Surgery Spotlight: Trans-Abdominal Breast Augmentation (TABA)-Surgery Spotlight: Trans-Abdominal Breast Augmentation (TABA)

Surgery Spotlight: Trans-Abdominal Breast Augmentation (TABA)

Video Transcription

Video Summary

Dr. Rick Zenowitz, an Associate Professor at Brown University, discusses a specialized surgical procedure called Trans Abdominal Breast Augmentation (TABA). This approach involves inserting breast implants via the abdominal route, minimizing skin contact and subsequently reducing the risk of complications like capsule contracture to as low as 0.78%. The technique also allows for the breast pocket to drain into the abdomen, reducing the risk of seroma or hematoma. During the surgery, a patient opted for saline implants, which are adjusted and inserted in a way that maintains symmetry and a natural appearance. The procedure includes addressing abdominal diastasis, using techniques that minimize visible scarring. Dr. Zenowitz's approach is meticulous, involving various innovative methods and tools such as paravertebral blocks for analgesia and hemostasis, and barbed sutures for a secure closure. This comprehensive technique aims to achieve minimal visible scarring, high satisfaction in aesthetic results, and a quick recovery, highlighting the benefits and advancements of plastic surgical methods.

Asset Caption

Richard Zienowicz, MD, demontrates a trans-abdominal breast augmentation (TABA) using saline implants, as well as an abdominoplasty. Dr. Zienowicz describes the preoperative markings, anesthesia and each step of the TABA and abdominoplasty procedures. Also, Dr. Zienowicz discusses the advantages of creating a lower abdominal scar. The video concludes with photographs taken three months postoperatively.

Surgeon Richard Zienowicz, MD

Disclosure 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. This product is not certified for CME.

Keywords

Surgical Videos

Surgery Spotlight

Breast

Richard Zienowicz MD; Memben

Trans Abdominal Breast Augmentation

TABA

capsule contracture

abdominal diastasis

paravertebral blocks

barbed sutures

plastic surgery advancements