Incision scar recovery assessment of patients with transaxillary dual-plane breast augmentation assisted with endoscopy
10.3760/cma.j.issn.1671-0290.2023.03.001
- VernacularTitle:内窥镜腋窝入路假体隆乳术后切口瘢痕患者恢复情况
- Author:
Juan AN
1
;
Huai'an LIN
;
Yifan ZHANG
;
Jiahua HU
;
Yang YU
;
Jiaming SUN
;
Zhaohao ZHONG
;
Danning ZHENG
;
Li YU
Author Information
1. 南方医科大学皮肤病医院整形美容外科，广州 510000
- Keywords:
Cicatrix Aseessment;
Endoscopy;
Breast augmentation;
Transaxillary approach
- From:
Chinese Journal of Medical Aesthetics and Cosmetology
2023;29(3):167-170
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To evaluate incision scars of transaxillary breast augmentation by different methods of scar assessment.Methods:A retrospective study was carried out on 30 patients (age range 20 to 50 years, with mean age of 32 years) who underwent endoscopic assisted transaxillary type Ⅰ dual plane breast implant augmentation by a same surgeon from August 2014 to November 2016. Scars were estimated by 3 methods which included Vancouver Scar Scale (VSS), Visual Assessment Scale (VAS) and patients' questionnaire.Results:VAS score for left side scars ranged from 0 to 8 and the median was 1. VAS score for right side scars ranged from 0 to 8.3 and the median was 1. A total of 48 scars were scored in the 0-2 point range, representing 80% of the 60 total. VSS score for left side scars ranged from 0 to 11.6 and the median was 0.8. VSS score for right side scars ranged from 0 to 11.3 and the median was 1.2. A total of 46 scars were scored in the 0-2 point range, representing 76.7% of the total 60 breats. The scores between VSS and VAS had significant statistical differences ( P<0.001). 80.0% of our patients regarded scars as unconspicuous or basically invisible in our questionnaire. Conclusions:The majority of transaxillary incision scars recover in favorable status with high patients satisfactory rate. VAS is a practical tool for evaluating transaxillary incision scars. The VSS score is not equivalent to the VAS score when grading scars only by photos.
