213 results match your criteria Breast Augmentation Submuscular

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

Ann Plast Surg 2021 Feb 1. Epub 2021 Feb 1.

From the Department of Plastic Surgery, Morsani College of Medicine, University of South Florida, Tampa, FL Yale School of Public Health, New Haven, CT Department of Women's Oncology, Breast Program, Moffitt Cancer Center 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

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February 2021

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 Jan 22. Epub 2021 Jan 22.

Plastic Surgeon, Plastic Surgery Division - Hospital de Clínicas de Porto Alegre, Porto Alegre-RS, Brazil.

Background: Simultaneous association 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: This study presents the combined subfascial ergonomic axillary hybrid (SEAH) method and evaluates its aesthetic benefits after primary/secondary BA. Read More

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January 2021

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

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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

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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

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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

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

Tim Brown

Aesthetic Plast Surg 2020 Oct 19. 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

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October 2020

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

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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 2020 Sep 23. 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

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September 2020

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

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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

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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

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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

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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

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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

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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

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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

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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

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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

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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

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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

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The New Method of Pocket Forming for Breast Implant Placement in Augmentation Mammaplasty: Dual Plane Subfascial.

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

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Muscle Splitting Augmentation Mammoplasty: A 13-Year Outcome Analysis of 1511 Primary Augmentation Mammoplasties.

Umar Daraz Khan

Aesthetic Plast Surg 2019 12 9;43(6):1469-1477. Epub 2019 Aug 9.

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

Background: Augmentation mammoplasty is a commonly performed procedure by plastic surgeons with a high satisfaction outcome. Muscle splitting augmentation mammoplasty was first described in 2007 and has been since used for primary and secondary augmentation mammoplasty as well as for primary and secondary augmentation mastopexy procedures.

Methods: A retrospective analysis of data for muscle splitting primary augmentation mammoplasties performed between October 2005 and October 2018 was carried out. Read More

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December 2019

Breast animation deformity.

Arch Plast Surg 2019 Jan 15;46(1):7-15. Epub 2019 Jan 15.

Department of Plastic Surgery, Odense University Hospital, Odense and Lillebaelt Hospital, Vejle, Denmark.

Breast animation deformity (BAD) has been reported to occur after submuscular implant placement following breast augmentation and immediate breast reconstruction. Despite its apparent impact on patients' quality of life, BAD has only recently become a topic of general concern. Its incidence and etiology have yet to be established. Read More

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January 2019

Inframammary Flap Excision Method in Breast Augmentation: Improving Symmetry of NAC and IMF.

Plast Reconstr Surg Glob Open 2018 Dec 17;6(12):e2052. Epub 2018 Dec 17.

Department of Plastic and Reconstructive Surgery, Pusan National University School of Medicine, Busan, Korea.

Background: When we perform a breast augmentation through the inframammary fold (IMF) approach, incision placement at the new IMF is a key element of the planning process. In the majority of the previously published methods, the new IMF was planned based on the nipple-areola complex (NAC) position. However, these methods can lead to asymmetry in the IMF if the NAC is not symmetrical. Read More

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December 2018

Sub-muscular plane for augmentation mammoplasty patients increases silicone gel implant rupture rate.

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

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Discussion: Submuscular Breast Augmentation Using Tumescent Local Anesthesia.

Dennis C Hammond

Aesthetic Plast Surg 2019 02 10;43(1):14-15. Epub 2018 Dec 10.

Partners in Plastic Surgery, 4070 Lake dr., Suite 202, Grand Rapids, MI, 49546, USA.

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February 2019

Evolving Trends in Textured Implant Use for Cosmetic Augmentation in the United States.

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

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

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December 2018

Effects of Silicone Implants on the Mammary Gland: Ultrasonographic and 3D Study.

Aesthetic Plast Surg 2019 04 11;43(2):354-365. Epub 2018 Oct 11.

Antiaging Group Barcelona, Ronda General Mitre 84 entlo, 08021, Barcelona, Spain.

Background: Breast implants may be responsible for secondary deformities produced by parenchymal atrophy. However, few studies in the literature have reported changes in breast tissue after augmentation surgery. In this study, the breast thickness of patients undergoing breast augmentation was monitored by ultrasound, and correlations with surface, volume and projection measurements were examined. Read More

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Iatrogenic Symmastia: Causes and Suggested Repair Technique.

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

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