BACKGROUND: The usage of textured silicone prosthesis in breast augmentation has marked a new era in the history of Plastic Surgery. The initial approach using the inframammary fold was extended to axillary or periareolar incisions. Even the position of the implants has varied concerning the pectoralis major muscle. OBJECTIVE: To describe the use of subfascial periareolar breast augmentation undermining using a breast dissector. METHODS: Twenty six patients with hypommasty were studied from January to September 2009. All of them were submitted to breast augmentation surgery with silicone implant using a subfascial periarealar pathway without endoscopic assistance. RESULTS: The medium age was 29.96 years old. The medium silicone prosthesis volume used was 294.80 ml. The patients post surgical evolution was considered good. We have no infection or hematoma. There was 1 case of partial dehiscence and one case of total and bilateral dehiscence. CONCLUSION: The subfascial periareolar breast augmentation undermining using a breast dissector appears to be an alternative which provides a rapid, safe and reproducible surgical for breast augmentation surgery using silicone implants.
Breast; Mammaplasty; Breast implantation
