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New Design for Axillary Dual-Plane Endoscopic Breast Augmentation for Asians: the Feasibility of Two Types of Dual-Plane Implant Pockets in 70 Patients as Measured by the BREAST-Q

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Abstract

Background

The design methods for dual-plane implant pockets for axillary endoscopic breast augmentation vary among different countries. We applied a modified approach for an Asian population.

Methods

Seventy patients with micromastia underwent our modified approach between 2011 and 2014. Breasts were divided into two types according to the soft-tissue pinch thickness of the lower pole: type I (thickness >2 cm; Group I) and type II (thickness ≤2 cm; Group II). The levels at which the pectoralis major (PM) was severed were 6–6.5 cm and 3–4 cm below the nipple for type I and II pockets, respectively. Then, dissection of the retromammary space was continued from the severance level downward to the new inframammary fold for type I pockets, whereas no dissection was made for type II pockets. All patients completed the pre- and post-operative BREAST-Q augmentation modules.

Results

During a mean follow-up of 10 months (range, 6–12 months), patients reported higher satisfaction with breasts after surgery than before surgery (satisfaction scores of 64.9 ± 5.6 vs. 14.7 ± 11.0). The mean satisfaction score for the overall outcome was 91.3 ± 17.3. However, there was no significant difference in physical well-being (87.1 ± 10.4 vs. 85.2 ± 11.7). No complications such as severe capsular contracture or displacement occurred.

Conclusion

Distinguishing the need for a type I or II dual-plane pocket can lead to good outcomes and optimal soft-tissue coverage. The higher satisfaction and quality of life reported by our patients indicate that our new design is feasible and safe for most Asians with a medium build.

Level of Evidence II

This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266.

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References

  1. Eaves FF 3rd, Bostwick J 3rd, Nahai F et al (1995) Endoscopic techniques in aesthetic breast surgery. Augmentation, mastectomy, biopsy, capsulotomy, capsulorrhaphy, reduction, mastopexy, and reconstructive techniques. Clin Plast Surg 22:683–695

    PubMed  Google Scholar 

  2. Avrahami R, Nudelman I, Watenberg S et al (1998) Minimally invasive surgery for axillary dissection. Cadaveric feasibility study. Surg Endosc 12:466–468

    Article  CAS  PubMed  Google Scholar 

  3. Ho WS, Ying SY, Chan AC (2002) Endoscopic-assisted subcutaneous mastectomy and axillary dissection with immediate mammary prosthesis reconstruction for early breast cancer. Surg Endosc 16:302–306

    Article  CAS  PubMed  Google Scholar 

  4. Tebbetts JB (2001) Dual plane breast augmentation: optimizing implant-soft-tissue relationships in a wide range of breast types. Plast Reconstr Surg 107:1255–1272

    Article  CAS  PubMed  Google Scholar 

  5. Luan J, Mu D, Mu L (2009) Transaxillary dual-plane augmentation mammaplasty: experience with 98 breasts. J Plast Reconstr Aesthet Surg 62:1459–1463

    Article  PubMed  Google Scholar 

  6. Lee SH, Yoon WJ (2014) Axillary endoscopic subglandular tunneling approach for types 2 and 3 dual-plane breast augmentation. Aesthet Plast Surg 38:521–527

    Article  Google Scholar 

  7. Tebbetts JB (2006) Axillary endoscopic breast augmentation: processes derived from a 28-year experience to optimize outcomes. Plast Reconstr Surg 118:53s–80s

    Article  CAS  PubMed  Google Scholar 

  8. Cheng MH, Huang JJ (2009) Augmentation mammaplasty in asian women. Semin Plast Surg 23:48–54

    Article  PubMed Central  PubMed  Google Scholar 

  9. Xu HQ, Yu DM, Luo S (2014) Applied anatomic study of transaxillary dual-plane breast augmentation under endoscope. Chin J Aesthet Plast Surg 25:72–75

    Google Scholar 

  10. Hao LJ, Xu HQ, Zhu Y (2014) Analysis of transaxillary dual-plane augmentation under endoscope on 128 cases: how to get the doctorpatient satisfaction with clinical effectiveness. Chin J Aesthet Plast Surg 25:708–711

    Google Scholar 

  11. Hao LJ, Xu HQ (2012) Endoscopic transaxillary dual-plane breast augmentation using silicone gel implants: 58 cases report. Chin J Aesthet Plast Surg 23:712–715

    Google Scholar 

  12. Tebbetts JB, Adams WP (2006) Five critical decisions in breast augmentation using five measurements in 5 minutes: the high five decision support process. Plast Reconstr Surg 118:35s–45s

    Article  CAS  PubMed  Google Scholar 

  13. Tebbetts JB, Adams WP (2005) Five critical decisions in breast augmentation using five measurements in 5 minutes: the high five decision support process. Plast Reconstr Surg 116:2005–2016

    CAS  PubMed  Google Scholar 

  14. Tebbetts JB (2002) A system for breast implant selection based on patient tissue characteristics and implant-soft tissue dynamics. Plast Reconstr Surg 109:1396–1409 discussion 1410-1395

    Article  PubMed  Google Scholar 

  15. Adams WP, Bengston BP, Glicksman CA et al (2004) Decision and management algorithms to address patient and food and drug administration concerns regarding breast augmentation and implants. Plast Reconstr Surg 114:1252–1257

    Article  PubMed  Google Scholar 

  16. Largent JA, Reisman NR, Kaplan HM et al (2013) Clinical trial outcomes of high- and extra high-profile breast implants. Aesthet Surg J 33:529–539

    Article  PubMed  Google Scholar 

  17. Li J, Li Q, Gao Y et al (2014) Quailty of Iife questionnaire for women with breast surgery:evaluation of the Chinese version of BREAST-Q augmentation module. Chin J Medical Aesthet Cosmetic 20:413–415

    Google Scholar 

  18. Coriddi M, Angelos T, Nadeau M et al (2013) Analysis of satisfaction and well-being in the short follow-up from breast augmentation using the BREAST-Q, a validated survey instrument. Aesthet Surg J 33:245–251

    Article  PubMed  Google Scholar 

  19. Alderman AK, Bauer J, Fardo D et al (2014) Understanding the effect of breast augmentation on quality of life: prospective analysis using the BREAST-Q. Plast Reconstr Surg 133:787–795

    CAS  PubMed  Google Scholar 

  20. Breast-Q. http://www.breast-q.org. Published 2012. Accessed 17 July 2012

  21. Q_Score. https://webcore.mskcc.org/breastq/scoreBQ.html

  22. Lang Stumpfle R, Figueras Pereira-Lima L, Alves Valiati A et al (2012) Transaxillary muscle-splitting breast augmentation: experience with 160 cases. Aesthet Plast Surg 36:343–348

    Article  Google Scholar 

  23. Spear SL, Carter ME, Ganz JC (2003) The correction of capsular contracture by conversion to “dual-plane” positioning: technique and outcomes. Plast Reconstr Surg 112:456–466

    Article  PubMed  Google Scholar 

  24. Yu L, Wang J, Zhang B et al (2008) Endoscopic transaxillary capsular contracture treatment. Aesthet Plast Surg 32:329–332

    Article  CAS  Google Scholar 

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Authors and Affiliations

  1. Plastic and Aesthetic Surgery Center, The First Affiliated Hospital of Harbin Medical University, 143 Yiman Street, Nangang District, Harbin, People’s Republic of China

    Haiqian Xu, Yida Chen, Yangdong Zhu & Lijun Hao

  2. Department of Breast Oncological Surgery, The Third Affiliated Hospital (Cancer Hospital) of Harbin Medical University, Harbin, People’s Republic of China

    Wenjie Li

Authors
  1. Haiqian Xu
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  2. Wenjie Li
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  3. Yida Chen
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  4. Yangdong Zhu
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  5. Lijun Hao
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Corresponding author

Correspondence to Lijun Hao.

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None declared.

Ethical approval

Ethical approval for this study was given by the medical ethics committee of our Hospital.

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Xu, H., Li, W., Chen, Y. et al. New Design for Axillary Dual-Plane Endoscopic Breast Augmentation for Asians: the Feasibility of Two Types of Dual-Plane Implant Pockets in 70 Patients as Measured by the BREAST-Q. Aesth Plast Surg 40, 79–88 (2016). https://doi.org/10.1007/s00266-015-0591-8

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  • DOI: https://doi.org/10.1007/s00266-015-0591-8

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