Endoscopy assisted sub-pectoral fascial breast augmentation and reconstruction: preliminary clinical results
10.3760/cma.j.issn.1671-0290.2021.06.009
- VernacularTitle:内窥镜辅助胸大肌筋膜下乳房假体置入的效果初探
- Author:
Cheng XIU
1
;
Lan MU
;
Ru CHEN
;
Peng TANG
;
Xiaojie ZHONG
;
Xia LIU
;
Jingyong SONG
Author Information
1. 海南省肿瘤医院 海南医学院附属肿瘤医院头颈外科，海口 573100
- Keywords:
Endoscopes;
Pectoral fascia;
Implant;
Breast augmentation;
Breast restoration
- From:
Chinese Journal of Medical Aesthetics and Cosmetology
2021;27(6):489-491
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the preliminary effects of sub-pectoral fascial breast augmentation and reconstruction.Methods:Six patients (10 breasts) of mammary dysplasia, mastatrophy, prophylactic mastectomy, unilateral breast defect with contralateral mastatrophy were included in the study from Oct. 2019 to July 2021. The mean patient age was 29 years (range, 20 to 35 years). All the textured and smooth cohesive gel implants were inserted under pectoralis major fascia by endoscopic-assisted, incisions were including axillary, around areola and inferior mammary fold approaches. The prophylactic mastectomy cases were performed nipple sparing mastectomy and sub-pectoral fascial breast restoration with implants. The fat and fascia tissue were well reserved to give a satisfying coverage of the appropriate implant. Negative pressure drainage and moulding dressing were used after the surgery.Results:Ten breast augmentation and restoration with a mean implant size of 200 cc (range, 180-300 cc). Less immediate postoperative pain and bleeding were reported. Patients were followed up for an average of 10 months (range, 6 to 21 months). There were no cases of major malpositions, double-bubble and bottom out symptoms. The overall outcome was with better symmetry and satisfaction with time passed by, and no secondary surgical procedures needed.Conclusions:Primary and satisfactory results have been obtained in subfascial breast augmentation and restoration for indications. With the endoscopic-assisted accurate pectoral fascial dissection, and well reserved soft tissue coverage, this technique could avoid the pectoralis major muscle ablation and keep the advantages of sub-glandular plane.
