222 results match your criteria Breast Augmentation Submuscular

Split Inferior Pedicle: The 1-Stage Augmentation Mastopexy for Grade 3 Ptosis.

Aesthet Surg J Open Forum 2022 14;4:ojac017. Epub 2022 Mar 14.

Department of General Surgery, Weill-Cornell NYP, New York City, NY, USA.

In this article, the authors describe the 1-stage surgical technique that has been used by the senior author since 1990 for all his primary grade 2 and grade 3 augmentation-mastopexies. The article provides a safe, simple, and reproducible approach to a challenging procedure, one that tends to be the most litigious in aesthetic breast surgery. The key points of this technique are simple preoperative markings; the augmentation is performed with a true submuscular placement of smooth implants; and the mastopexy is performed with an inferior pedicle technique with unlimited skin flap undermining and no limitation of nipple elevation. Read More

View Article and Full-Text PDF

Subglandular-to-Subpectoral Conversion with Mastopexy: The Four-Step Approach.

Plast Reconstr Surg 2022 Feb;149(2):209e-215e

From private practice.

Background: Because of the multiplying number of patients undergoing breast augmentation, nonprimary augmentation mastopexy will be increasingly requested in the future; this operation represents an even more significant challenge than primary augmentation mastopexy. The authors describe a standardized approach for subglandular-to-subpectoral implant pocket conversion in mastopexy that provides a tight neopocket with inferolateral muscular support, which minimizes implant displacement complications and allows operative strategies to reduce the risk of bacterial load on implants.

Methods: The authors' technique proposes the following: (1) modified subpectoral pocket, with muscular inferolateral support for the implant; (2) independent approaches to the submuscular pocket and subglandular (preexisting) pocket; and (3) preestablished four-step surgical sequence. Read More

View Article and Full-Text PDF
February 2022

Smooth versus Textured Implants and Their Association with the Frequency of Capsular Contracture in Primary Breast Augmentation.

Plast Reconstr Surg 2022 02;149(2):373-382

From the Department of Plastic Surgery, Sanatorio de la Mujer; Department of Plastic Surgery, Centro Quirúrgico Rosario; and Department of Surgery, School of Medicine, Universidad Abierta Interamericana.

Background: Capsular contracture is the most frequent complication of breast implant augmentation. Although studies indicate that textured implants have a low incidence of contracture, they have been associated with anaplastic cell lymphoma, which influences the choice of surface. This study estimated and compared the annual capsular contracture rate of both smooth and textured implants in primary breast implants. Read More

View Article and Full-Text PDF
February 2022

Reoperative Augmentation Mammoplasty: An Algorithm to Optimize Soft-Tissue Support, Pocket Control, and Smooth Implant Stability with Composite Reverse Inferior Muscle Sling (CRIMS) and its Technical Variations.

Aesthetic Plast Surg 2022 Jan 24. Epub 2022 Jan 24.

Brazilian Society of Plastic Surgery, Sao Paulo, Brazil.

Background: Reoperative augmentation mammoplasty (RAM) is a challenging procedure, with the highest rates of complications and revision. Complications include implant malposition, lateral displacement, bottoming out, and rotation. These deformities can be addressed with various procedures, but the pocket control and stability of the new smooth implant surface may present limitations. Read More

View Article and Full-Text PDF
January 2022

Breast Augmentation in Athletic Women: A Retrospective Survey Assessing Pectoral Muscle Function and Implant Aesthetics Post-Augmentation.

Aesthetic Plast Surg 2022 Jan 24. Epub 2022 Jan 24.

Anaesthetic and Pain Medicine Department, Royal Perth Hospital, Perth, Australia.

Background: Breast augmentation is the most common cosmetic, surgical procedure (1). Implant insertion planes include subglandular or submuscular. Submuscular augmentation is often preferred in women with less soft tissue coverage; requiring pectoralis major dissection (2). Read More

View Article and Full-Text PDF
January 2022

Reduced capsular contracture with smooth and textured breast implants following submuscular mammoplasty: systematic literature review.

Future Oncol 2021 Dec 3;17(36):5177-5187. Epub 2021 Nov 3.

Department of Plastic & Reconstructive Surgery, Second Affiliated Hospital of Naval Medical University, Shanghai 200003, China.

Capsular contracture is common in breast augmentation and reconstruction surgery. The present systematic review discusses the safety of textured and smooth implants in the submuscular position.  A literature search was conducted on PubMed and EMBASE from inception until June 2020. Read More

View Article and Full-Text PDF
December 2021

Single Center and Surgeon's Long-Term (15-19 Years) Patient Satisfaction and Revision Rate of Round Textured Eurosilicone Breast Implants.

Aesthet Surg J 2022 04;42(5):NP282-NP292

University of Groningen and University Medical Centre Groningen (UMCG), Groningen, the Netherlands.

Background: Breast augmentation is one of the most commonly performed aesthetic plastic surgical procedures, with over 250,000 procedures in the United States in 2020 alone. However, the safety of breast implants should be closely researched and monitored, especially in the long term.

Objectives: This study was undertaken to evaluate the long-term results of round micro-textured Eurosilicone (Eurosilicone S. Read More

View Article and Full-Text PDF

Layered Mastopexy with Augmentation in Muscle Splitting Biplane: A Modification for Lower Pole Safety and Stability.

Umar Daraz Khan

Aesthetic Plast Surg 2022 Feb 6;46(1):143-151. Epub 2021 Aug 6.

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

Background: Single-stage mastopexy with augmentation is a commonly performed procedure. The single-stage procedure can be performed in primary cases or a secondary procedure in patients with previous history of augmentation, mastopexy or mastopexy with augmentation. The procedure is challenging and not without its risks. Read More

View Article and Full-Text PDF
February 2022

Augmentation Mastopexy with Surgical Excision of the Lower Pole to Avoid Waterfall Deformity: A Surgical Technique and Nipple Areolar Complex Case Series.

Plast Surg (Oakv) 2021 May 21;29(2):103-109. Epub 2020 Jul 21.

Okanagan Plastic Surgery, Kelowna, British Columbia, Canada.

Purpose of this article is to demonstrate a way of avoiding the waterfall deformity in augmentation mastopexy patients. We will show a case series of results and explain how this technique gives satisfying aesthetic results for patients seeking breast augmentation who also require mastopexy. We will show how addressing the breast parenchyma on the lower pole via direct excision can give reliable results and avoids the waterfall deformity. Read More

View Article and Full-Text PDF

Preservation of the Implant in Nipple-Sparing Mastectomies: A Retrospective Cohort Study.

Ann Plast Surg 2021 06;86(6S Suppl 5):S491-S494

Department of Health Outcomes and Behavior, University of South Florida, Morsani College of Medicine, Tampa, FL.

Background: Mastectomies are an integral part of breast cancer treatment for many patients.1 Of those patients, a significant number have previously undergone breast augmentation before being diagnosed with breast cancer. Therefore, we developed the novel technique of performing nipple- and implant-sparing mastectomies (NISMs) for women with prior breast augmentations. Read More

View Article and Full-Text PDF

Subfascial Ergonomic Axillary Hybrid (SEAH) Breast Augmentation: A Surgical Approach Combining the Advantages of Incision, Pocket, Silicone Gel, and Fat Grafting in Primary and Revision Breast Augmentation Surgery.

Aesthet Surg J 2021 05;41(6):NP364-NP384

Plastic Surgery Division, Hospital de Clínicas de Porto Alegre, Porto Alegre, Brazil.

Background: Simultaneous application of the axillary approach (AA) with the subfascial pocket (SF) has been proposed for breast augmentation (BA) surgery. New silicone implant technology and recent improvements in autologous fat grafting (AFG) have ushered in a new era for BA.

Objectives: The aim of this study was to present the combined subfascial ergonomic axillary hybrid (SEAH) method and evaluate its aesthetic benefits after primary/secondary BA. Read More

View Article and Full-Text PDF

LigaSure for the Creation of Bloodless Breast Pockets in Patients Undergoing Transaxillary Breast Augmentation.

Plast Reconstr Surg Glob Open 2020 Dec 22;8(12):e3295. Epub 2020 Dec 22.

MD Clinic, Breast Augmentation & Reconstruction Centre, Seoul, Republic of Korea.

The energy-based LigaSure device is widely utilized to facilitate dissection and hemostasis during various open and endoscopic procedures. Previous studies have demonstrated that this device can reduce intraoperative blood loss in various surgical settings. The present study aimed to report our experience with LigaSure and the advantages of using this device during transaxillary submuscular pocket dissection over those of a monopolar electrocautery dissector in patients undergoing breast augmentation. Read More

View Article and Full-Text PDF
December 2020

A Comprehensive Outcome Review of Subfascial Breast Augmentation over a 10-Year Period.

Tim Brown

Plast Reconstr Surg 2020 12;146(6):1249-1257

From private practice.

Background: Subfascial placement of breast implants has the advantages of subglandular and submuscular placement without the adverse outcomes. There are few large series with longitudinal follow-up and outcome measures.

Methods: Seven hundred eighty-three patients underwent subfascial breast augmentation and were followed up for 10 years. Read More

View Article and Full-Text PDF
December 2020

Harvest of Rib Graft for Rhinoplasty in Breast Implant Patients.

Safvet Ors

Plast Reconstr Surg Glob Open 2020 May 14;8(5):e2809. Epub 2020 May 14.

SO-EP Aesthetic and Plastic Surgery Clinic, Kayseri, Turkey.

Combined cosmetic surgeries are advantageous to patients, requiring only 1 anesthesia administration and the loss of fewer working days. There is no previous study reporting on a submuscular implant placement with the simultaneous reconstruction of a nose deformity using a rib graft. Reconstructions of nose deformities through a rib graft, augmentation mammoplasty, and augmentation mastopexy were performed on 4 female patients (who were 19, 23, 24, and 27 years old) between 2006 and 2016. Read More

View Article and Full-Text PDF

Double Space Augmentation Mastopexy-A Reflection After 15 Years.

Aesthetic Plast Surg 2021 04 4;45(2):491-497. Epub 2020 Nov 4.

Division of Surgery, IPEM, Faculdade Evangélica Mackenzie do Paraná, Curitiba, PR, Brazil.

Introduction: The treatment of breast ptosis using mastopexy associated with the inclusion of a silicone prosthesis in a single surgical procedure is a challenge for surgeons. The aim of this study is to describe the 15-year experience with the placement of silicone breast implants in double, subfascial and submuscular space, in the treatment of patients with breast ptosis, and to analyze the aesthetic results of patients who underwent such surgeries.

Method: During the 15-year period, between 2005 and 2020, 640 mastopexies were performed with the inclusion of silicone breast implants in double space, with high-profile round polyurethane prostheses whose volumes ranged from 135 to 435 ml, in patients with grade 2 and 3 breast ptosis. Read More

View Article and Full-Text PDF

Plane Change Vs Capsulotomy: A Comparison of Treatments for Capsular Contraction in Breast Augmentation Using the Subfascial Plane.

Tim Brown

Aesthetic Plast Surg 2021 06 19;45(3):845-850. Epub 2020 Oct 19.

, 2/40 Clyde Road, Berwick, VIC, 3806, Australia.

Background: The management of capsular contraction following breast augmentation has numerous, often conflicting potential treatment protocols, each designed to reduce the incidence of further recurrence. The use of the subfascial plane has not been investigated as an alternative to other treatment options.

Objectives: To examine the outcomes from patients presenting with recurrent capsular contraction after being treated for the first capsule by placement of an implant into the subfascial (SF) plane. Read More

View Article and Full-Text PDF

Periprosthetic Infection in Primary and Secondary Augmentation Mammoplasty Using Round Silicone Gel Breast Implants: Comparative Analysis of 2521 Primary and 386 Secondary Mammoplasties in a Single Surgeon Practice.

Umar Daraz Khan

Aesthetic Plast Surg 2021 02 29;45(1):1-10. Epub 2020 Sep 29.

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

Introduction: Wounds are generally classified as clean, clean contaminated, contaminated and dirty. Aesthetic surgery, including breast augmentation, is classified as clean or clean contaminated. The presence of bacteria on the skin, in nipple secretions, in superficial and deep parenchymal samples and also the presence of bacteria in capsules and on implants justifies the use of antibiotics. Read More

View Article and Full-Text PDF
February 2021

The Treatment of Capsular Contracture Around Breast Implants Induced by Fractionated Irradiation: The Collagenase of the Bacterium Clostridium Histolyticum as a Novel Therapeutic Approach.

Aesthetic Plast Surg 2021 06 23;45(3):1273-1281. Epub 2020 Sep 23.

Department of Hand-, Plastic and Reconstructive Surgery, Burn Trauma Center, BG Trauma Center Ludwigshafen, University of Heidelberg, Ludwig-Guttmann-Strasse 13, 67071, Ludwigshafen, Germany.

Background: Irradiation therapy limits the utilization of silicone implants for breast reconstruction due to a significant risk for capsular contracture. The injection of the collagenase of the bacterium Clostridium histolyticum (CCH) might trivialize this risk by providing a minimal-invasive treatment option by capsular contracture degradation. However, efficacy in degrading breast implant capsules induced by fractionated irradiation remains unclear. Read More

View Article and Full-Text PDF

Primary Breast Augmentation Using Axillary Skin Incision, Submuscular Implants, and Intraoperative Tissue Expansion.

Jan B Wieslander

Plast Reconstr Surg Glob Open 2020 Jun 8;8(6):e2825. Epub 2020 Jun 8.

Institute of Plastic Surgery, Lund University, Malmoe, Sweden.

Background: Primary breast augmentation in small, pointed, or tubular breasts using axillary skin incision, submuscular cohesive gel implants, and intraoperative tissue expansion dramatically reduces complications.

Methods: A 2.5- to 3. Read More

View Article and Full-Text PDF

Endoscopic transaxillary capsulectomy with immediate reimplantation performed as a single-operator outpatient procedure.

Chih-Cheng Hung

J Plast Reconstr Aesthet Surg 2020 Dec 26;73(12):2225-2231. Epub 2020 May 26.

Chimay Plastic Surgery Clinic, 2F, No. 50, Section 4, Ren'ai Road, Da'an District, Taipei 106, Taiwan; School of Health Care Administration, Taipei Medical University, Taiwan. Electronic address:

Capsulectomy is a standard treatment for capsular contracture after breast augmentation. Incision via the endoscopic transaxillary approach is generally preferred by Asian women, but relevant literature addressing endoscopic transaxillary capsulectomy is limited. This study described the techniques of endoscopic transaxillary capsulectomy with reimplantation performed as a single-operator outpatient procedure. Read More

View Article and Full-Text PDF
December 2020

Reoperative Transaxillary Approach Algorithm: Extending the Surgical Alternatives for Secondary Breast Augmentation in the Era of Scarless Surgery.

Aesthet Surg J 2020 10;40(11):1179-1192

Dr Munhoz is an Assistant Professor, Division of Plastic Surgery, Hospital Sírio-Libanês; Chief of the Breast Surgery Group, Division of Plastic Surgery, University of São Paulo School of Medicine; and Coordinator, Department of Plastic Surgery Department, Hospital Moriah, São Paulo, Brazil.

Background: Although the transaxillary approach (TAA) is useful in primary breast augmentation (BA) surgery, drawbacks of this technique include the need to correct complications arising from reuse of the axillary incision.

Objectives: The purpose of this study was to assess the outcomes of secondary BA procedures performed via the TAA in a cohort of patients operated on by a single surgeon and to provide an algorithm for reoperative TAA technique selection.

Methods: Sixty-two patients (122 breasts) underwent secondary TAA BA, which was indicated for capsular contracture (CC) in 35 patients (56. Read More

View Article and Full-Text PDF
October 2020

Breast augmentation in male-to-female transgender patients: Technical considerations and outcomes.

JPRAS Open 2019 Sep 17;21:63-74. Epub 2019 Apr 17.

Brownstein and Crane Surgical Services, San Francisco, CA, United States.

Introduction: Gender-affirmation surgery is essential in the management of gender dysphoria. For male-to-female transgender women (transwomen), feminization of the chest is a component in this process. There is minimal literature describing effective and safe techniques for breast augmentation in transwomen. Read More

View Article and Full-Text PDF
September 2019

Pectoralis Major Median Myotomy: The Median Cut.

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

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

View Article and Full-Text PDF
February 2020

Current practice in mammographic imaging of the augmented breast in Australia.

J Med Radiat Sci 2020 Jun 24;67(2):102-110. 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

View Article and Full-Text PDF

Efficient reduction of fibrous capsule formation around silicone breast implants densely grafted with 2-methacryloyloxyethyl phosphorylcholine (MPC) polymers by heat-induced polymerization.

Biomater Sci 2020 Mar;8(6):1580-1591

Department of Chemistry, College of Natural Sciences, Seoul National University, 1 Gwanak-ro, Gwanak-gu, Seoul 08826, Republic of Korea.

Implants based on silicone elastomers, polydimethylsiloxane (PDMS), have been widely used for breast augmentation and reconstruction, but excessive foreign body reactions around implants often cause serious side effects such as capsular contracture. In our previous study, we covalently grafted 2-methacryloyloxyethyl phosphorylcholine (MPC)-based polymers on the surface of PDMS blocks by UV-induced polymerization and showed effective reduction of capsular formation around the MPC-grafted PDMS in rats. In the present study, we examined the efficacy of heat-induced polymerization of MPC grafting on silicone breast implants intended for humans, and analyzed the in vivo inhibitory effect against capsular formation and inflammation in pigs, which are closely related to humans in terms of epidermal structures and fibrotic processes. Read More

View Article and Full-Text PDF

Bilateral Breast Reconstruction With Profunda Artery Perforator Flaps and Immediate Implant Augmentation.

Aesthet Surg J Open Forum 2020 Jan 14;2(1):ojz036. Epub 2020 Jan 14.

Department of Surgical Oncology, The University of Texas MD Anderson Cancer Center, Houston, TX.

The smaller volume of the profunda artery perforator (PAP) flap relative to that of abdominal flaps limits the size of breast reconstruction that may be achieved. Immediate implant augmentation of abdominal free flaps has been performed, but immediate implant augmentation of PAP flaps has never been described. A 54-year-old woman with BRCA2 mutation, submuscular implants, and previous abdominoplasty presented for nipple-sparing mastectomies (NSM). Read More

View Article and Full-Text PDF
January 2020

SMS-Split Muscle Support: A Reproducible Approach for Breast Implant Stabilization.

Aesthetic Plast Surg 2020 06 16;44(3):698-705. Epub 2019 Dec 16.

Plastic Surgery Division, Pontifical Catholic University of Rio Grande do Sul, Porto Alegre, RS, Brazil.

Background: Recent concerns regarding the association between macrotextured breast implants and anaplastic large cell lymphoma (ALCL) have led to renewed interest in the use of devices with less texturing. Smooth implants appear to have a decreased risk of ALCL; however, low implant adherence has led to questions about implant stabilization and bottoming-out. The senior author has used a split muscle support (SMS) technique to help support the implant infero-laterally in over 380 breast augmentations and augmentation-mastopexy using smooth implants, with a low complication and reoperation rate. Read More

View Article and Full-Text PDF

Revisionary Surgery Following Primary Augmentation Mammoplasty in Muscle Splitting Biplane Pocket: An Appraisal of 93 Revisionary Surgeries.

Umar Daraz Khan

Aesthetic Plast Surg 2021 04 16;45(2):462-471. Epub 2019 Dec 16.

Reshape Clinic, Reshape House, 2-4 High Street, West Malling, Kent, ME19 6QR, England.

Background: Muscle splitting augmentation mammoplasty is the creation of a submuscular pocket which is gaining attention and acceptance by plastic surgeons worldwide. First introduced in 2007, muscle splitting augmentation mammoplasty has since been used for primary and secondary augmentation mammoplasty and augmentation mastopexy procedures. A personal experience of revision surgeries following muscle splitting augmentation mammoplasty is presented. Read More

View Article and Full-Text PDF

Antimicrobial Irrigation and Technique during Breast Augmentation: Survey of Current Practice.

Plast Reconstr Surg Glob Open 2019 Aug 8;7(8):e2310. Epub 2019 Aug 8.

Department of Plastic and Reconstructive Surgery, University of Tennessee College of Medicine Chattanooga, Chattanooga, Tenn.

Breast augmentation is among the most common procedures performed in the United States. Though bacterial contamination of breast prostheses is associated with adverse sequelae, there are no universally accepted guidelines and limited best practice recommendations for antimicrobial breast pocket irrigation. We designed a survey to identify pocket irrigation preferences and antimicrobial techniques during implant-based breast augmentation among American Society of Plastic Surgeons (ASPS) members. Read More

View Article and Full-Text PDF

The Kinematics of Breasts Implanted With a Reduced Mass Implant: A Pilot Study.

Aesthet Surg J 2020 04;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

View Article and Full-Text PDF