Safety, Complications, and Satisfaction of Patients Undergoing Submuscular Breast Augmentation via the Inframammary and Endoscopic Transaxillary Approach |
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Authors: | Arash Momeni MD Nestor Torio Padron MD Matthias Föhn MD Holger Bannasch MD Jörg Borges MD Seung-Min Ryu MS G Björn Stark MD |
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Institution: | (1) Department of Plastic and Hand Surgery, Hugstetter Strasse 55, Freiburg i. Br, 79095, Germany |
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Abstract: | Background Since its introduction, augmentation mammaplasty has gained widespread popularity, as demonstrated by the fact that an estimated
2 million women in the United States have received implants. During recent decades, several surgical approaches have evolved
in terms of implant placement or site of access to the surgical plane. Debate has existed concerning the questionable superiority
of a particular technique for achievement of optimal results. Thus, the inframammary approach, an established and widely accepted
technique for breast augmentation, and endoscopically assisted transaxillary breast augmentation were retrospectively compared
in terms of safety and aesthetic outcome, as measured, respectively, by the rate of postoperative complications and patient
satisfaction.
Methods This study analyzed 78 patients undergoing augmentation mammaplasty between 1997 and 2004. Only patients seeking primary augmentation
mammaplasty solely for aesthetic reasons were included in the study. Previously performed breast surgery and simultaneously
conducted ipsilateral mastopexy were among the exclusion criteria. Patient satisfaction was assessed using the client satisfaction
questionnaire (CSQ-8) because of its easy applicability.
Results The complication rate was low in both patient subsets, thus confirming the safety of the transaxillary approach, as compared
with the more common submammary technique. However, a higher level of satisfaction was detected in the former patient group,
indicating a more favorable aesthetic outcome with the transaxillary augmentation mammaplasty.
Conclusion Endoscopically assisted transaxillary augmentation mammaplasty is a safe method with predictable results associated with a
high level of patient satisfaction. If applied in the setting of appropriate indications, it is an excellent tool for use
with patients who prefer to have an incision at a distant site. |
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Keywords: | Augmentation mammaplasty CSQ-8 Endoscopy Transaxillary breast augmentation |
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