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Aesthet Surg J 2020 Mar 12. Epub 2020 Mar 12.

Department of Plastic and Reconstructive Surgery, Brest University Hospital, Brest Cedex, France.

Background: Secondary procedures following breast augmentation are often more difficult than primary cases, because the soft-tissue envelope changes over time.

Objectives: This study was conducted to confirm the utility of a composite technique in breast revisional surgery.

Methods: This was a 9-year retrospective chart and photographic data study of one surgeon's experience with the combined use of fat and implants in revisional cases. Read More

Ann Plast Surg 2020 Feb 19. Epub 2020 Feb 19.

Department of Breast Surgery, University Hospital Birmingham NHS Foundation Trust, Birmingham, United Kingdom.

Aims: To review cases of galactorrhea and galactocele postbreast augmentation, determine possible risk factors and consider management strategies of this rare complication.

Methods: A systematic literature review was conducted in July 2019 searching Pubmed, Embase, and Google Scholar.

Results: The searches revealed 19 articles (17 case reports/series and 2 retrospective chart reviews) collectively comprising 38 women. Read More

Aesthetic Plast Surg 2020 Feb 14. Epub 2020 Feb 14.

Department of Plastic Surgery, Odense University Hospital and OPEN, Open Patient data Explorative Network, Odense University Hospital, Region of Southern Denmark, J. B. Winsløws Vej 4, 5000, Odense, Denmark.

Background: Breast reshaping or mastopexy following massive weight loss can be challenging. The LOPOSAM (lower pole subglandular advancement mastoplasty) technique has shown promising results for correction of ptotic, wide, lateralized and deflated breasts following massive weight loss.

Materials And Methods: We compared the LOPOSAM technique to the mastopexy technique after massive weight loss described by Rubin JP, in a randomized trial. Read More

Plast Reconstr Surg 2020 Feb;145(2):330-332

Rehovot, Israel From the Department of Plastic Surgery, Kaplan Medical Center.

Dual-plane breast augmentation offers the advantages of a subpectoral implant location with the ability to expand its use to glandular ptotic and constricted lower pole breasts. Alas, high implant position or very loose breast tissue can lead to a notorious breast shape known as the "waterfall deformity." To prevent many of these undesired deformities, the authors introduce a novel pectoralis major median myotomy they call the "median cut. Read More

J Med Radiat Sci 2020 Jan 24. Epub 2020 Jan 24.

Faculty of Science, School of Dentistry & Health Sciences, Charles Sturt University, Wagga Wagga, New South Wales, Australia.

Aim: This study seeks to document the imaging series used in contemporary Australian practice for imaging the augmented breast, with a secondary focus on differences in practice and opinion between BreastScreen Australia and diagnostic imaging services.

Methods: A SurveyMonkey link was distributed through the Australian Society of Medical Imaging and Radiation Therapy (ASMIRT) and was assessable during December 2017 and January 2018. The questionnaire investigated: years of experience, facility type and location, image acquisition systems, appointment times, patients imaged per week, technique and imaging series used, use of limited compression views, rationale for variation in imaging series and the use of ultrasound. Read More

Aesthet Surg J 2020 Apr;40(5):513-515

Clinical Faculty Member, Division of Plastic Surgery, University of Louisville, Louisville, KY.

J Plast Reconstr Aesthet Surg 2019 Dec 24;72(12):1986-1995. Epub 2019 Sep 24.

Department of Plastic Surgery, The First Affiliated Hospital, School of Medicine, Zhejiang University, No. 79 Qingchun Road, Hangzhou 310003, China. Electronic address:

Background: Techniques based on three planes of implant placement, including the subglandular (SG), subpectoral (SP), and subfascial (SF) planes are used for breast augmentation. The placement that offers the greatest balance of risks and benefits is unclear. This study presents a systematic review with a Bayesian network meta-analysis to compare different implant placement techniques for augmentation mammaplasty. Read More

Plast Reconstr Surg Glob Open 2019 Aug 12;7(8):e2344. Epub 2019 Aug 12.

Plastic & Reconstructive Surgery, Clinical Professor of Surgery, University of California-San Francisco, 2100 Webster St Suite 424, San Francisco, Calif.

Dual-plane augmentation mammaplasty has gained wide popularity in treating breast ptosis. However, in our experience, dual-plane augmentation mastopexy fails to treat severe cases of ptosis (grade 3) and glandular ptosis. Therefore, we conceived a method to manage these cases effectively. Read More

Aesthet Surg J 2020 Apr;40(5):499-512

Division of Plastic and Reconstructive Surgery, Department of Surgery, University of Toronto, Toronto, ON, Canada.

Background: Previous studies have reported decreased rates of capsular contracture associated with the use of textured surface breast implants placed in the subglandular plane during breast augmentation. However, since the publication of these studies, our understanding of the pathophysiology of capsular contracture, as well as the surgical techniques utilized to minimize bacterial contamination of the implant, have advanced considerably.

Objectives: The purpose of this study was to re-evaluate the relation between implant surface texturization and capsular contracture rates for breast implants placed in the subglandular plane during primary breast augmentation. Read More

Aesthet Surg J 2020 Apr;40(5):NP253-NP262

Department of Sport and Exercise Science, University of Portsmouth, Portsmouth, United Kingdom.

Background: Breast implants may increase breast skin tension and interact with surrounding tissues to alter breast position and motion during dynamic activity. Reducing implant mass and changing implant location (submuscular/subglandular) may also affect breast kinematics and the subsequent loads on breast structures.

Objectives: The aim of this pilot study was to describe the kinematics of breasts augmented with reduced-mass implants during standing, walking, and running, compared with natural breasts, and to provide insight into how implant location (submuscular/subglandular) alters breast kinematics. Read More

Aesthetic Plast Surg 2019 12 6;43(6):1437-1438. Epub 2019 Sep 6.

106-75 Dyrgas Gate, Banff Plastic Surgery, Canmore, AB, T1W 06, Canada.

Med Arch 2019 Jun;73(3):178-182

University Clinical Centre Sarajevo, Sarajevo, Bosnia and Herzegovina.

Introduction: Breast augmentation is one of the most frequently performed aesthetic surgical procedures in the world. The most important preoperative decisions which influence the final appearance of the augmented breast are the breast implant pocket choice and selection of the most appropriate implant. Described pocket locations are subglandular, subfascial, partially retropectoral, totally submuscular and dual plane. Read More

Aesthetic Plast Surg 2019 12 30;43(6):1429-1436. Epub 2019 Jul 30.

Plastic Surgery Service at Hospital de Clínicas, UFPR, Sao Paulo, Brazil.

Introduction: Subfascial breast augmentation is gaining popularity because of no distortion when the pectoral muscle is contracted and minimizing visualization of the edges of the implant. Although some studies have reported a satisfactory outcome with subfascial technique, it still is controversial the influence of the pectoral fascia and outcome compared to the subglandular technique. Therefore, this prospective randomized study aimed to investigate whether there are clinical/radiological differences between subfascial and subglandular pockets following primary breast augmentation. Read More

Aesthetic Plast Surg 2019 08 28;43(4):890-898. Epub 2019 May 28.

Department of Aesthetic and Reconstructive Breast Surgery, Plastic Surgery Hospital, Chinese Academy of Medical Sciences, Peking Union Medical College, 33 Badachu Road, Shijingshan District, Beijing, 100144, China.

Background: Subpectoral and prepectoral planes have commonly been used in implant-based breast augmentation. The effect of implant plane on complication rate was still unclear. This meta-analysis demonstrated current evidence with regard to comparison of complication rates between subpectoral and prepectoral breast augmentation. Read More

Aesthet Surg J 2020 01;40(2):167-173

Integrated Leader, Medical, Clinical and Preclinical, Mentor Worldwide, LLC, Irvine, CA.

Background: The relative risks and benefits of various textured breast implants are the focus of considerable discussion. Studies have suggested different risk-benefit profiles for different implant surface topographies.

Objectives: The study aim was to provide device-specific, quantitative information on Mentor's imprinted Siltex Textured breast implants with respect to textured surface characteristics and ISO 14607 classification, risk of breast implant-associated anaplastic large cell lymphoma (BIA-ALCL), and risk-reduction benefits relative to smooth implants. Read More

Aesthet Surg J 2019 08;39(9):953-965

Division of Plastic and Reconstructive Surgery, Department of Surgery, University of Toronto, Toronto, Ontario, Canada.

The authors describe their surgical technique for single-stage periareolar mastopexy with subglandular breast augmentation. They have performed this procedure in 85 patients since 2009 and found that this operative technique has allowed them to achieve reproducible outcomes in a single-stage procedure. Periareolar mastopexy with subglandular breast augmentation is an excellent procedure for patients who desire a larger breast size and who present with mild to moderate nipple ptosis with a paucity of excess skin in the lower pole of the breast. Read More

J Plast Reconstr Aesthet Surg 2019 May 5;72(5):781-788. Epub 2019 Mar 5.

Division of Plastic and Reconstructive Surgery, Jewish General Hospital, 3755 Chemin de la Côte-Sainte-Catherine, Montreal, Quebec, Canada. Electronic address:

Introduction: Animation deformity (AD) is a known complication of subpectoral implant placement and results from the contraction of the pectoralis major muscle with resultant movement of the underlying implant. This can lead to a poor cosmetic result, with the implant becoming distinctly visible postbreast reconstruction and augmentation. The prevalence and clinical significance of AD remain unclear. Read More

J Plast Reconstr Aesthet Surg 2019 Mar 22;72(3):419-423. Epub 2018 Nov 22.

Department of Plastic Surgery, Assaf Harofeh Medical Center, Zerifin 70300, Israel.

Background: Breast augmentation is one of the most common aesthetic procedures performed worldwide. One of the worst associated complications is implant rupture, a topic that will be addressed in the present study. The risk of developing silicone gel breast implant rupture following breast augmentation is associated with multiple factors, including: older generation implant, increased implant age, implant type, specific manufacturer, severe capsular contracture (Baker grade III or IV), and the presence of local symptoms. Read More

Plast Reconstr Surg 2018 12;142(6):1456-1461

Ann Arbor, Mich.; Los Angeles, Calif.; Houston and Dallas, Texas; and St. Louis, Mo. From the Section of Plastic Surgery, Department of Surgery, University of Michigan; the Division of Plastic and Reconstructive Surgery, Department of Surgery, University of California, Los Angeles; the Department of Plastic Surgery, Division of Surgery, University of Texas M. D. Anderson Cancer Center; the Department of Plastic Surgery, University of Texas Southwestern Medical Center; and the Division of Plastic and Reconstructive Surgery, Department of Surgery, Washington University.

Background: Breast implants have evolved for decades. In 2011, the U.S. Read More

Aesthet Surg J 2019 07;39(8):863-872

Division of Plastic Surgery, The University of Texas Medical Branch, Galveston, TX.

Background: Various theories exist to explain the etiology of iatrogenic symmastia. Subglandular over-dissection of the medial breast pocket over the sternum, disruption of midline sternal fascia, oversized implant base diameter, and over-dissection of the medial pectoralis muscle attachments to the sternum are popular explanations.

Objectives: The authors hypothesized that the most common risk factor for iatrogenic symmastia is subpectoral breast augmentation. Read More

Aesthet Surg J 2019 05;39(6):615-623

Department of Plastic Surgery, UT Southwestern Medical Center, Dallas, TX.

Background: Breast augmentation is the most common aesthetic surgery performed in the United States. Despite its popularity, there is no consensus on many aspects of the procedure.

Objectives: The authors assessed current trends and changes in breast augmentation from January 1, 2011 to December 31, 2015. Read More

J Cancer Prev 2018 Jun 30;23(2):93-98. Epub 2018 Jun 30.

Division of Plastic and Reconstructive Surgery, McGill University Faculty of Medicine, Montreal, QC, Canada.

Background: There is a paucity of data comparing the oncologic properties of breast cancer among patients previously having undergone breast augmentation in either the subglandular or subpectoral planes. The objective of the present systematic review was to evaluate whether implant location influenced the characteristics of breast tumors in previously augmented women.

Methods: A systematic literature search was performed to identify relevant articles reporting tumor characteristics in augmented patients. Read More

J Plast Reconstr Aesthet Surg 2018 09 9;71(9):e29-e48. Epub 2018 Jun 9.

Department of Plastic, Reconstructive and Hand Surgery, VU University Medical Center, De Boelelaan 1117, PO Box 7057, 1007 MB, Amsterdam, The Netherlands.

Background: Capsular contracture is the most frequent complication in breast augmentation or reconstruction with breast implants. The exact mechanism for this complication is not completely understood. Yet, it is most likely to be a multifactorial condition. Read More

Ann Plast Surg 2018 09;81(3):257-262

Plastic Reconstructive and Aesthetic Surgery Department, Izmir Katip Celebi University, Ataturk Training and Research Hospital.

Background: Breast ptosis is an inevitable consequence of gravity and time. Every breast tends to become ptotic in different shapes and degrees. Many surgical techniques were described to solve this problematic issue. Read More

Plast Reconstr Surg 2018 04;141(4S Sientra Shaped and Round Cohesive Gel Implants):20S-28S

Louisville and Lexington, KY; Marina Del Ray, CA; Charlotte, NC; Santa Monica, CA; and Santa Barbara, CA From the Division of Plastic Surgery, University of Louisville, and Division of Plastic Surgery, University of Kentucky; Division of Plastic Surgery, University of Southern California School of Medicine, University of Southern California; Department of Plastic Surgery, Presbyterian Hospitals; private practice; Clinical Operations and Medical Affairs, Sientra, Inc.; and MB Statistical Consulting.

Background: Despite the increased understanding of surgical best practices, capsular contracture remains the most commonly reported complication and reason for reoperation following breast implant surgery. This study provides a long-term update to a previous investigation of potential contributing risk factors for capsular contracture in primary augmentation patients.

Methods: The data used for this analysis include 5,122 implants in 2,565 primary augmentation patients implanted by 34 surgeons based on long-term results from Sientra's clinical study. Read More

Aesthet Surg J 2018 Sep;38(10):1092-1096

Beit Harofim Medical Center, Haifa, Israel.

Background: The posttreatment pain associated with breast augmentation is a top concern of most patients and can affect the decision concerning surgery.

Objectives: This study aimed to compare the posttreatment pain and recovery times of patients undergoing primary breast augmentation with lightweight vs full-mass implants of similar volumes. The authors hypothesized that the reduced mechanical strain applied by lightweight implants elicits less pain. Read More

Eplasty 2018 8;18:e7. Epub 2018 Feb 8.

IECEP, Boulogne Billancourt, France.

Observational studies are essential for ensuring patient safety, decreasing complications, and developing better surgical techniques and implants. The primary objective of this study is to demonstrate the safety and efficacy of Sebbin breast implants in both augmentation and reconstruction cohorts. This prospective, multicenter, observational 10-year study conducted in France included 205 patients (385 implants) who underwent breast augmentation (n = 166) or reconstruction (n = 39) with Sebbin round silicone gel implants. Read More

Aesthet Surg J 2017 Oct;37(10):1114-1123

Department of Plastic Surgery, Regina Elena Cancer Institute of Rome, Rome, Italy.

Background: Optimal breast augmentation-mastopexy involves a reliable technique, fast recovery, minimal complications, and aesthetic results that are excellent and enduring.

Objectives: The authors sought to determine whether the balcony technique of augmentation-mastopexy was safe and yielded satisfactory long-term outcomes in patients with breast ptosis and hypoplasia.

Methods: The authors conducted a retrospective review of 207 patients who underwent subglandular augmentation and inverted-T mastopexy with a customized Wise keyhole resection pattern and an inferior flap. Read More

Plast Reconstr Surg 2017 Jun;139(6):1240e-1249e

Durham, N.C.; and Philadelphia, Pa. From the Divisions of Plastic and Reconstructive Surgery and Advanced Oncologic and Gastrointestinal Surgery, Duke University Health System; and the Department of Bioengineering, University of Pennsylvania.

Background: Breast augmentation with subglandular versus subpectoral implants may differentially impact the early detection of breast cancer and treatment recommendations. The authors assessed the impact of prior augmentation on the diagnosis and management of breast cancer in women undergoing mastectomy.

Methods: Breast cancer diagnosis and management were retrospectively analyzed in all women with prior augmentation undergoing therapeutic mastectomy at the authors' institution from 1993 to 2014. Read More

Ann Plast Surg 2017 Jun;78(6):623-628

From the *Department of Plastic, Reconstructive and Aesthetic Surgery, Dicle University, Dicle Medical Faculty, Diyarbakir, Turkey.

Breast augmentation is a challenging issue in atrophied breasts related to breastfeeding. Here, we describe a modification combining breast implants and fat grafting to obtain a successful outcome without implant edge visibility and palpability.Thirty-four women with atrophied breasts underwent breast augmentation over a 6-year period. Read More

Plast Reconstr Surg 2017 Jan;139(1):1-9

St. Louis, Mo.; Houston, Texas; and Irvine, Calif. From Parkcrest Plastic Surgery; Baylor College of Medicine; and Allergan, Inc.

Background: Natrelle 410 silicone breast implants are approved in the United States for breast augmentation, reconstruction, and revision.

Methods: In two ongoing, prospective, multicenter 10-year studies, 17,656 subjects received Natrelle 410 implants for augmentation (n = 5059), revision-augmentation (n = 2632), reconstruction (n = 7502), or revision-reconstruction (n = 2463). Capsular contracture, implant malposition, and late seroma were documented. Read More

Aesthetic Plast Surg 2016 Aug 10;40(4):507-13. Epub 2016 Jun 10.

Department of Plastic & Aesthetic, Reconstructive & Hand Surgery, AGAPLESION Markus Hospital, Academic Teaching Hospital of the Johann Wolfgang von Goethe University, Wilhelm-Epstein-Str. 4, 60431, Frankfurt am Main, Germany.

Background: Following a Europe-wide scandal, substandard breast implants containing silicone for industry purposes produced by Poly Implant Prothèse (PIP&Rofil) were explanted due to its potential health risks.

Objective: We investigated whether these implants actually imposed a threat to patients' health.

Methods: In this retrospective single-centre case-control study, we compared patients with breast augmentation receiving implant explantation (01/2011-01/2015). Read More

Plast Reconstr Surg 2016 09;138(3):550e-1e

Division of Plastic and Reconstructive Surgery Pedro Ernesto University Hospital Rio de Janeiro State University Breast Division Rio Imagem Center for Diagnostic Imaging of the State of Rio de Janeiro Division of Plastic and Reconstructive Surgery Pedro Ernesto University Hospital Graduate Program in Physiopathology and Surgical Sciences Department of General Surgery Rio de Janeiro State University Rio de Janeiro, Brazil.

Plast Reconstr Surg 2016 09;138(3):550e

Division of Plastic and Reconstructive Surgery Department of Surgery Peking Union Medical College Hospital Beijing, People's Republic of China.

Plast Reconstr Surg Glob Open 2015 Nov 9;3(11):e555. Epub 2015 Dec 9.

Private Practice, Finesse Plastic Surgery, Newport Beach, Calif.; Department of Plastic and Reconstructive Surgery, Chang Gung Memorial Hospital, College of Medicine, Chang Gung University, Taoyuan, Taiwan; and Center for Tissue Engineering, Chang Gung Memorial Hospital, Taoyuan, Taiwan.

Background: Economic, cultural, and regulatory phenomena may explain recent popularization of implant-based augmentation in Asia; but the collective Eastern experience remains limited. Asian surgeons and their patients rely on evidence-based medicine that originates elsewhere and may not be entirely relevant. Distinct anatomic and cultural features of Asian women warrant a tailored approach to breast augmentation. Read More

Simul Healthc 2016 Feb;11(1):60-4

From the Division of Plastic and Reconstructive Surgery (R.K., B.C.), Department of Experimental Surgery, Division of Plastic and Reconstructive Surgery (M.G.), Department of Surgery, and Arnold and Blema Steinberg Medical Simulation Centre (R.K., S.C., T.M.H.), McGill University, Montreal, QC, Canada.

Introduction: Since the introduction of competency-based education and the restriction of residents' working hours, simulator-aided training has obtained increasing attention for its role in teaching and assessing resident surgical skills. Within plastic surgery training, such simulators would be particularly useful for aesthetic surgery procedures such as augmentation mammoplasty where residents have fewer opportunities for hands-on experience. The aims of this study were to develop a part-task trainer that allows plastic surgery trainees to acquire skills necessary for augmentation mammoplasty and to assess its potential value as a training tool. Read More

Int J Clin Exp Med 2015 15;8(10):18737-43. Epub 2015 Oct 15.

Department of Plastic and Reconstructive Surgery of Southwest Hospital, Third Military Medical University Chongqing, China.

Background: The most critical thing in breast augmentation surgery is to determine the location for implant placement. However, few researches on this were carried out in China. We therefore conducted this retrospective study to compare the recovery period, complications and patient satisfaction at two different implant placement locations-the subglandular plane and the subpectoral plane. Read More

Plast Reconstr Surg 2016 Jan;137(1):62-9

Rio de Janeiro, Brazil From the Division of Plastic and Reconstructive Surgery, Pedro Ernesto University Hospital, and the Graduate Program in Physiopathology and Surgical Sciences, Department of General Surgery, Rio de Janeiro State University; and the Breast Division, Rio Imagem Center for Diagnostic Imaging of the State of Rio de Janeiro.

Background: Besides being a procedure with high level of patient satisfaction, one of the main causes for reoperation after breast augmentation is related to contour deformities and changes in breast volume. Few objective data are available on postoperative volumetric analysis following breast augmentation. The aim of this study was to evaluate volume changes in the breast parenchyma and pectoralis major muscle after breast augmentation with the placement of silicone implants in the subglandular and submuscular planes. Read More

Ann Plast Surg 2016 Jan;76(1):13-7

From the *Skinlaser, Plastic Surgery and Laser Center, Rome, Italy; †Department of Plastic, Reconstructive and Aesthetic Surgery, University Hospitals of Lausanne, Lausanne, Switzerland; ‡Department of Anaesthesiology and Intensive Care, Catholic University of the Sacred Heart, Rome; and §Venuslab, Plastic Surgery and Laser Center, Palermo, Italy.

Background: Tumescent local anesthesia (TLA) technique to obtain regional anesthesia and vasoconstriction of the skin and subcutaneous tissues is routinely adopted for several plastic surgery procedures. Here, we describe the use of TLA in primary subglandular breast augmentation. This series evaluates advantages and disadvantages of TLA in elective augmentation breast surgery as well as patients' response to this procedure. Read More

Aesthet Surg J 2015 Nov;35(8):929-35

Dr Roxo is a PhD Student, Graduate Program in Physiopathology and Surgical Sciences, and Drs Nahas, de Castro, and Aboudib are Associate Professors, Division of Plastic and Reconstructive Surgery, "Pedro Ernesto" University Hospital, Rio de Janeiro State University (UERJ), Rio de Janeiro, Brazil. Dr Bazi is a Radiologist, Breast Division, Rio Imagem Center for Diagnostic Imaging of the State of Rio de Janeiro, Rio de Janeiro, Brazil. Dr Marques is an Assistant Professor, Graduate Program in Physiopathology and Surgical Sciences, Department of General Surgery, Rio de Janeiro State University (UERJ), Rio de Janeiro, Brazil.

Background: Despite being the cosmetic procedure most performed worldwide, there are still few objective measurements of postoperative volumetric analysis of breast augmentation available in the literature.

Objective: The aim of this study was to evaluate volumetric changes in the breast parenchyma after the placement of silicone implants in the subglandular plane.

Methods: Thirty-four women were randomly allocated to the intervention group (n = 24), who underwent breast augmentation in the subglandular plane, or to the control group (n = 10), who received no intervention. Read More

Arch Plast Surg 2015 Sep 15;42(5):532-43. Epub 2015 Sep 15.

Aesthetic and Reconstructive Breast Surgery, The London Breast Institute, London, UK.

Capsular contracture is the most common complication following implant based breast surgery and is one of the most common reasons for reoperation. Therefore, it is important to try and understand why this happens, and what can be done to reduce its incidence. A literature search using the MEDLINE database was conducted including search terms 'capsular contracture breast augmentation', 'capsular contracture pathogenesis', 'capsular contracture incidence', and 'capsular contracture management', which yielded 82 results which met inclusion criteria. Read More

Plast Reconstr Surg 2015 Apr;135(4):699e-710e

New Haven, Conn.; and São Paulo, Brazil From the Section of Plastic and Reconstructive Surgery, Yale School of Medicine; and the Department of Plastic Surgery, University of São Paulo.

Background: The goal of this study was to compare immediate changes in breast shape and nipple position using different implant shapes and volumes, with variable release of the pectoralis major muscle in fresh cadavers.

Methods: Seventeen fresh cadaveric breasts were analyzed. Six different augmentation procedures were performed, including pocket dissection in the submuscular and subglandular planes, and partial and full release of the pectoralis major muscle insertion. Read More

Aesthet Surg J 2015 Mar;35(3):265-72

From Rio de Janeiro State University in Brazil.

Background: Breast augmentation through incisions in the axillae is an option for patients who wish to avoid scars on the breasts. The axillary approach also preserves the mammary parenchyma and lactiferous ducts. The utility of video-assisted endoscopy during this procedure as a means to improve safety and aesthetic outcomes remains debatable. Read More

PLoS One 2015 13;10(2):e0116071. Epub 2015 Feb 13.

Department of Plastic and Cosmetic Surgery, Xinqiao Hospital, Third Military Medical University, Chongqing, China 400037.

Background: A large number of clinical studies have reported that the different materials used in breast implants were a possible cause of the different incidence rates of capsular contracture observed in patients after implantation. However, this theory lacks comprehensive support from evidence-based medicine, and considerable controversy remains.

Objectives: In this study, a cumulative systematic review examined breast augmentation that used implants with textured or smooth surfaces to analyze the effects of these two types of implants on the occurrence of postoperative capsular contracture. Read More

Ann Plast Surg 2015 Mar;74(3):274-6

From the *Division of Plastic Surgery, University of Mississippi Medical Center; and †Mississippi Premier Plastic Surgery, Jackson, MS.

The aging population, in combination with the popularity of breast augmentation with implants, presents surgeons with a growing number of cases involving women undergoing minimally invasive cardiac surgery (MICS) who have breast implants. We present an unusual complication involving the delayed migration of a subpectoral implant into the chest cavity through an iatrogenic defect after a minimally invasive mitral valve repair. This chest wall defect was ultimately repaired with a latissimus dorsi flap. Read More

Aesthet Surg J 2014 Sep 23;34(7):1050-8. Epub 2014 Jul 23.

Dr Tsai is a resident, Mr Castillo is a medical student, and Dr Moliver is a Clinical Professor of Plastic Surgery in the Division of Plastic Surgery, Department of Surgery, University of Texas Medical Branch, Galveston

Background: Breast augmentation is the most popular cosmetic surgery procedure in the United States. Postoperative striae is a known but incompletely understood complication of breast augmentation.

Objectives: The authors investigated their own patient population to discern risk factors for new-onset striae after cosmetic breast augmentation. Read More

Plast Reconstr Surg 2014 Jun;133(6):1354-61

Washington, D.C.; and Santa Barbara, Calif. From the Department of Plastic Surgery, Georgetown University Hospital; and Allergan, Inc.

Background: Allergan's Natrelle round silicone-filled breast implants were approved by the U.S. Food and Drug Administration in 2006 based on interim results from the Core Study; final 10-year study results are now available. Read More

Aesthetic Plast Surg 2014 Jun 10;38(3):521-7. Epub 2014 Apr 10.

Department of Plastic and Reconstructive Surgery, Ilsan Paik Hospital, Inje University College of Medicine, 170 Juhwa-ro, Ilsanseo-gu, Goyang, Republic of Korea.

Background: Dual-plane techniques offer excellent pocket locations for breast augmentation. Traditional techniques require incisions in the inframammary or periareolar crease, which are rarely accepted in the authors' department because of visible scars on the breast. Therefore, the authors developed a transaxillary approach for dual-plane procedures using an endoscope. Read More

Plast Reconstr Surg 2013 Nov;132(5):1115-23

Marina del Rey and Santa Barbara, Calif. From Marina Plastic Surgery Associates and Sientra, Inc.

Background: Although there are a few broadly agreed on contributory factors, the multifaceted causes of capsular contracture have remained unresolved for decades. This study investigates a variety of potential risk factors that contribute to capsular contracture in primary augmentation patients.

Methods: The data used for this analysis include 5109 implants in 2560 primary augmentation patients implanted by 34 surgeons based on 5-year results from Sientra's clinical study. Read More

Plast Reconstr Surg 2013 Aug;132(2):304-15

Plastic and Reconstructive Surgery, Denver Health Medical Center, University of Colorado Health Sciences Center, Denver, CO 80204, USA.

Background: Revision breast surgery following breast augmentation secondary to capsular contracture and implant rupture is not uncommon. Breast autoaugmentation using an inferior pedicle dermoglandular flap following implant removal was used in patients who did not want new implants, and outcomes were analyzed.

Methods: Thirty-nine breasts (38 breasts bilateral, one breast unilateral) in 20 consecutive patients (aged 38 to 66 years) were operated on. Read More