In this video-based CME activity, Louis L. Strock, MD performs a transaxillary endoscopic breast augmentation on a 26-year-old woman. Get a first-hand look at how direct visualization of the pectoralis dissection, using endoscopic assistance from the perspective of the transaxillary approach, can be performed on a consistent and predictable basis. This highly visual learning experience will help you comprehend the surgical steps necessary to safely divide the pectoralis muscle and create the partial subpectoral pocket based on the needs of the specific patient shown. The patient's inframammary fold position is maintained without modification. The tissue release is performed to minimize bleeding and tissue staining is done during all phases of the procedure. In this case, the implants are placed in a partial subpectoral pocket to optimize tissue cover and minimize mammographic interference for the long-term result. The transaxillary approach is chosen to allow for implant placement using an incision remote to the breast.
After viewing this course, the participant should be able to:
- Create and strategize for management of the inframammary fold preoperatively on the basis of preoperative markings, used intraoperatively by correlation of these markings with internal anatomy visualized using endoscopic assistance.
- Understand the advantages of endoscopic tissue visualization, and the specific aspects of surgical technique that minimize bleeding and tissue staining, that serve to facilitate ease of endoscopic tissue release in a controlled and predictable fashion.
- Implement postoperative management strategies to maintain control of implant position.
- Understand issues of patient selection to minimize complications, particularly early in one's experience with the technique.
Louis L. Strock, MD
AMA PRA Category 1 CreditTM: .75
Patient Safety Credit: .5
Release Date: 1/20/2012
Reviewed Date: 7/1/2018
Expiration Date: 7/1/2021
Estimated time to complete this course: 45 minutes
Directly provided by the American Society of Plastic Surgeons® (ASPS®)
The American Society of Plastic Surgeons (ASPS) is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.
The ASPS designates this enduring material for a maximum of .75 AMA PRA Category 1 Credit™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
This educational activity is intended for plastic surgery practitioners, residents, and other healthcare professionals interested in translating expanded knowledge into practice for the improvement of patient outcomes in plastic and reconstructive surgery.
Dr. Strock has nothing to disclose. All ASPS staff members managing this activity have no relevant financial relationships or affiliations to disclose. All identified conflicts of interest have been resolved and the educational content thoroughly vetted by ASPS for fair balance, scientific objectivity, and appropriateness of patient care recommendations. The ASPS also requires faculty/authors to disclose when off-label/unapproved uses of a product are discussed in a CME activity or included in related materials.
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Product Code: 16543