Introduction: Breast augmentation has been one of the most popular aesthetic
procedures. Early complications, like infection, seroma, hematoma and
capsular contracture like one of the most frequent long term complication,
might be related to wound drainage. Aim of the study was to investigate the
rate of the complications of breast augmentation procedure performed without
drainage. Material and Methods. Retrospective analysis of all patients
underwent breast augmentation in the period of 2003-2013 was performed. From
the medical history of the patients, data related to demographic
characteristics of the patients, surgical technique and rate of complications
were collected. Wound drainage has not been used in any of the patients.
Patients were followed at the discharge, after 7 days, three months and
yearly thereafter. Wound seroma, wound hemathoma, wound infection and
capsular contracture were followed. Results. There were 726 patients with
average age of 28,5 year (22-48). Breast augmentation using silicone implants
was performed with inframammary approach using subglandular, submuscular and
dual plane technique. Average implant size was 339cc (200-520). Subglandular
augmentation had 545 (75%), while, 181 (25%) received an implant in
submuscular plane. Those, who were operated with dual plane technique were 86
(47,5%).In early postoperative period, there was no infection, five seromas
(0,7 %) and eight hematoma (1,1%), while five of them required surgical
evacuation. There was no statistical significant difference between the two
surgical techniques in terms of complication rate. During follow up, there
were three capsular contractures (0,4%). Conclusions. The incidence of
complications in our group of patients after breast augmentation is low even
though no drainage was used. Still, further randomized trials are needed to
prove role of drainage in prevention of complications after breast
augmentation.
A Modified Dual-plane Technique Using the Serratus Anterior Fascia in Primary Breast Augmentation
