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Augmentation Mammoplasty With Silicone Implant Using Transumbilical Approach at a Subpectoral Level

Lee, Won MD*; Choi, Bong-Kyoon MD; Bang, Sa-Ik MD, PhD; Yang, Eun-Jung MD

doi: 10.1097/SAP.0b013e31827a3820
Aesthetic Surgery

Endoscopic placement of breast implants has been described through an umbilical incision. Limitations include the fact that only inflatable implant can be used through umbilical approach. The purpose of this study is to describe the authors’ evolutionary transumbilical technique with cohesive silicone gel implant insertion and to retrospectively analyze preliminary results. The authors’ technique is the placement of a cohesive silicone gel implant using a transumbilical approach in a subpectoral plane. Patients who were selected had mammary hypoplasia without ptosis and who requests breast augmentation with a scarless and natural feel breast were considered candidates. The technique and indications are presented thoroughly. From June of 2011 to January of 2012, 42 women aged 23 to 46 years (average, 31.6 years) underwent the endoscopic transumbilical breast augmentation. All patients had round silicone implants placed in the retropectoral pocket location. The results of this study indicate that transumbilical technique is highly successful. Complication included transient periumbilical bulging (5 patients, 11.9%), hypertrophic scar needing revision (1 patient, 2.3%), and conversion to other breast incision due to capsular contracture (3 of 84 breasts, 3.5%). Transumbilical breast augmentation with prefilled implant is a safe and attractive technique for breast implant placement in selected patients. With this inventory modification, the result can permit surgeons expanded spectrum of implant selection for transumbilical approach.

From the *Yonsei E1 Plastic Surgery Clinic, Anyang; †Korea International Esthetic Surgery Union (KIES·U) Plastic Surgery Clinic; and ‡Department of Plastic and Reconstructive Surgery, Samsung Medical Center, School of Medicine, Sungkyunkwan University, Seoul, South Korea.

Received July 29, 2012, and accepted for publication, after revision, October 18, 2012.

Conflicts of interest and sources of funding: none declared.

Reprints: Eun-Jung Yang, MD, Department of Plastic and Reconstructive Surgery, Samsung Medical Center, School of Medicine, Sungkyunkwan University, Ilwon-dong 50, Gangnam-Gu, Seoul 135-710, South Korea. E-mail:

© 2014 by Lippincott Williams & Wilkins