Journal of Tissue Engineering and Reconstructive Surgery ›› 2024, Vol. 20 ›› Issue (3): 312-.

Previous Articles     Next Articles

The application of endoscope in dual plane breast augmentation with smooth implants through inframammary incision

  

  • Online:2024-06-01 Published:2024-07-05

PDF (PC)

32

Abstract:

Objective To investigate the feasibility， safety and efficacy of application of endoscope in dual plane breast
augmentation with smooth implants through inframammary incision. Methods When dissecting the posterior space of the
pectoralis during breast augmentation through the inframammary incision， an endoscope was inserted to visualize the precise
dissection and hemostasis of the space， reducing tissue trauma. The operation time， hospital stay， drainage situation，
comfort， complications， postoperative effects and satisfaction rate were analyzed. Results A total of 108 patients were
treated with general anesthesia， smooth implants， and dual plane technique. Thirty-eight patients chose Mentor implants，
forty-eight patients chose Natrelle implants， fourteen patients chose Mentor extra implants， and eight patients chose ES
implants. The size of the implants ranged from 220 cc to 350 cc. Ninety-eight patients （90.7%） underwent type 1 dual plane，
eight patients （7.4%） underwent type 2 dual plane and two patients （1.9%） underwent type 3 dual plane. The average
operation time was 72 minutes， the average hospitalization was 2 days. Thirty patients （27.8%） used drainages. Seventy-eight
cases （72.2%） did not use drainages. Two breasts （0.9%） experienced hematoma. One breast （0.5%） experienced grade Ⅲ
capsular contracture. Two breasts （0.9%） experienced displacement of implants. Three breasts （1.9%） experienced obvious
scar. Eighteen cases （16.7%） received postoperative pain relief， while ninety cases （83.3%） did not receive pain relief. The
distance from nipple to the inframammary fold was （5.80±0.43） cm before surgery and （8.05±0.33） cm after surgery， the
difference was significant （P<0.05）
.
Eighty-eight cases （81.5%） met the patient's expectations and were very satisfied with
the size， shape， feel， etc. Fifteen cases （13.9%） were satisfied. The satisfaction rate was 95.4%. Conclusion The
application of endoscope in dual plane breast augmentation with smooth implants through inframammary incision has a good
effect， high satisfaction rate， and fewer complications. It is feasible， safe， and effective.

Key words: