The purpose of this study is to introduce new method to redue the postoperative complication of augmentation mammoplasty, and to evaluate its usefulness and results. Twenty five patients underwent endoscopically assisted transumbilical subpectoral augmentation mammoplasty designed by authors form November 1995 to May 1997, for 1½ years and were followed up from 6 months to 2 years. we made subpectoral pocket for saline filled mammary implant via umbilical incision, under the endoscopic guidance and could get successful results except 1 complication. One complication was breast asymmetry. Transaxillary approsch is commonest used method for subpectoral augmentation mammoplasty, recntly. we could not found any article about transumbilical augmentation mammoplasty of subpectoral implantation .Therefore, we tried to new method. We found following advantages of endoscopically assisted transumbilical subpectoral augmentation mammoplasty.
(1)inconspicous scar
(2)low capsular contracture rate
(3)preservation of nerve innervation of upper arm and breast
(4)reducing of hematoma occurrence rate due to the possibility of natural drainage into the tract of abdomen and umbilicus
We concluded that endoscopically assisted transumbilcal subpectoral augmentation mammoplasty was a new excellent method to take the advantages of transumbilical approach and subpectoral implantation, and to reduce the postoperative complication rate. Furthermore we think that it overcome the disadvantages of the transumbilical submammary augmentation mammoplasty