Analysis Of Endoscopic Transaxillary Dual Plane Augmentation Mammaplasty With Implant: A Long-term Retrospective Study

Backgrounds:It is meaningful to perform high-level follow-up study to evaluate the breast mammaplasty with implant’s outcome of different choice of implant types and surgical methods as well as provide solid reference of lessening incidence of complications.Therefore,we conducted this retrospective study in our hospital so as to provide practical evidence to access long-time effect of endoscopic transaxillary dual plane augmentation mammaplasty with implant.Objective:This study aims at post-operative breast appearence,the incidence of complications and the rate of patient satisfaction so as to promote the long-time post-operative safety effect and patient satisfaction of endoscopic transaxillary dual plane augmentation mammaplasty with implant.Methods:A retrospective analysis was conducted on 53 patients who underwent endoscopic transaxillary dual plane augmentation mammaplasty with implant from June 2014 to December 2016 in our hospital.Data of breast diameters,phtotgraph were collected,the complications related to prosthesis augmentation was evaluated,and the postoperative patients satisfaction was accessed.Results:A total of 53 patients were followed up.The overall patient satisfaction is favourable.The postoperative breast shapes are chubby.Significant differences were found in the pre-operative distance of suprasternal notch to nipple,midclavicular point to nipple,nipple to nipple and nipple-level chest circumference compared with postoperative results(P<0.05).19 patients(36%)presented with implant edge touchable in the outer lower quadrant of breasts.8 patients(15.1%)presented with implant edge touchable in the IMF.7 patients(11.3%)presented with sensory disturbance of nipple areola complex.5 patients(9%)presented with rippling on breasts.1 patients(2%)presented with Baker grade III capsular contracture.Conclusion:Endoscopic assisted transaxillary double dual plane breast implant augmentation is clearly able to improve the appearence of breasts with fewer complications,which is worthy of clinical application.