Utility of video-assisted endoscopy in transaxillary breast augmentation.

Abstract:

BACKGROUND:Breast augmentation through incisions in the axillae is an option for patients who wish to avoid scars on the breasts. The axillary approach also preserves the mammary parenchyma and lactiferous ducts. The utility of video-assisted endoscopy during this procedure as a means to improve safety and aesthetic outcomes remains debatable. OBJECTIVES:The authors compared outcomes of transaxillary breast augmentation with and without video-assisted endoscopy. METHODS:Thirty-four women who underwent transaxillary breast augmentation with or without video-assisted endoscopy were evaluated in a prospective, randomized study. Patients received high-profile silicone implants in the subglandular plane and were monitored for an average of 25 months. Operating time, complication rates, postoperative pain, patient satisfaction, and aesthetic parameters were evaluated. RESULTS:Operative time were significantly longer for patients who underwent transaxillary breast augmentation with video-assisted endoscopy compared with patients who underwent nonendoscopic surgery. CONCLUSIONS:Video-assisted endoscopy increased operating time but did not improve the safety of transaxillary breast augmentation or yield better aesthetic outcomes. LEVEL OF EVIDENCE:3 Therapeutic.

journal_name

Aesthet Surg J

authors

Roxo AC,Marques RG,De Castro CC,Aboudib JH

doi

10.1093/asj/sju076

subject

Has Abstract

pub_date

2015-03-01 00:00:00

pages

265-72

issue

3

eissn

1090-820X

issn

1527-330X

pii

sju076

journal_volume

35

pub_type

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