TY - JOUR
T1 - Breast Augmentation with Microtextured Anatomical Implants in 653 Women
T2 - Indications and Risk of Rotation
AU - Weltz, Tim Kongsmark
AU - Larsen, Andreas
AU - Hemmingsen, Mathilde Nejrup
AU - Ørholt, Mathias
AU - Rasmussen, Louise Eggers
AU - Andersen, Peter Stemann
AU - Sarmady, Faranak Nezame
AU - Elberg, Jens Jørgen
AU - Vester-Glowinski, Peter Viktor
AU - Herly, Mikkel
N1 - Copyright © 2021 by the American Society of Plastic Surgeons.
PY - 2021/6/1
Y1 - 2021/6/1
N2 - BACKGROUND: Anatomical implants provide a wide range of options in terms of implant dimensions for breast augmentation. Nevertheless, many surgeons choose not to use anatomical implants due to the risk of rotation malposition and because their advantages over round implants are not clearly defined.METHODS: A retrospective review of medical records was performed on all women who underwent breast augmentation or implant exchange with microtextured anatomical implants from 2012 to 2019 in a single private clinic. The authors focused on the outcomes of a subgroup of women with glandular ptosis and nipple placement below the inframammary fold who underwent breast augmentation with anatomical implants. Furthermore, the incidence and risk factors for implant rotation were analyzed.RESULTS: In total, 653 women underwent primary breast augmentation (n = 529) or implant exchange (n = 124) with anatomical implants. The median follow-up period was 2.7 years (interquartile range, 1.6 to 3.9 years). The incidence of implant rotation was 14 (2.6 percent) in the primary augmentation group and four (3.2 percent) in the implant exchange group. Implant rotation was not associated with type of surgery (p = 0.76), implant projection (p = 0.23), or implant height (p = 0.48). The authors successfully used anatomical implants to elevate the nipple in 92.9 percent of the women with glandular ptosis without using a mastopexy.CONCLUSIONS: The study results indicate that the rotation risk with microtextured implants is similar to that with macrotextured implants. Furthermore, the authors found that high-projection anatomical implants can be used as an alternative to augmentation-mastopexy in women with glandular ptosis.CLINICAL QUESTION/LEVEL OF EVIDENCE: Therapeutic, III.
AB - BACKGROUND: Anatomical implants provide a wide range of options in terms of implant dimensions for breast augmentation. Nevertheless, many surgeons choose not to use anatomical implants due to the risk of rotation malposition and because their advantages over round implants are not clearly defined.METHODS: A retrospective review of medical records was performed on all women who underwent breast augmentation or implant exchange with microtextured anatomical implants from 2012 to 2019 in a single private clinic. The authors focused on the outcomes of a subgroup of women with glandular ptosis and nipple placement below the inframammary fold who underwent breast augmentation with anatomical implants. Furthermore, the incidence and risk factors for implant rotation were analyzed.RESULTS: In total, 653 women underwent primary breast augmentation (n = 529) or implant exchange (n = 124) with anatomical implants. The median follow-up period was 2.7 years (interquartile range, 1.6 to 3.9 years). The incidence of implant rotation was 14 (2.6 percent) in the primary augmentation group and four (3.2 percent) in the implant exchange group. Implant rotation was not associated with type of surgery (p = 0.76), implant projection (p = 0.23), or implant height (p = 0.48). The authors successfully used anatomical implants to elevate the nipple in 92.9 percent of the women with glandular ptosis without using a mastopexy.CONCLUSIONS: The study results indicate that the rotation risk with microtextured implants is similar to that with macrotextured implants. Furthermore, the authors found that high-projection anatomical implants can be used as an alternative to augmentation-mastopexy in women with glandular ptosis.CLINICAL QUESTION/LEVEL OF EVIDENCE: Therapeutic, III.
KW - Adult
KW - Breast Implantation/adverse effects
KW - Breast Implants/adverse effects
KW - Female
KW - Follow-Up Studies
KW - Humans
KW - Incidence
KW - Middle Aged
KW - Patient Satisfaction
KW - Postoperative Complications/epidemiology
KW - Retrospective Studies
KW - Risk Factors
KW - Rotation
KW - Surface Properties
KW - Treatment Outcome
KW - Young Adult
UR - http://www.scopus.com/inward/record.url?scp=85106892843&partnerID=8YFLogxK
U2 - 10.1097/PRS.0000000000007991
DO - 10.1097/PRS.0000000000007991
M3 - Journal article
C2 - 33973933
SN - 0032-1052
VL - 147
SP - 940e-947e
JO - Plastic and Reconstructive Surgery
JF - Plastic and Reconstructive Surgery
IS - 6
ER -