Endoscopic Submuscular Breast Augmentation In the June issue of Cosmetic Surgery Times, a special section article by Karen Zabel featured the endoscopic submuscular breast augmentation of Dr. Tobin. The full page color illustrated article appeared in a special section describing innovations and new techniques in cosmetic surgery. In the article, Dr. Tobin describes how endoscopy has allowed the submuscular placement of saline filled implants with improved visualization and less bleeding. In addition, it helps to overcome one of the previous limitations of the submuscular technique - namely the slow or inadequate settling of the implant due to muscular binding. Submuscular placement is desired by patients because it decreases the likelihood of waviness or rippling that can sometimes be seen through the skin in patients who have little natural soft tissue padding. With the endoscopic technique, the operation is done through a small armpit incision. Dissection is facilitated by the use of telescopes and video monitoring. Because of the improved visualization afforded by endoscopy, nerves and blood vessels can be seen and preserved thus reducing the risks of bleeding or nerve damage. Special instruments have been designed by Dr. Tobin who also uses a laser for dissection when needed. The technique has proven quite popular and is chosen by the majority of patients who undergo breast augmentation at the Center. COPIES OF THE ARTICLE ARE AVAILABLE BY MAIL. PLEASE CONTACT THE CENTER. News Index

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