Breast Augmentation Using Tumescent Technique in Asians

Yohei Tanaka, Toru Aso, Jumpei Ono, Yoshikazu Inoue, Sangmun Choi and Hak Chang

Department of Plastic and Reconstructive Surgery, Tokyo Cosmetic Surgery, Japan Department of Plastic and Reconstructive Surgery, Clinica Tanaka Plastic, Reconstructive Surgery and Anti-aging Center, Japan Department of Plastic and Reconstructive Surgery, Fujita Health University School of Medicine, Japan Department of Plastic and Reconstructive Surgery, Ryan Plastic Surgery Clinic, Korea Department of Plastic and Reconstructive Surgery, Seoul National University College of Medicine, Korea

^*Correspondance to: Yohei Tanaka 

 PDF  Full Text DOI: 10.25107/2474-1647.2621

Abstract

Background: Tumescent infiltration technique to obtain regional anesthesia and vasoconstriction of the skin and subcutaneous tissues is well adopted for several plastic surgery procedures. We have been performing subglandular breast augmentation using the tumescent technique for over 10 years. Methods: 818 patients underwent bilateral subglandular breast augmentation, applying tumescent infiltration and conscious sedation between 2004 and 2017. Tumescent infiltration was delivered in the planned pocket area of each breast between the pectoral fascia and the mammary gland via a blunt cannula for liposuction. Breast augmentation was conducted using silicone gel implants. The patients then provided subjective assessments at 1 month post-treatment. Results: The average amount of tumescent solution infiltrated and silicone implants were 199.5 mL, and 188.8 cc, respectively. Surgical drains were not used due to little bleeding. The operating time was within 60 min and the recovery room time approximately 50 min. Minor complications were observed in a total of 74 (9.0%) patients. Pain lasting for over 7 days, nausea, and fever during perioperative period were found in 28 patients (3.4%), 2 patients (0.2%), and 2 patients (0.2%), respectively. Surgery-related complications such as ecchymoses, contracture, infection, hematoma, hypertrophic scars and implant rotation were uncommon. No serious adverse events were observed. Ninety-eight percent of patients reported satisfaction with the results, and 92.5% with the convenience of the breast augmentation. Conclusion: Breast augmentation using the tumescent technique provides safe procedure and an increased satisfaction. Because of these advantages, usage of the tumescent technique is recommended as a useful pretreatment for breast augmentation.

Keywords

Breast augmentation; Tumescent infiltration; Anesthesia

Cite the article

Tanaka Y, Aso T, Ono J, Inoue Y, Choi S, Chang H. Breast Augmentation Using Tumescent Technique in Asians. Clin Surg. 2019; 4: 2621.