Abstract
Background
The transabdominal (transumbilical [TUBA]) procedure for breast implant insertion is known for aesthetic aims, but cosmetic and psychosocial improvements reported in aesthetic surgery should be transferred to breast reconstruction patients.
Methods
Surgical and psychological aspects were analyzed in four cases through clinical evaluation and psychosocial assessment. Three patients were candidates for postmastectomy reconstruction by transverse rectus abdominis myocutaneous (TRAM) flap, and one patient was a candidate for cosmetic abdominoplasty. The expectations of the patients were met, and body image improvement was provided through contralateral breast augmentation in all cases. Details of the surgical approach focused on the inframammary fascial system. The psychosocial implications of the TUBA-like breast augmentation combined with the abdominoplasty procedure were emphasized through the analysis of the technical details and the psychological behaviors affecting the surgery.
Results
The result, after long-term clinical follow-up (37 months) and administration of a satisfaction questionnaire (CSQ-8), established the importance of scarless surgery to healthy breast tissue and the positive reception by women with different life histories.
Conclusion
This report concerns only a few potential patients, but supports a trend that surgeons should consider. An elective indication for transabdominal breast augmentation can be represented even by those few patients who are candidates for TRAM flap reconstruction, who are agreeable to a small augmentation in the absence of a scar on their healthy breast, and whose reconstructed breast is larger and more prominent at the central part of the mound than on the contralateral side.
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References
Planas J (1976) Introduction of breast implants through abdominal route. Plast Reconstr Surg 57:434
Barrett BM Jr (1980) Combined abdominoplasty and augmentation mammaplasty through a transverse suprapubic incision. Ann Plast Surg 4:286
Spear SL, Wolfe AJ (2002) The coincidence of TRAM flaps and prostheses in the setting of breast reconstruction. Plast Reconstr Surg 110:478–486
Stevenson TR, Goldstein JA (1993) TRAM flap breast reconstruction and contralateral reduction or mastopexy. Plast Reconstr Surg 92:228–233
Losken A, Carlson GW, Bostwick J III, Jones GE, Culbertson JH, Schoemann M (2002) Trends in unilateral breast reconstruction and management of the contralateral breast: The Emory experience. Plast Reconstr Surg 110:89–97
Nava M, Quattrone P, Riggio E (1998) Focus on the breast fascial system: A new approach for inframammary fold reconstruction. Plast Reconstr Surg 102:1034–1045
Johnson GW, Dowden RV (1995) Breast augmentation: umbilical approach. In: Ramirez OM, Daniel RK (eds) Endoscopic plastic surgery. New York, NY: Springer, pp. 156–157
Johnosn GW, Christ JE (1993) The endoscopic breast augmentation: The transumbilical insertion of saline-filled breast implants. Plast Reconstr Surg 92:801–808
Caleel RT (2000) Transumbilical endoscopic breast augmentation breast augmentation: Submammary and subpectoral. Plast Reconstr Surg 106:1177–1182
Meyer L, Ringberg A (1987) Augmentation mammaplasty-psychiatric and psychosocial characteristics and outcome in a group of Swedish women. Scand J Plast Reconstr Surg Hand Surg 21:199–208
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Riggio, E., Spano, A., Ottolenghi, J. et al. Maximizing the Use of Abdominoplasty Incision in Oncoplastic and Aesthetic Breast Surgery: Four Transabdominal (Transumbilical-Like) Augmentations. Aesth Plast Surg 32, 130–135 (2008). https://doi.org/10.1007/s00266-007-9047-0
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DOI: https://doi.org/10.1007/s00266-007-9047-0