Background <p>Breast augmentation surgery (BAS) is one of the commonest plastic surgery procedures worldwide. A long-standing debate on the use of anatomical implants versus round implants in terms of complications, especially implant rotation, monopolizes relevant bibliography in recent years.</p> Methods <p>A retrospective cohort study was conducted. All patients’ records undergoing primary breast augmentation with anatomical implants from January 2010 to December 2023 by a single surgeon (V.K.), who implemented a novel surgical technique, were assessed for eligibility. Patients’ demographics, and preoperative and operative data were recorded. Statistical analysis was conducted using IBM® SPSS® Statistics version 25.0.</p> Results <p>In total, 622 patients underwent breast augmentation surgery with anatomical implants during the study period (median age 34&#xa0;years, median body mass index 22.3, median follow-up time 43.8&#xa0;months). Ten implants were rotated (0.8%) and correlated in univariate analysis with implant projection type (<i>p</i>&#xa0;=&#xa0;0.003). Twelve implants (0.96%) were complicated by capsular contracture, six (0.48%) by bottoming-out deformity, two patients (0.32%) developed a unilateral hematoma in the first 24&#xa0;h and one patient (0.16%) developed a double-bubble deformity.</p> Conclusion <p>The use of the proposed surgical technique minimizes complication rates, making anatomical implants an optimal choice for breast augmentation surgery.</p> Level of Evidence III <p>This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors <a href="http://www.springer.com/00266">www.springer.com/00266</a>.</p>

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Evaluation of a Technique to Minimize Complications in Breast Augmentation Surgery with Anatomical Implants: A Single Surgeon’s, 10-Year Experience

  • Vasileios Kretsis,
  • Chrysanthi Eleni Loizou,
  • Konstantinos Kretsis

摘要

Background

Breast augmentation surgery (BAS) is one of the commonest plastic surgery procedures worldwide. A long-standing debate on the use of anatomical implants versus round implants in terms of complications, especially implant rotation, monopolizes relevant bibliography in recent years.

Methods

A retrospective cohort study was conducted. All patients’ records undergoing primary breast augmentation with anatomical implants from January 2010 to December 2023 by a single surgeon (V.K.), who implemented a novel surgical technique, were assessed for eligibility. Patients’ demographics, and preoperative and operative data were recorded. Statistical analysis was conducted using IBM® SPSS® Statistics version 25.0.

Results

In total, 622 patients underwent breast augmentation surgery with anatomical implants during the study period (median age 34 years, median body mass index 22.3, median follow-up time 43.8 months). Ten implants were rotated (0.8%) and correlated in univariate analysis with implant projection type (p = 0.003). Twelve implants (0.96%) were complicated by capsular contracture, six (0.48%) by bottoming-out deformity, two patients (0.32%) developed a unilateral hematoma in the first 24 h and one patient (0.16%) developed a double-bubble deformity.

Conclusion

The use of the proposed surgical technique minimizes complication rates, making anatomical implants an optimal choice for breast augmentation surgery.

Level of Evidence III

This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266.