Hydrodissection axillary breast augmentation

Abstract

There are a variety of incisional approaches to breast augmentation. Bleeding is a known cause of capsule contracture and should be avoided. The axillary incision allows almost no bleeding if hydrodissection is utilized. This consists of using tumescent solution with lactated Ringer's solution or saline containing epinephrine and lidocaine in enough quantity to distend the tissue of the attachments of the pectoralis major muscle. This not only stretches the vessels but allows the epinephrine contract the vessels to prevent bleeding. Expanders and blunt instrument dissection allow the pocket to be easily formed without bleeding. © 2009 Springer-Verlag.