Arch Aesthetic Plast Surg.  2020 Jan;26(1):41-45. 10.14730/aaps.2019.01809.

New strategy to prevent implant displacement in transaxillary endoscopic augmentation mammaplasty

• Kang SG
• Kim JK
• Um SC

• KMID: 2501069
• DOI: http://doi.org/10.14730/aaps.2019.01809

Abstract

Breast augmentation is one of the most popular cosmetic procedures in Korea and worldwide. In breast augmentation, it is crucial to place the implant in the proper position by creating an adequate pocket considering the size of the implant. This prevents subsequent displacement of the implant. When using an endoscope, the operation is performed without direct vision and in a narrow surgical space, leading to limitations in practice. Inexperienced physicians face a steep learning curve in their efforts to overcome this difficulty. In this study, we attempted to overcome this challenge by specifying the medial and lateral dissection ranges. The extent of the dissection is determined based on the pinnate of the pectoralis major muscle when dissecting medially and the fascia of the pectoralis major, the pectoralis minor, and the serratus anterior muscles when dissecting laterally. In addition, the structure made from the medial and lateral sides can support the implant like a funnel and can prevent further downward, inward, and outward displacement.

Keyword

Endoscopes; Mammaplasty; Breast implant; Displacement