High- and Extra-High-Profile Round Implants in Breast Augmentation: Guidelines to Prevent Rippling and Implant Edge Visibility

Abramo, Antonio Carlos; Scartozzoni, Marcio; Lucena, Thiago Walmsley; Sgarbi, Romulo

doi:10.1007/s00266-018-1264-1

Cited by 8 publications

(2 citation statements)

References 17 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…According to previous studies 30,31 , the rippling rate was high in implants with low cohesivity, but this study revealed no significant differences in rippling according to implant type. 30 Since there was no significant difference in cohesiveness between the two implants, it is unlikely that there was a significant difference in our study.…”

Section: Discussioncontrasting

confidence: 55%

See 1 more Smart Citation

Associated Factors and Prevention of Upper Pole Rippling in Prepectoral Direct-to-Implant Breast Reconstruction

Ryu,

Joo,

Roh

et al. 2023

Arch Plast Surg

View full text Add to dashboard Cite

BACKGROUND: Despite its many advantages, prepectoral breast reconstruction also carries the risk of implant rippling. The recent introduction of partial superior implant coverage using a pectoralis muscle slip in prepectoral direct-to-implant (DTI) breast reconstruction has shown the potential to minimize upper pole rippling. The purpose of this study was to identify factors associated with rippling and the effectiveness of our surgical technique. METHODS: One hundred fifty-six patients (186 breasts) who underwent prepectoral DTI breast reconstruction between August 2019 and March 2021 were identified retrospectively. Patient data were analyzed from medical records. Univariable & multivariable logistic analyses were performed to contextualize the risks associated with rippling deformity relative to demographic characteristics and other clinical factors. Retrospective propensity-matched analysis was performed to identify the relationship between rippling deformity and reconstruction method. RESULTS: Patients with body mass index (BMI) (odds ratio [OR], 0.736; P < 0.001), those with a postoperative chemotherapy history (OR, 0.324; P = 0.027), and those who received breast reconstruction via the superior coverage technique (OR, 0.2; P = 0.004) were less likely to develop rippling deformity. The median follow-up period was 64.9 weeks, and there were no significant differences between patients in types of mastectomy, implant, or acellular dermal matrix. Patients who underwent superior coverage technique–based reconstruction showed significantly reduced rippling (OR, 0.083; P = 0.017) CONCLUSIONS: Patients with higher BMI and prior postoperative chemotherapy were less likely to develop rippling deformity. The superior coverage technique can be effective in minimizing upper pole rippling.

show abstract

Section: Discussioncontrasting

confidence: 55%

“…The two types of implants used in this study have different filling rates and cohesiveness. According to previous studies, 30,31 the rippling rate was high in implants with low cohesivity, but this study revealed no significant differences in rippling according to implant type. 30 Since there was no Fig.…”

Section: Discussioncontrasting

confidence: 51%