No abstract

Background Breast augmentation surgery is the most frequently performed aesthetic surgical procedure within the United Kingdom year on year. However, many variations exist amongst surgeons regarding various aspects of implant usage and technique. Objectives The aim of this study was to evaluate current trends and practices in breast augmentation, within the United Kingdom and correlate them to evidence-based literature. Methods An electronic survey of 41 questions was sent to 201 surgeons performing breast augmentation within the United Kingdom and Republic of Ireland. The survey inquired about the surgeons themselves, their practice, implants choice, surgical technique, post-op care, revision surgery, impact of Breast Implant Associated – Anaplastic Large Cell Lymphoma (BIA-ALCL) amongst several other questions. Results There was a total of 166 respondents with 146 completing the survey fully, equalling a response rate of approximately 73%. Overall, there were specific trends in certain aspects such as type of practice, number of augmentations performed per surgeon per year, preferred implant manufacturer and implant characteristics. That said, there has been a change in other aspects such as implant texture with an increase in the use of smooth implants. The United Kingdom and Ireland concur with certain internationally dominant practice preferences including the use of inframammary incisions and post-op bra use. Conclusions This survey suggests that many aspects of breast augmentation surgery within the UK are approaching standardisation. There are however some variations in practice and controversies remaining as expected. It is our belief that further standardizing this very common aesthetic surgical procedure according to evidence-based guidelines will help to improve outcomes for patients.