Transabdominal Breast Augmentation: A Review of 114 Cases Performed over 14 Years

Bhatt, Reena; Iyengar, Rajiv; Karacaoğlu, Ercan; Zienowicz, Richard J.

doi:10.1097/prs.0000000000003611

Cited by 10 publications

(9 citation statements)

References 24 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 problem can be solved by the dissection done by liposuction cannula during the abdominoplasty procedure. 1,2…”

Section: Issn: 2770-7636mentioning

confidence: 99%

“…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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“… 1 Transabdominoplasty breast augmentation, has been reported in the literature to have complication rates similar to those reported for the individual procedures, and so a single-incision approach may seem favourable to patients. 4 …”

Section: Introductionmentioning

confidence: 99%

Leakage of ruptured silicone breast implants through abdominal laparoscopic port sites: A rare complication following transabdominoplasty breast augmentation

et al. 2021

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SUMMARY Background Abdominoplasty and breast augmentation are two of the most commonly performed aesthetic procedures in the UK. When performed as a combined procedure, separate inframammary and abdominoplasty incisions are most frequently used. Transabdominoplasty breast augmentation, performed via a single abdominoplasty incision is also described. Case A 69-year-old female, having undergone a transabdominoplasty breast augmentation 20 years previously, was diagnosed with ascending colon cancer and admitted for a laparoscopic-assisted, right hemi-colectomy. Despite all the port sites being abdominal and below the inframammary fold, on their removal, silicone from ruptured breast implants was leaking through the port sites. Outcome The patient subsequently underwent an uneventful explantation of bilateral, ruptured, subglandular implants and recovered well. Learning points We recommend that breast implant explantation should be considered when patients indicated for elective intra-abdominal surgery are noted to have ruptured breast implants on staging CT imaging, especially when inserted via an abdominoplasty approach.

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Transabdominal Breast Augmentation: A Review of 114 Cases Performed over 14 Years

Abstract: Therapeutic, IV.

Cited by 10 publications

References 24 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

Leakage of ruptured silicone breast implants through abdominal laparoscopic port sites: A rare complication following transabdominoplasty breast augmentation

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