International Journal of Clinical Research

Objective To compare the effects of endoscopic axillary breast augmentation and traditional breast augmentation through prosthesis implantation. Methods Data of 163 patients who underwent breast augmentation with implants in our hospital from January 2023 to January 2025 were collected. According to the surgical methods, they were divided into the endoscopic-assisted group (observation group) and the traditional blind group (control group). Results The average operation time of the observation group was significantly longer than that of the control group, and the average intraoperative blood loss was lower. The pain score of the observation group 24 hours after the operation was significantly lower than that of the control group. Six months after the operation, the BREAST-Q score, BASI index and the naturalness score of the upper pole contour of the BREAST in the observation group had a lower incidence of total complications (P < 0.05). Conclusion Endoscopic-assisted axillary breast augmentation demonstrates significant advantages in terms of bleeding control, early pain, natural breast symmetry, and reduced risk of specific complications.

Endoscope; Breast augmentation surgery; Prosthesis implantation; Axillary approach