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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 2018 Aug 21. Epub 2018 Aug 21.

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.

Objective: We hypothesize that the most common risk factor for iatrogenic symmastia is subpectoral breast augmentation. Read More

Aesthet Surg J 2018 Jul 24. Epub 2018 Jul 24.

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 clear consensus on many aspects of the procedure.

Objectives: We 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 Sep 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 Sep;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

Khirurgiia (Sofiia) 2013 (1):12-7

Department of Burns, Plastic and Aesthetic Surgery, Multi-profile Hospital for Active Treatment, Varna Military Medical Academy, Sofia, Bulgaria.

The article presents the indications and results of augmentation mammaplasty in 121 female patients with breast asymmetry. Inframammary and periareolar incisions were used in the surgical intervention. Subglandular, submuscular and dual plane techniques were used in creating the implant pocket. Read More

World J Plast Surg 2013 Jun;2(2):93-8

Plastic, Reconstructive Surgeon, La Chirurgie, Islamabad Cosmetic Surgery Centre, Islamabad, Pakistan.

Background: Breast augmentation is the most frequent procedure performed according to the 2009 Quick Facts report of the American Society of Plastic Surgeons. This study presents the periareolar extra-glandular breast augmentation.

Methods: From 2004 to 2010 among 32 female patients, peri-areolar incision was performed for breast augmentation. Read More

J Plast Reconstr Aesthet Surg 2013 Sep 9;66(9):1165-72. Epub 2013 May 9.

Atlanta Plastic Surgery, Atlanta, GA, USA; Emory University, Atlanta, GA, USA.

Background: Clinical evidence concerning the potential risks and benefits associated with surgical incision, anatomical pocket and implant device type in primary breast augmentation is lacking.

Objectives: This study assesses relative risk (RR) of adverse events stratified by surgical incision, anatomical pocket and breast implant device in primary augmentation patients enrolled in Core (NCT00689871, round/silicone devices) and 410 (NCT00690339, anatomically shaped/highly cohesive silicone devices) long-term clinical trials.

Methods: RR for time-to-first-event of Baker grade 3-4 capsular contracture (CC), moderate-severe malposition, and secondary procedure were calculated using multivariate time-to-event regression analysis. Read More

Plast Reconstr Surg 2013 May;131(5):1149-56

Bagcilar Research and Training Hospital, Bagcilar, Istanbul, Turkey.

Background: The transaxillary route is a popular method of breast augmentation because it is associated with inconspicuous scars. The subfascial plane carries the advantages and decreases the disadvantages of subglandular and submuscular planes. In the technique described, the authors placed the implant totally subfascially to strengthen the advantages of the traditional subfascial plane. Read More

Plast Reconstr Surg 2013 Aug;132(2):295-303

The Plastic Surgery Clinic, Mississauga, Ontario, Canada.

Background: The Allergan Style 410 implant is a textured, anatomic, highly cohesive silicone gel-filled breast implant. Despite its widespread use in both Europe and Canada, limited data exist regarding long-term outcomes. The purpose of this study was to investigate outcomes using the Style 410 implant for primary subglandular breast augmentation. Read More

Aesthetic Plast Surg 2013 Apr 5;37(2):312-20. Epub 2013 Feb 5.

Ukrainian Institute of Plastic Surgery Virtus, Bunina str. 10, Odessa, 65026, Ukraine.

Background: An algorithm for breast reconstruction for patients with complications after polyacrylamide gel (PAAG) injections is presented, and the outcomes of surgery using the adopted treatment protocol are evaluated.

Methods: We reviewed the clinical records of consecutive patients who were treated for PAAG complications with breast reconstruction at two surgical centers between 2000 and 2010 (n=154). All patients had one or more complications from PAAG injections and underwent gel removal and breast reconstruction with implants. Read More

Aesthetic Plast Surg 2013 Apr 26;37(2):290-302. Epub 2013 Jan 26.

Reshape House, 2-4 High Street, West Malling, Kent, ME19 6QR, UK,

Background: Augmentation mammoplasty is a commonly performed procedure with a very high satisfaction rate. Various techniques have been described since the report of the first augmentation mammoplasty in 1963. Muscle-splitting augmentation mammoplasty, a technique first published in 2007, has been used by the author for primary and secondary augmentation mammoplasties and for mastopexy with augmentation. Read More

Plast Reconstr Surg 2012 Dec;130(6):1187-96

Division of Plastic Surgery, Massachusetts General Hospital, Harvard Medical School, Boston, Mass, USA.

Unlabelled: A technique of implant exchange is reported using recipient-site preexpansion followed by autologous fat transplantation to the breast in 12 consecutive patients with breast implants who desired implant removal. Recipient-site preexpansion, used 2 weeks before fat grafting, may have both practical and theoretical benefits in increasing the breast subcutaneous space and stimulating the recipient-site microcellular environment overlying the prosthetic implant, allowing the subcutaneous insertion of a sufficient core volume of donor graft at the time of prosthetic explantation. In the cases described, the postexplantation breast volume at 9 months to 1 year postoperatively by quantitative three-dimensional imaging was equal to or greater than the preexplantation composite volume of breast and implant. Read More

Aesthetic Plast Surg 2012 Oct 1;36(5):1096-104. Epub 2012 Jun 1.

Background: Incisions for insertion of breast implants are most commonly placed in the inframammary fold, areola, or axilla. Previous studies have evaluated selection of incision location preoperatively and for nipple-areola complex sensation retention after primary augmentation mammaplasty. This study compares the most common postoperative complications for each incision location in patients who underwent primary breast augmentation. Read More

Int J Cancer 2012 Oct 17;131(7):E1148-57. Epub 2012 May 17.

Public Health Agency of Canada, Ottawa, ON, Canada.

Cosmetic breast implants are not associated with increased breast cancer incidence, but variations of risk according to implant characteristics are still poorly understood. As well, the assessment of cancer risk for sites other than breast needs to be clarified. The purpose of this study was to fill these research gaps. Read More

Aesthet Surg J 2011 Nov;31(8):941-52

Background: Breast augmentation is the most commonly performed cosmetic surgical procedure in the United States, but surgeon preferences in terms of technique and postoperative care regimen vary widely.

Objectives: The authors investigated the influence of career stage, practice type and location, and physician's sex on surgical technique preferences among board-certified plastic surgeons performing breast augmentation.

Methods: In October 2009, an online survey was e-mailed to all active members of the American Society of Plastic Surgeons practicing within the United States. Read More

Aesthetic Plast Surg 2012 Feb 30;36(1):153-9. Epub 2011 Jun 30.

Department of Plastic and Reconstructive Surgery, Sapienza University of Rome, Rome, Italy.

Background: Implant breast augmentation is one of the most frequently performed surgical procedures, and fungal infection still is considered exceptional. This report presents a case of bilateral breast implant infection by multidrug-resistant Candida albicans treated with a targeted antifungal therapy.

Methods: A young woman presented with breast pain and asymmetry as well as implant superficialization in the left breast 3 years after bilateral tuberous breast correction with implant insertion. Read More

Ann Chir Plast Esthet 2011 Jun 2;56(3):171-9. Epub 2011 Jun 2.

Service de chirurgie plastique, CHU Rangueil, Toulouse, France.

Study Purpose: For ten years the market for resorbable fillers has seen a large increase. A CE mark is sufficient for its placing on the market, they do not require AMM because they are not considered drugs. The Macrolane(®) is a hyaluronic acid NASHA gel-based technology, available on the French market since 2007 as filler used in all areas of the body except face and breasts. Read More

Aesthetic Plast Surg 2012 Feb 3;36(1):97-104. Epub 2011 Jun 3.

Department of Plastic and Reconstructive Surgery, University of Perugia, Via G. Dottori, 06100, Perugia, Italy.

Background: The use of mammary implants may lead to a variety of early and delayed complications. The most common delayed complications are capsular contracture and implant failure. Late seroma has seldom been reported. Read More

Aesthetic Plast Surg 2011 Oct 1;35(5):828-38. Epub 2011 Apr 1.

Divisione di Chirurgia Plastica e Ricostruttiva, Clinica Ars Medica, Via C. Ferrero di Cambiano, 29, 00191, Roma, Italy.

Background: Capsular contracture, implant malposition and displacement, breast asymmetry, improper contour, and symmastia may compromise the aesthetic outcome of breast augmentation and usually require surgical correction. Correction of these deformities may be achieved by accommodating a new implant in a novel pocket created in the precapsular space in either the subpectoral or subglandular plane. This article describes a modality to correct adverse results of augmentation mammaplasty and evaluates patient satisfaction. Read More

Aesthetic Plast Surg 2011 Oct 17;35(5):773-81. Epub 2011 Mar 17.

Hospital Quirón Barcelona, Institute of Aesthetic and Plastic Surgery, Plaza Alfonso Comin, 5-7, 08023, Barcelona, Spain.

Background: Augmentation of tuberous breasts classified as grade 3 is a challenge to surgeons. The authors describe their technique for correcting grade 3 tuberous breasts with a book-shaped opening of the breast, insertion of an anatomic prosthesis, and fat grafting.

Methods: The authors' technique for correcting grade 3 tuberous breasts consists of reducing the areolar diameter and performing a book-shaped opening of the breast, applying a modified version of Puckett's technique. Read More

Plast Reconstr Surg 2011 Mar;127(3):1300-10

Division of Plastic and Reconstructive Surgery, Emory University, Atlanta, GA, USA.

Background: This study evaluated patients who underwent primary breast surgery within a single group practice from 1994 to 2009. Reoperations were divided by reoperation reason into total reoperations and implant-specific reoperations. The authors hypothesized that the implant-specific reoperation rate will provide the most accurate measurement of complications caused by the breast implant device. Read More