J Cosmet Med.  2018 Jun;2(1):41-45. 10.25056/JCM.2018.2.1.41.

Subglandular mammary augmentation with aqua dissection

• Park K

• KMID: 2561051
• DOI: http://doi.org/10.25056/JCM.2018.2.1.41

Abstract

Background
The traditional transaxillary approach of submuscular implant breast augmentation is accompanied by severe pain, heavy bleeding, and many side effects. This subglandular mammary augmentation with aqua dissection (SMAAD) is developed for cover above problems.
Objective
Surgery with little bleeding is characterized by mild pain, minor side effects, and a short operating time.
Methods
The main accomplishment of sub-glandular mammary augmentation accompanied by aqua dissection and the finger dissection without use of instruments through a half incision of the subareolar area pre-treated by the Klein solution (Aqua-dissection), which is the main technique used to minimize bleeding. An injection of 250 ml of Klein solution was inserted in each breast before incision and the finger-only technique was used for pocket dissection. A 200 to 350 ml textured cohesive gel implant was inserted. The drain-keep time was 2 to 7 days.
Results
Among the 600 operational patients, only 7 cases underwent capsular contracture and 4 cases experienced hematoma. An average operation time was short (about 40 minutes). This caused by short pocket dissection help of aqua dissection. The merits of SMAAD are numerous (a low rate of capsular contraction and short time operation and normal life was possible just after operation), which indicates why it could be said that an epochal method of implant breast augmentation.
Conclusion
This study was performed to evaluate the results of 600 cases of SMAAD. And indicates why SMAAD is a simple, less painful, and less side-effect-inducing surgical technique.

Keyword

aqua-dissection; finger dissection; Klein solution