Outcome analysis and assessment of the lower pole expansion following breast augmentation with ergonomic implants: Optimizing results with patient selection based on 5-year data

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dc.contributorSistema FMUSP-HC: Faculdade de Medicina da Universidade de São Paulo (FMUSP) e Hospital das Clínicas da FMUSP
dc.contributor.authorMUNHOZ, Alexandre Mendonca
dc.contributor.authorNETO, Ary de Azevedo Marques
dc.contributor.authorMAXIMILIANO, Joao
dc.contributor.authorFRAGA, Murillo
dc.date.accessioned2024-02-15T14:55:00Z
dc.date.available2024-02-15T14:55:00Z
dc.date.issued2024
dc.description.abstractBackground: Silicone implants have gone through adaptations to improve esthetic outcomes. With the progress of technology, including gel rheology, different properties have been introduced. Ergonomic style implants (ESI) feature enhanced rheological properties and provide a shaped contour with a round base.Objectives: This study investigated outcomes for ESI in breast augmentation concerning lower pole stretching (LPS) and implant stability and describes an algorithm to assist in decision- making.Methods: A total of 148 patients (296 breasts) underwent breast augmentation with ESI; this procedure was indicated in patients with good skin quality and < 6 cm between the nip- ple-areola complex and the inframammary fold.Results: The mean patient age was 29.6 years (range: 19-39), and 93 patients (62.8%) under- went primary breast augmentation with demi/full projection (average volume of 245 cc [175-375 cc]). Axillary incision and subfascial pocket were indicated in 115 (77.7%) and 72 (48%) cases, respectively. Average LPS values were 32.2% (24.91 mm) and 10.86% (9.42 mm) at up to 10 days and 10 days to 12 months postprocedure, respectively. Patients were followed for a mean of 29.9 +/- 26.4 months (range: 6-66). Complication rates per breast and per patient were 5% and 10%, respectively, and included subcutaneous banding in the axilla (1.6%), implant displacement (1.2%), and wound dehiscence (0.8%). No cases of infection, seroma, or rippling complications were observed.Conclusions: The present decision-making algorithm summarizes the process involved in breast augmentation using ESI and is intended to help standardize decisions. With correct planning, long-lasting outcomes can be achieved due to favorable interactions between ESI and the patient's tissues.(c) 2023 British Association of Plastic, Reconstructive and Aesthetic Surgeons.eng
dc.description.indexMEDLINE
dc.description.indexPubMed
dc.description.indexWoS
dc.description.indexScopus
dc.identifier.citationJOURNAL OF PLASTIC RECONSTRUCTIVE AND AESTHETIC SURGERY, v.88, p.73-82, 2024
dc.identifier.doi10.1016/j.bjps.2023.10.105
dc.identifier.eissn1878-0539
dc.identifier.issn1748-6815
dc.identifier.urihttps://observatorio.fm.usp.br/handle/OPI/58127
dc.language.isoeng
dc.publisherELSEVIER SCI LTDeng
dc.relation.ispartofJournal of Plastic Reconstructive and Aesthetic Surgery
dc.rightsrestrictedAccesseng
dc.rights.holderCopyright ELSEVIER SCI LTDeng
dc.subjectBreast implantseng
dc.subjectRound implantseng
dc.subjectAnatomical implantseng
dc.subjectErgonomic implantseng
dc.subjectOutcomeeng
dc.subjectComplicationseng
dc.subject.othertransaxillary approacheng
dc.subject.othersiliconeeng
dc.subject.othersystemeng
dc.subject.othersofteng
dc.subject.othermammaplastyeng
dc.subject.otherexperienceeng
dc.subject.othergeleng
dc.subject.wosSurgeryeng
dc.titleOutcome analysis and assessment of the lower pole expansion following breast augmentation with ergonomic implants: Optimizing results with patient selection based on 5-year dataeng
dc.typearticleeng
dc.type.categoryoriginal articleeng
dc.type.versionpublishedVersioneng
dspace.entity.typePublication
hcfmusp.author.externalNETO, Ary de Azevedo Marques:Hosp Moriah, Plast Surg Dept, Sao Paulo, SP, Brazil
hcfmusp.author.externalMAXIMILIANO, Joao:Hosp Clin Porto Alegre, Plast Surg Div, Porto Alegre, RS, Brazil
hcfmusp.author.externalFRAGA, Murillo:Hosp Israelita Albert Einstein & Sirio Libanes, Plast Surg Dept, Sao Paulo, SP, Brazil
hcfmusp.citation.scopus1
hcfmusp.contributor.author-fmusphcALEXANDRE MENDONCA MUNHOZ
hcfmusp.description.beginpage73
hcfmusp.description.endpage82
hcfmusp.description.volume88
hcfmusp.origemWOS
hcfmusp.origem.pubmed37956630
hcfmusp.origem.scopus2-s2.0-85176940449
hcfmusp.origem.wosWOS:001112784200001
hcfmusp.publisher.cityLondoneng
hcfmusp.publisher.countryENGLANDeng
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