Our Summary

This research paper is a letter to the editor of the Aesthetic Plastic Surgery journal. It discusses a study by Nguyen and others that compares two surgical techniques for breast augmentation: the endoscopic transaxillary and periareolar techniques. The transaxillary method involves making an incision in the armpit, which reduces the visibility of any scarring. The authors of the letter highlight the benefits of the transaxillary approach compared to other methods. They recommend further studies to compare different surgical approaches, including transaxillary, periareolar, and inframammary (incision at the crease under the breast). They also suggest researching the combination of cell-assisted lipotransfer (fat graft) with the transaxillary approach to see if it provides the best results with the least complications.

FAQs

  1. What are the two surgical techniques for breast augmentation discussed in the study?
  2. What is the recommendation of the authors regarding further studies in surgical approaches for breast augmentation?
  3. What is the potential benefit of combining cell-assisted lipotransfer with the transaxillary approach?

Doctor’s Tip

One helpful tip a doctor might tell a patient about breast augmentation is to carefully follow post-operative instructions, including avoiding strenuous activities and lifting heavy objects for a certain period of time to allow proper healing. It is also important to attend all follow-up appointments with your surgeon to monitor your progress and address any concerns or complications that may arise. Additionally, maintaining a healthy lifestyle, including regular exercise and a balanced diet, can help ensure long-lasting results and overall well-being.

Suitable For

Patients who are typically recommended for breast augmentation are those who are physically healthy, have realistic expectations, and are dissatisfied with the size, shape, or symmetry of their breasts. They may have lost breast volume after pregnancy, weight loss, or aging, or have asymmetrical breasts. Additionally, patients with underdeveloped breasts or who have undergone mastectomy may also be recommended for breast augmentation.

It is important for patients to have a thorough consultation with a board-certified plastic surgeon to discuss their goals, expectations, medical history, and any potential risks associated with the procedure. The surgeon will assess the patient’s breast anatomy, skin quality, and overall health to determine if they are a suitable candidate for breast augmentation.

Ultimately, the decision to undergo breast augmentation should be a personal one, and patients should carefully consider their motivations, expectations, and potential risks before proceeding with surgery. Consulting with a qualified plastic surgeon is essential to ensure a safe and successful outcome.

Timeline

Before breast augmentation:

  1. Consultation with a plastic surgeon to discuss goals, expectations, and potential risks.
  2. Pre-operative evaluations such as mammograms, blood tests, and physical exams.
  3. Selection of implant type, size, and placement based on individual preferences and anatomy.
  4. Pre-operative instructions such as avoiding certain medications, smoking cessation, and fasting before surgery.

After breast augmentation:

  1. Surgery is performed using the chosen technique (e.g. transaxillary).
  2. Recovery period involving pain medications, rest, and follow-up appointments with the surgeon.
  3. Monitoring for potential complications such as infection, implant displacement, or capsular contracture.
  4. Gradual return to normal activities and exercise as advised by the surgeon.
  5. Long-term maintenance and potential revision surgeries as needed to maintain or improve results.

What to Ask Your Doctor

  1. What are the risks and potential complications associated with breast augmentation surgery?

  2. How do I determine the appropriate size and shape of implants for my body type and desired outcome?

  3. What type of anesthesia will be used during the procedure?

  4. How long is the recovery process and when can I expect to return to normal activities?

  5. What are the long-term effects of breast implants and how often should they be replaced?

  6. What can I do to minimize scarring after surgery?

  7. Are there any alternative options to breast augmentation that I should consider?

  8. What are the potential risks and benefits of the transaxillary technique compared to other surgical approaches?

  9. How many breast augmentation procedures have you performed using the transaxillary method?

  10. What are the expected results of breast augmentation using the transaxillary technique, and what are the success rates?

Reference

Authors: Dominic JL, Berry P, Kannan A, Wondafrash AH, Reyes L, Keckeisen G. Journal: Aesthetic Plast Surg. 2022 Apr;46(Suppl 1):61-62. doi: 10.1007/s00266-021-02577-w. Epub 2021 Sep 24. PMID: 34561726