there has been a significant improvement in results. 2 , 16 , 17 However, patients have occasionally had some complaints such as postoperative pain, animation deformity, and palpability of implants. 2 , 4 , 5 , 18-20 The transaxillary endoscopic procedure still leaves plenty of room for improvement.…”