Endoscopically Assisted Transumbilical Subpectoral Augmentation Mammoplasty

ABSTRACT

The purpose of this study si to introduce a new method to reduce the postoperative complication of augmentation mammoplasty, and to evaluate its usefulness and results. Twenty five patients underwent endoscopically assisted transumbilical subpectoral augmentation mammoplasty designed by authors from November 1995 to May 1997, for 1 1/2 years and were followed up from 6 months to 2 years. We made subpectoral pocket for saline filled mammary implant via umbilical incision, under the endoscopic guidance and could get successful results except 1 complication. One complication was breast asymmetry, recently. We could not found any article about transumbilical augmentation mammoplasty, recently. We could not found any article about transumbilical augmentation advantages of endoscopically assisted transumbilical subpectoral augmentation mammoplasty. (1) inconspicuous scar. (2) low capsular contracture rate. (3) preservation of nerve innervation of upper arm and breast. (4) reducing of hematoma occurrence rate due to the possibility of natural drainage into the tract of abdomen and umbilicus. We concluded that endoscopically assisted transumbilical subpectoral augmentation mammoplasty was a new excellent method to take the advantages of transumbilical approach and subpectoral implantation, and to reduce the postoperative complication rate. Furthermore we think that it overcome the disadvantages of the transumbilical submammary augmentation mammoplasty.