Chapter-2-Breast-Augmentation_Subglandular-Subfascial-Submus

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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

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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.

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