Endoscopic transaxillary subglandular breast augmentation using silicone gel textured implants

We present our experience with endoscopic transaxillary subglandular breast augmentation using textured silicon gel implants. Fourteen implants were p laced in seven patients through a 4 cm axillary incision, in a subglandular pocket, with the help of a 10 mm, 30 degrees endoscope with a subcutaneous retractor and endoscopic diathermy. The implant was inserted with the help of a plastic bag. No drains were left in place. The duration of the proced ure was 1 h 30 min in the most recent cases. Bleeding during surgery was ke pt to a minimum, and there were no complications such as capsular contractu re, hematoma, or hypertrophic scar. Infection occurred in one implant and i t was necessary to extract it. This technique is an excellent tool for pati ents requiring subglandular implants who prefer a distant incision. It prov ides good control over dissection and allows the use of silicone gel implan ts, thus avoiding the risk of deflation. In addition, recovery is faster an d there is less bruising and pain.