| Abstract: |
A transaxillary approach for breast augmentation is ideal for patients with hypomastia and minimal ptosis. Optimal results are achieved in patients who do not require extensive lowering of the inframammary crease. Most implant types can be used, although round saline implants are the most compatible with this technique. With sufficient experience, blunt dissection of the implant pocket with specialized dissectors is accurate and not prone to hematoma formation. Nerve blocks are helpful for minimizing postoperative discomfort. After initial incision and pocket dissection, the procedure is performed mostly with the patient in the sitting position. Breast sizers are important for creating the shape and size of the pocket in addition to accurately determining implant size. The pocket dissection is completed with dissectors while the implants are in place, and final volume adjustments are made. Postoperatively, the patient wears an adjustable strap across the upper breasts for 6 weeks. Activities requiring vigorous upper extremity movements are restricted. Complications and untoward results are not more common with this technique, and no long-term sequelae are unique to this method. Copyright © 2000 by W.B. Saunders Company. |
