Chapter 2 Breast Augmentation: Subglandular, Subfascial, and Submuscular Implant Placement

Double bubble

Double bubble

FIG 15 • A. Waterfall deformity with the breast tissue falling off of the implant. Black curvilinear line represents the breast-implant interface. B, C. Double- bubble deformity resulting from overdissection deep to the pectoralis major muscle attachments on the chest. B

■■ Double capsule/seroma ■■ Nipple and breast sensation changes ■■ Implant failure (leak rupture, fracture) ■■ Implant extrusion ■■ Neuropraxia ■■ Poor scarring REFERENCES

11. Wixtrom RN, Stutman RL, Burke RM, et al. Risk of breast implant bacterial contamination from endogenous breast flora, prevention with nipple shields, and implications for biofilm formation. Aesthet Surg J. 2012;32:956-963. 12. Mladick RA. “No-touch” submuscular saline breast augmentation technique. Aesthetic Plast Surg. 1993;17:183-192. 13. Flugstad NA et al. Does implant insertion with a funnel decrease capsular contracture? A preliminary report. Aesthet Surg J. 2016;36(5):550-556. 14. Adams WP, Rios JL, Smith S. Enhancing patient outcomes in aes- thetic and reconstructive breast surgery using triple antibiotic breast irrigation: six-year prospective clinical study. Plast Reconstr Surg. 2006;118(suppl 7):46S-52S. 15. Wiener TC. Relationship of incision choice to capsular contracture. Aesthetic Plast Surg. 2008;32(2):303-306. 16. Mofid MM, Klatsky SA, Singh NK, Nahabedian MY. Nipple-areola complex sensitivity after primary breast augmentation: a comparison of periareolar and inframammary incision approaches. Plast Reconstr Surg. 2006;117(6):1694. 17. Calobrace MB. Teaching breast augmentation. Clin Plast Surg. 2015;42:493-504. 18. Teitelbaum S. The inframammary approach to breast augmentation. Clin Plast Surg. 2009;36:33-43. 19. Hammond DC. Technique and results using Memory-Shape implants in aesthetic and reconstructive) breast surgery. Plast Reconstr Surg. 2014;134(suppl 3):16S-26S. 20. Schusterman MA. Lowering the inframammary fold. Aesthet Surg J. 2004;24:482-485. 21. Tebbetts JB. Dual plane breast augmentation: optimizing implant- soft-tissue relationships in a wide range of breast types. Plast Reconstr Surg. 2001;107:1255-1272. 22. Handel N. The effects of silicone implants on the diagnosis, prognosis, and treatment of breast cancer. Plast Reconstr Surg. 2007;120(7):81S-93S. 23. Munhos AM, Gemperli R, Goes JCS. Transaxillary subfascial aug- mentation mammoplasty with anatomic form-stable silicone implants. Clin Plast Surg. 2015;42:565-585. 24. Tebbetts JB, Adams WP. Five critical decisions in breast augmentation using five measurements in 5 minutes: the high five decision support process. Plast Reconstr Surg. 2005;116:2005-2016.

1. Stevens WG, Nahabedian MY, Calobrace MB, et al. Risk factor analy- sis for capsular contracture: a 5-year Sientra study analysis using round, smooth and textured implants for breast augmentation. Plast Reconstr Surg. 2013;132(5):1115-1123. 2. Strasser EJ. Results of subglandular versus subpectoral augmenta- tion over time: one surgeon’s observations. Aesthet Surg J. 2006;26: 45-50. 3. Okwueze MI, Spear ME, Zwyghuizen AM, et al. Effect of aug- mentation mammoplasty on breast sensation. Plast Reconstr Surg. 2006;117(1):73-83. 4. Namnoum JD, Largent J, Kaplan HM, et al. Primary breast augmen- tation clinical trial outcomes stratified by surgical incision, anatomi- cal placement and implant device type. J Plast Reconstr Aesthet Surg. 2013;66(9):1165-1172. 5. Michalopoulos K. The effects of breast augmentation surgery on future ability to lactate. Breast J. 2007;13(1):62-67. 6. Calobrace MB, Kaufman DL, Gordon AE, et al. Evolving practices in augmentation operative techniques with Sientra HSC round implants. Plast Reconstr Surg. 2014;134(suppl 1):57S-67S. 7. Muntan CD, Sundine MJ, Rink RD, et al. Inframammary fold: a histo- logical reappraisal. Plast Reconstr Surg. 2000;105:549-556. 8. Gabriel A, Fritzsche S, Creasman C, et al. Incidence of breast and chest wall asymmetries: 4D photography. Aesthet Surg J. 2011;31:506-510. 9. Rohrich RJ, Hartley W, Brown S. Incidence of breast and chest wall asymmetry in breast augmentation: a retrospective analysis of 100 patients. Plast Reconstr Surg. 2006;118(7 suppl):7S-13S. 10. Hodgkinson DJ. The management of anterior chest wall deformity in patients presenting for breast augmentation. Plast Reconstr Surg. 2002;109:1714-1723.

Made with FlippingBook - Online Brochure Maker