Introduction of Breast Implants Through the Abdominal Route

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

“…2 Transumbilical augmentation can be performed through one small incision at the umbilicus or other remote abdominal scar, or in conjunction with other abdominal procedures such as an abdominoplasty. 1 When compared with classical augmentation procedures, which have had the major disadvantages of the presence of scars in a potentially unacceptable location, the incision at the umbilicus heals with a smaller, less noticeable scar than at the breast. 4 When considering the transumbilical approach to breast augmentation, there exist limitations that include the fact that only inflatable implants can be used.…”

Aumento mamário por meio da incisão da abdominoplastia: estudo prospectivo de 100 casos

“…The technique described herein is simple and based on principles abundantly described in medical literature. Planas 15 first published the outcomes of this approach, bet ween 1972 and 1976, in 12 patients. Barrett and Kelly 16 compared the abdominal access in 8 women, and 2 distinct incisions (abdominal and breast) were performed in 4 of the women.…”

“…The abdominal diastasis of the rectus abdominis muscle was corrected using a simple and interrupted suture with a 2-0 monofilament nylon thread, at a distance of approximately 2.5 cm, followed by continuous suture with the same thread over the existing sutures. After confirmation of hemostasis, the abdominal flap was fixed to the aponeurosis of the rectus abdominis muscle with at least 30 simple sutures using polyglactin, leaving spaces ≤ 5 cm between the sutures [13][14][15] . The umbilical scar was fixed in its new position in the abdominal flap, using external and subdermal sutures with a 4.0 nylon thread.…”

“…Planas 15 was the first to report on augmentation mammoplasty via the abdominoplasty incision approach. The introduction of silicone implants was performed through subcutaneous tunnels made in the region of the right and left hypochondria, reaching the retroglandular plane [15][16][17][18][19][20] . The technical difficulty associated with this technique may be due to the great distance of the anatomic structure to be dissected during tunnel construction and establishment of the implantation site.…”

Transabdominoplasty-Breast Augmentation (TABA): a Series of 150 Consecutive Patients with Implications for Capsular Contracture.

“…Transabdominoplasty-breast augmentation as an approach to combination tummy tuck and breast implants has been described previously in the literature by Brinker and Jack [1] as well as by Wallach [2,3] and others [4,5]. The senior author, in this series, performed 150 consecutive cases of subpectoral breast augmentation with both saline and cohesive silicone gel implants and abdominoplasty through a single lower transverse abdominoplasty incision with a mean follow up of 2-1/2 years.…”