Applications of SEPS endoscope in mammaplasty: breast augmentation and removing breast foreign body resulted from augmentation with polyacrylamide hydrogel injection

[Objective] To relief the tissue injury during the implant pocket dissection and increase the clearance through excluding multiple breast cysts of foreign body resulted from augumentation with polyacrylamide hydragel injection under direct vision. [Method] Subfascial Endoscopic Perforator Vein Surgery had been utilized in 21 cases of mammaplasty since 2001, which was applied to separate implant pocket and exclude the cysts distributed in the subcutaneous tissue, breast or existed in the muscles through a transaxillary approach. Preoperative B type ultrasound was essential for the operation to mark the mass in some cases. [Results] The operations were completed without hemotoma and infection. Follow-up of 21 patients for 6~18 months showed that preoperative symptoms relating to injected material in 8 cases, such as pain, breast mass and bilateral asymmetry have been no longer existed. Most of the patients who underwent this procedure were satisfied with their results. [Conclusion] We believe that endoscopic assisted mammoplasty offers more satisfactory clinical results with less morbidity, injury, smaller scars, more accuracy and greater patient acceptance. Transaxillary endoscopic mammaplasty is an attractive alternative technique.