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Thursday, November 15, 2007

Breast Augmentation New Technique

Dr. G. Bitar's technique of performing breast augmentation by inserting a saline implant through a small armpit incision at the back of the muscle with non use of any endoscopic equipment is controversial. Doctor Bitar, who has performed over 200 such surgeries, dispute that his results are excellent, and that his complications rates are lower than the reported national rates.
The article written by a plastic surgeon located in the United States, Dr. G. Bitar entitled: "Breast Augmentation: The Axillary Approach" was published in the October issue of Plastic Surgery Products Magazine. The article focuses on performing breast augmentation by inserting a saline implant through a small armpit incision behind the muscle without the use of any endoscopic equipment.
At the same time as this technique is considered controversial by many, Dr. Bitar who has performed over 200 such breast augmentations he also argues that his results are excellent.
"There were no breast implant infections, high-riding implants, double-bubble signs (implant bulging below the breast), pneumothoraces (lung deflation), cases of inability to breast-feed, eternal losses of nipple sensation, major medical complications, or deaths," he states. "My rate of capsular contracture (a condition where scar tissue growth around the implant hardens the breast causing an unnatural look) is 1%," he said.
Prospective studies of saline-filled breast implants approved by FDA in May 2000 showed rates of significant capsular contracture of 9% at 3 years and 10-11% at 5 years for augmentation patients. The general consensus is that infection with breast augmentation occurs in about 1-2% of patients.
While Bitar's technique yields many advantages including shorter intra-operative time, minimal bleeding, less trauma, scarring, pain, and bruising; and a shorter recovery time with minimal complications, his technique has a few minor disadvantages. These include: an evident 2 cm scar under the armpit for the first few months after surgery before it fades, inability to remove the implant through the same axillary incision in case future surgery is required, and finally, the risk of loss of sensation in a small area of the axilla if a nerve is injured.
Multiple before and after photos of patients who underwent axillary breast augmentation along with the complete version of the article can be found on Dr. Bitar's his website
G. Bitar, MD is a board certified plastic surgeon and medical director of the B. Plastic Surgery Institute, a multi-location institute in the US. The editorial was co-written by Mr. Vinood Choopra, a medical student at the USA University who interned at the Bitar Plastic Surgery Institute.

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