High Transverse Capsuloplasty for the Correction of Malpositioned Implants Following Augmentation Mammoplasty in Partial Submuscular Plane

Khan, Umar Daraz

doi:10.1007/s00266-011-9850-5

Cited by 21 publications

(12 citation statements)

References 27 publications

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“…We found several studies describing BAD that were not included. These studies were excluded for the following three reasons: no clear definition of BAD 2 5 11 14 21 22 23 24 25 26 27 , revision surgery 3 15 16 28 29 30 , and the absence of data regarding BAD in the results section 18 . The selection process is presented in the PRISMA flowchart in Fig.…”

Section: Resultsmentioning

confidence: 99%

Breast animation deformity

et al. 2019

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Breast animation deformity (BAD) has been reported to occur after submuscular implant placement following breast augmentation and immediate breast reconstruction. Despite its apparent impact on patients’ quality of life, BAD has only recently become a topic of general concern. Its incidence and etiology have yet to be established. The aim of this systematic review was to identify papers that clearly defined and classified BAD and described how the degree of animation was assessed. We performed a search in PubMed and Embase. Studies meeting the inclusion criteria that described BAD after implant-based breast augmentation or immediate breast reconstruction were included. After screening 866 publications, four studies were included: three describing BAD after breast augmentation and one describing BAD after immediate breast reconstruction. The median percentage of patients with some degree of BAD was 58%. The highest percentages were found in patients operated on using the Regnault technique or the dual-plane technique (73%–78%). The lowest percentages were found following the dual-plane muscle-splitting technique (30%) and the triple-plane technique (33%). We found no studies meeting the inclusion criteria that analyzed BAD after prepectoral implant placement. This review of the current literature suggests that the degree of BAD is proportional to the degree of muscle involvement. Evidence is scarce, and the phenomenon seems to be underreported. Future comparative studies are warranted.

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Section: Resultsmentioning

confidence: 99%

Breast animation deformity

et al. 2019

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“…In our patient series, we have found division of the pectoralis with placement of acellular dermal matrix (ADM) is the only factor that correlates with increasing severity of animation deformity. Certainly, this makes sense when comparing it to the breast augmentation literature, which frequently describes preserving inferior pectoralis fibers to prevent animation deformity (4)(5)(6)16,17). Likewise, Spear has personally advocated for maintaining the inferior pectoralis insertion onto the sternum to prevent animation deformity (personal communication, S. Spear, 2016).…”

Section: What Is Animation Deformity?mentioning

confidence: 99%

“…Delayed transition from a sub-pectoral to a pre-pectoral plane is also an option for treating animation deformity should it occur and may mitigate some of the risks related to mastectomy skin flap necrosis with pre-pectoral reconstruction at the time of mastectomy (10,11). Another alternative for treatment is partial conversion to a pre-pectoral plane, as has been described by multiple authors in cosmetic augmentation (4)(5)(6)16,17). This gives the benefit of eliminating the pectoralis fibers that have the greatest effect on implant movement while still maintaining pectoralis upper pole coverage to reduce implant visibility, palpability and contour ledging.…”

Section: Treatment Optionsmentioning

confidence: 99%

An overview of animation deformity in prosthetic breast reconstruction

Fracol¹,

Feld²,

Chiu³

et al. 2019

Gland Surg

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Animation deformity is an unsightly complication after sub-pectoral breast reconstruction characterized by implant displacement with pectoralis muscle contraction. Recent increased awareness of this phenomenon has driven interest in pre-pectoral breast reconstruction but research is limited regarding the causes and implications of animation deformity. Specifically, no patient-specific risk factors have been identified as contributing to animation deformity. Placement in a sub-pectoral plane and division of the pectoralis are the only peri-operative factors associated with severity of animation deformity. Our own quantitative analysis of animation deformity has further refined our understanding of this phenomenon, which we present here along with a review of current grading scales. We also more broadly review the current literature surrounding animation deformity, including its causes, risk factors, impact on patient outcomes and current treatment options. Overall, patients find this to be an emotionally distressing complication and most patients would like to be educated on alternative surgical options to avoid animation deformity. Treatment options range from conversion to a pre-pectoral plane to muscle-splitting techniques to selective nerve ablation to Botox injections. Further research into causes, implications and ways to enhance pre-pectoral reconstruction are needed to improve patient outcomes with this phenomenon.

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“…In comparison with partial sub muscular or dual plane implant positioning, where the muscle is released from the sternocostal margin, the biplane technique has the added advantage of less incidences of dynamic breast deformity due to absence of the release of the muscle. [4,13,14] The muscle splitting technique does not require division of any of these fibres so that they are still available for functional use. The communication between the submuscular and sub glandular sections of the pocket allows one unit feel of the breast.…”

Section: Discussionmentioning

confidence: 99%

“…[10][11][12] The technique not only reduces the dynamic deformity due to absence of muscle release but also has been described to correct dynamic deformity associated with partial sub muscular or dual plane augmentation mammoplasty. [13,14] In Muscle splitting Biplane, the pectoralis lies behind and in front of the implant at the same time and without the muscle release [ Figure 5]. …”

Section: Discussionmentioning

confidence: 99%

Bi-plane breast augmentation: a case series supporting its use and benefits

Stodell¹,

McArthur²,

Mathew³

2016

PAR

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Aim: Breast augmentation has traditionally been performed in either the subglandular or submuscular plane. Dual plane augmentation has been described before and captures the advantages of both of these techniques but reduces the trade-offs. The biplane muscle splitting technique adopts the similar advantages seen with the dual plane method without the need for extensive costal muscle fibre release at the infra-mammary fold. Methods: Thirty-five patients underwent bilateral breast augmentation using the biplanar technique from November 2007 to December 2008. All operations were performed by the senior author and followed up prospectively. Results: Follow up ranged from 9 months to 21 months. All of the patients achieved precise and reliable implant placement with no revisions or patient dissatisfaction. There have been no cases of implant misplacement/migration; synmastia, dynamic breast deformity, capsular contracture or infections. A single case of unilateral haematoma occurred early in the series. Conclusion: Our operative cases and early follow-up supports the use of this novel biplanar technique for breast augmentation. It optimizes the advantages of subglandular and submuscular breast augmentation with simpler dissection and less complications than other submuscular techniques. It can be used in a wide variety of breast types with predictable results.

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High Transverse Capsuloplasty for the Correction of Malpositioned Implants Following Augmentation Mammoplasty in Partial Submuscular Plane

Cited by 21 publications

References 27 publications

Breast animation deformity

Breast animation deformity

An overview of animation deformity in prosthetic breast reconstruction

Bi-plane breast augmentation: a case series supporting its use and benefits

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