title: Transaxillary Subfascial Augmentation Mammaplasty with Anatomic Form-Stable Silicone Implants.
abstract: This article presents an overview of the transaxillary subfascial approach to primary breast augmentation with the latest-generation anatomic form-stable silicone implants. Although the axillary approach is a well-described technique for breast augmentation, there have been few reports concerning the subfascial pocket, especially in association with anatomic form-stable texturized silicone gel implants. The authors present their experience with the present technique, along with technical details concerning the placement of the superior pole of the anatomic implant underneath the superficial fascia of the pectoralis major.
authors.affiliation: Department of Plastic Surgery, Hospital Sírio-Libanês, Rua Dona Adma Jafet, 115 - Bela Vista, São Paulo - SP 01308-050, Brazil; Breast Plastic Surgery, Department of Plastic Surgery, University of São Paulo School of Medicine and Instituto do Câncer do Estado de São Paulo, Avenida Doutor Arnaldo, 251 - Cerqueira César, São Paulo - SP 01255-000, Brazil. Electronic address: munhozalex@uol.com.br.
authors.forename: Alexandre Mendonça
authors.initials: AM
authors.lastname: Munhoz
authors.affiliation: Department of Plastic Surgery, Hospital Albert Einstein, Avenida Albert Einsten, 627/701 - Morumbi, São Paulo - SP 05652-900, Brazil; Department of Plastic Surgery, University of São Paulo School of Medicine, São Paulo, Brazil.
authors.forename: Rolf
authors.initials: R
authors.lastname: Gemperli
authors.affiliation: Department of Plastic Surgery, Hospital Albert Einstein, Avenida Albert Einsten, 627/701 - Morumbi, São Paulo - SP 05652-900, Brazil; Breast Surgery and Plastic Surgery Department, Instituto Brasileiro do Controle do Câncer, Av. Alcântara Machado, 2576 - Móoca, São Paulo - SP 03102-002, Brazil.
authors.forename: João Carlos
authors.initials: JC
authors.lastname: Sampaio Goes
mesh_terms: D001365:Axilla / Q000601:surgery; D001672:Biocompatible Materials; D019928:Breast Implantation / Q000379:methods*; D018427:Breast Implants; D000071938:Fasciotomy; D005260:Female; D006801:Humans; D020034:Silicone Gels
chemical_list: D001672:Biocompatible Materials; D020034:Silicone Gels
keywords: Breast augmentation; Complications; Form stable implant; High cohesive implant; Outcome; Silicone implant; Subfascial; Transaxillary approach