Delphi Consensus Recommendations: Intraoperative Technique and Postoperative Management of Patients with Natrelle 410 Implants

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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.authorMAXWELL, G. Patrick
dc.contributor.authorBROWN, Mitchell H.
dc.contributor.authorHEDEN, Per
dc.contributor.authorLUAN, Jie
dc.contributor.authorMUNHOZ, Alexandre Mendonca
dc.contributor.authorCARTER, Mollie
dc.date.accessioned2017-10-24T13:22:41Z
dc.date.available2017-10-24T13:22:41Z
dc.date.issued2015
dc.description.abstractBackground: Anatomically shaped, form-stable Natrelle 410 breast implants were approved in Europe in 1993 and in the United States in 2013. Although general guidelines for breast augmentation are available, the distinctive characteristics of Natrelle 410 warrant specific guidelines for this device. The goal of this study was to generate consensus recommendations for intraoperative technique and postoperative management with Natrelle 410 in primary breast augmentation. Methods: Surgeons were invited to participate in the study, which used a modified Delphi method. Participants completed 2 rounds of online surveys; the second survey (Recommendations Survey) was generated based on first survey results. Respondents also listed top priorities for use of Natrelle 410. Results: Participants (n = 22) reached consensus on 15 of 18 perioperative and surgical techniques; dual-plane placement, tight pockets, and limiting the boundaries of dissection were among intraoperative techniques considered most important for Natrelle 410. Consensus was reached for 18 of 32 items regarding postoperative management and 6 of 9 open-ended postoperative activity restrictions. Consensus on activity restrictions with specified time limits were similar to consensus recommendations on general restrictions. Top participant-identified intraoperative and postoperative management practices for Natrelle 410 were dual-plane placement of the implant and wearing a bra postoperatively, respectively. Conclusions: The Delphi method identified consensus recommendations on a broad range of intraoperative techniques and postoperative management practices for primary breast augmentation with Natrelle 410. These recommendations and priorities provide surgeons with a framework that, together with the surgeon's experience, will contribute to optimal clinical outcomes with Natrelle 410.
dc.description.indexPubMed
dc.description.sponsorshipAllergan
dc.description.sponsorshipAllergan, Irvine, Calif
dc.identifier.citationPLASTIC AND RECONSTRUCTIVE SURGERY-GLOBAL OPEN, v.3, n.11, 2015
dc.identifier.doi10.1097/GOX.0000000000000388
dc.identifier.issn2169-7574
dc.identifier.urihttps://observatorio.fm.usp.br/handle/OPI/22052
dc.language.isoeng
dc.publisherLIPPINCOTT WILLIAMS & WILKINS
dc.relation.ispartofPlastic and Reconstructive Surgery-Global Open
dc.rightsopenAccess
dc.rights.holderCopyright LIPPINCOTT WILLIAMS & WILKINS
dc.subject.wosSurgery
dc.titleDelphi Consensus Recommendations: Intraoperative Technique and Postoperative Management of Patients with Natrelle 410 Implants
dc.typearticle
dc.type.categoryoriginal article
dc.type.versionpublishedVersion
dspace.entity.typePublication
hcfmusp.affiliation.countryChina
hcfmusp.affiliation.countryEstados Unidos
hcfmusp.affiliation.countryCanadá
hcfmusp.affiliation.countrySuécia
hcfmusp.affiliation.countryisous
hcfmusp.affiliation.countryisoca
hcfmusp.affiliation.countryisose
hcfmusp.affiliation.countryisocn
hcfmusp.author.externalMAXWELL, G. Patrick:Vanderbilt Univ, Sch Med, Dept Plast Surg, Nashville, TN 37235 USA; Loma Linda Univ, Sch Med, Loma Linda, CA 92350 USA
hcfmusp.author.externalBROWN, Mitchell H.:Univ Toronto, Div Plast & Reconstruct Surg, Toronto, ON, Canada
hcfmusp.author.externalHEDEN, Per:Akad Kliniken, Stockholm, Sweden
hcfmusp.author.externalLUAN, Jie:Chinese Acad Med Sci, Plast Surg Hosp, Dept Breast Plast & Reconstruct Surg, Beijing, Peoples R China
hcfmusp.author.externalCARTER, Mollie:Allergan Pharmaceut Inc, Irvine, CA USA
hcfmusp.citation.scopus8
hcfmusp.contributor.author-fmusphcALEXANDRE MENDONCA MUNHOZ
hcfmusp.description.issue11
hcfmusp.description.volume3
hcfmusp.origemWOS
hcfmusp.origem.pubmed26893982
hcfmusp.origem.scopus2-s2.0-84966302059
hcfmusp.origem.wosWOS:000219268000008
hcfmusp.publisher.cityPHILADELPHIA
hcfmusp.publisher.countryUSA
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