BACKGROUND: This study establishes a technique for dissection of the retroglandular space through abdominoplasty by using a lighted retractor for the introduction of silicone gel breast implants.
METHODS: A retrospective study was carried out for 44 patients with abdominal flaccidity and hypomastia who underwent breast augmentation through a single-stage abdominoplasty between September 2001 and April 2012.
RESULTS: This method enabled improvement of the abdominal contour and breast augmentation through the same incision. The complications observed affected the abdominal area (hematoma, seroma, dehiscence, and hypertrophic scarring) and the breast (capsular contracture and infection).
CONCLUSIONS: Breast augmentation through abdominoplasty does not cause scars on the breast or armpit and is a safe and reproducible procedure with a short learning curve. Moreover, it provides satisfactory and long-lasting results.
Keywords: Abdomen/surgery. Plastic surgery/methods. Breast implantation. Breast implants. Mammaplasty.