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Implementation of an Integrated Biodimensional Method of Breast Augmentation with Anatomic, Highly Cohesive Silicone Gel Implants: Short-Term Results With the First 620 Consecutive Cases.
- Source :
-
Aesthetic surgery journal [Aesthet Surg J] 2017 Jul 01; Vol. 37 (7), pp. 782-792. - Publication Year :
- 2017
-
Abstract
- Background: The previously described Akademikliniken (AK) method is a comprehensive approach to breast augmentation with form stable implants that has been shown to afford favorable outcomes when applied by experienced surgeons.<br />Objectives: To evaluate outcomes of a surgeon newly adopting this method at the beginning of his career.<br />Methods: A retrospective review of patients undergoing dual plane subpectoral augmentation with Style 410 implants between April 2009 and December 2014 was undertaken. The review was performed one year after the last operation. The first author (P.M.) performed all operations. Complications and reoperation rates were analyzed and correlated with patient and implant characteristics using the chi-square or Fisher's exact test, as appropriate.<br />Results: A total of 620 consecutive patients met the inclusion criteria with a mean follow up of 8 months (range, 1 week-60 months). Complications occurred in 14.8% of the patients: request for larger size (3.3%), rotation (3%), and Baker III/IV capsular contracture (2.2%) were the most common ones. Low implant projection was a statistically significant risk factor (P < 0.05) for the most common complication - request for a larger size. The overall reoperation rate was 8.7%. The most common indication for reoperation was request for larger size (2.2%) followed by rotation (2.2%) and capsular contracture (2%).<br />Conclusions: Breast augmentation with form stable anatomical implants requires a considerably different process. By implementing a systematic approach such as the AK method, novices in this terrain can expect to achieve reasonable outcomes.<br />Level of Evidence: 4.<br /> (© 2017 The American Society for Aesthetic Plastic Surgery, Inc. Reprints and permission: journals.permissions@oup.com)
- Subjects :
- Adult
Breast surgery
Breast Implantation adverse effects
Female
Follow-Up Studies
Humans
Implant Capsular Contracture etiology
Middle Aged
Organ Size
Prosthesis Design
Reoperation statistics & numerical data
Retrospective Studies
Treatment Outcome
Young Adult
Breast anatomy & histology
Breast Implantation methods
Breast Implants adverse effects
Implant Capsular Contracture epidemiology
Silicone Gels adverse effects
Subjects
Details
- Language :
- English
- ISSN :
- 1527-330X
- Volume :
- 37
- Issue :
- 7
- Database :
- MEDLINE
- Journal :
- Aesthetic surgery journal
- Publication Type :
- Academic Journal
- Accession number :
- 28333220
- Full Text :
- https://doi.org/10.1093/asj/sjx024