“Scarless” Videoendoscopic Breast Augmentation

The Evolution of Breast Augmentation

Breast augmentation has seen a steady rise in popularity. According to the American Society of Plastic Surgeons, over 300,000 breast augmentation procedures were performed in the United States in 2020 alone, making it the most common cosmetic surgical procedure [^1^]. Traditionally, breast implants are inserted through incisions made in the inframammary fold (under the breast) or periareolar region (around the nipple). However, these methods often leave visible scars on the breast.

The Transaxillary Videoendoscopic Technique

Benefits of the Armpit Incision

The Transaxillary Videoendoscopic Breast Augmentation technique involves making a small incision in the armpit, through which silicone breast implants are inserted. This method offers several advantages:

1. Scar-Free Breasts: The primary benefit is the absence of scars on the breast itself. The incision in the armpit is well-hidden and heals inconspicuously.
2. Preservation of Breast Tissue: This technique avoids cutting through breast tissue, which can be beneficial for patients who have not had a pregnancy or have small areolas.
3. Minimal Scarring: The armpit scar is typically well-concealed and blends with the natural creases of the armpit.

Procedure Details

The incision made in the armpit is approximately 5-5.5 cm long. A videoendoscope is used to visualize the entire procedure on a monitor, allowing the surgeon to precisely develop the pocket for the implant. This ensures accurate placement of the implants, either below or above the chest muscle.

The surgery is performed under general anesthesia and typically takes 2-4 hours. Post-operative recovery involves a few hours in the recovery room until the patient is fully awake. Pain is usually manageable with medication and subsides within 1-2 days.

Post-Operative Care

Post-surgery care includes daily washing of the armpit and application of antibiotic ointment. Stitches dissolve on their own, and patients can resume using deodorant and shaving within two days. If a second surgery is needed, it can often be performed through the original armpit incision.

Potential Drawbacks and Considerations

One potential drawback of the transaxillary incision is the risk of less-than-perfect implant placement. This is due to the surgeon working further away from the surgical site. However, with proper training and experience, this risk is minimal. Not all plastic surgeons are trained in this technique, so it's essential to choose a surgeon with the necessary expertise.

Conclusion

Transaxillary Videoendoscopic Breast Augmentation offers a scarless alternative to traditional breast augmentation methods. With proper care and an experienced surgeon, this technique can provide excellent results with minimal scarring. As always, consult with a qualified plastic surgeon to determine the best approach for your individual needs.

Interesting Stats

• Global Popularity: Breast augmentation is the most popular cosmetic surgery worldwide, with over 1.8 million procedures performed in 2019 [^2^].
• Patient Satisfaction: According to a study published in the Aesthetic Surgery Journal, 98% of women who underwent breast augmentation reported that the results met or exceeded their expectations [^3^].

[^1^]: American Society of Plastic Surgeons [^2^]: International Society of Aesthetic Plastic Surgery [^3^]: Aesthetic Surgery Journal

This article provides a comprehensive overview of the Transaxillary Videoendoscopic Breast Augmentation technique, highlighting its benefits, procedure details, and potential drawbacks. With the right surgeon, this scarless method can offer excellent results for those seeking breast augmentation.