Submuscular Periareolar Approach to Augmentation Mammoplasty in Korean Women |
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Authors: | Byung Kyu Sohn Yoon Jae Chung Gene Kim Won June Yoon |
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Institution: | (1) Cheonan, Korea, KR |
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Abstract: | Augmentation mammoplasty can be approached by various methods according to the type of implant and implantation site depending
on the status of the patient or surgeon's preference. The advantage for submuscular placement is based on problems associated
with subglandular placement, especially capsular contracture and sensory changes in the nipple, and interference with the
interpretation of mammograms is avoided. There are fewer complications such as hematoma, infection, and extrusion of the implant
with submuscular dissection and relatively avascular, minimal sensory changes in the nipple compared with subglandular approach.
The submuscular periareolar approach to augmentation mammoplasty was first described in the 1970s. This approach provides
easy access to both the subglandular and subpectoral planes. It also provides a central point of access for creation of the
implant pocket, which allows for easier and more accurate dissection in all diameters. The resultant periareolar scar is usually
minimal with less injury to breast parenchyme and eventual biopsy or mastectomy incision to be performed through or around
the areola. During the period of March 1999 to January 2000, 19 cases of who received submuscular periareolar augmentation
mammoplasty under general anesthesia resulted in favorable scars with accurate access to pocket margin, easier dissection,
and less bleeding compared with submuscular transaxillary augmentation mammoplasty. In our experience with the submuscular
periareolar approach to breast augmentation it was highly versatile, safe, and less painful; postoperative hematoma incidence
was greatly reduced and breast tissue injury was minimized. |
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Keywords: | : Augmentation mammoplasty— Submuscular periareolar approach |
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