Implementation of an Integrated Biodimensional Method of Breast Augmentation with Anatomic, Highly Cohesive Silicone Gel Implants: Short-Term Results With the First 620 Consecutive Cases

Montemurro, Paolo; Agko, Mouchammed; Li, Alessandro Quattrini; Avvedimento, Stefano; Hedén, Per

doi:10.1093/asj/sjx024

Cited by 21 publications

(15 citation statements)

References 12 publications

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“…Montemurro et al reported a rotation rate of 3.0 percent to 3.6 percent per patient who underwent primary breast augmentation with macrotextured Allergan Style 410 implants, which is comparable to the rotation rate presented in this study. 7,10,18 These results do not indicate that the adhesive effect of Biocell macrotexturing makes them less likely to rotate compared with microtextured implants.…”

Section: Discussionmentioning

confidence: 78%

Breast Augmentation with Microtextured Anatomical Implants in 653 Women: Indications and Risk of Rotation

Weltz

Larsen

Hemmingsen

et al. 2021

Plastic &Amp; Reconstructive Surgery

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he need for anatomical implants for breast augmentation surgery has been widely debated. [1][2][3] Anatomical breast implants can provide surgeons with a wider range of options to tailor breast augmentation to the dimensions of the individual patient. In our experience, they are especially valuable for women with glandular ptosis who prefer to avoid augmentation-mastopexy. 1,4 However, anatomical implants have an inherent risk of rotation malposition, which is not an issue with round implants, and for this reason, many surgeons are reluctant to use them. 5,6 Previous studies reported a 1.1 percent to 14 percent incidence of implant rotation. 4,[6][7][8][9] However, the majority of these studies 4,7,8,10 were performed with macrotextured implants (e.g., Allergan/McGhan), which are proposed to be less inclined to rotate than microtextured implants because macrotextured implants adhere to the capsule. 11,12 With Allergan's recent retraction of Biocell implants due to their suspected relationship to breast implant-associated anaplastic large cell lymphoma (BIA-ALCL), more data are needed on the risk of rotation with microtextured anatomical implants. 13 In this study, we investigated consecutive patients who underwent breast augmentation or implant exchange with Mentor's microtextured anatomical implants. Furthermore, we present

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Section: Discussionmentioning

confidence: 78%

Breast Augmentation with Microtextured Anatomical Implants in 653 Women: Indications and Risk of Rotation

Weltz

Larsen

Hemmingsen

et al. 2021

Plastic &Amp; Reconstructive Surgery

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“…Baker grades III and IV are considered symptomatic and may require revisional surgery, including capsulectomy and implant exchange or removal. [35][36][37] Revision surgery often results in an inferior cosmetic outcome and a higher rate of repeat contracture recurrence, decreased patient satisfaction, and overall higher cost. 38,39 Numerous etiologies have been proposed for the formation of capsular contracture including immunological response to foreign body, surgical site infection, radiation therapy, implant type, incision type, and choice of pocket.…”

Section: Discussionmentioning

confidence: 99%

“…38,39 Numerous etiologies have been proposed for the formation of capsular contracture including immunological response to foreign body, surgical site infection, radiation therapy, implant type, incision type, and choice of pocket. 37,38,[40][41][42] However, the prevailing theory is that overt pocket infection or subclinical infection from implant contamination is the predominant cause. [43][44][45][46][47][48] Additionally, several of the theories probably include a component of predisposition to implant contamination (ie, incision placement).…”

Section: Discussionmentioning

confidence: 99%

Keller Funnel Efficacy in “No Touch” Breast Augmentation and Reconstruction: A Systematic Review

Morkuzu

Özdemir

Leach

et al. 2022

Plastic and Reconstructive Surgery - Global Open

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Background: Breast augmentation is one of the most common aesthetic surgical procedures. Tissue expansion followed by permanent implants is the most frequent postmastectomy breast reconstruction method. Implant contamination remains a critical problem with these procedures‚ resulting in acute infection as well as capsular contracture. To reduce the risk of implant contamination, the “no-touch technique” utilizing the Keller funnel has been adopted by many surgeons. This systematic review aims to investigate the advantages of the Keller funnel method for breast augmentation–reconstruction. Methods: A systematic review of PubMed, Embase, the Cochrane database, and Google Scholar was performed between 2005 and 2021. All clinical-based, retrospective and prospective studies utilizing the Keller funnel method for breast implant insertion were selected. Results: Six studies were identified for evaluation: five were retrospective cohorts and one was a prospective trial. No randomized controlled trials were found. Outcomes reported included lower rates of capsular contracture (RR, 0.42; P = 0.0006; 95% CI, 0.25–0.69), shorter incision lengths (35.5 ± 2.1 mm), less insertion time (mean = 6 seconds), and decreased complications, and one paper reported ultimately greater patient satisfaction with outcomes (BREAST-Q Score: 92%). Conclusions: This review suggests that the Keller funnel is a useful method for no-touch breast augmentation and reconstruction surgery. The Keller funnel reduces subsequent capsular contracture rate, surgical time, and incision length and allows for easier insertion. However, our findings support recommendation of a prospective randomized controlled clinical trial with larger population size and follow-up intervals.

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“…See Figure 2 for an example of inframammary placement. The Akademikliniken method (AK or Q2), proposed by Per Hedén, addresses this issue through preoperative assessment of two distancesthe distance between the NAC and the IMF and vertical distance between the implant and the NAC (26,27). The ICE method, proposed by Mallucci and Branford, is a simplified, prospectively validated approach to inframammary incisionbased implants.…”

Section: E T H O D O L O G I E S S P E C I F I C T O S E L E C T I N ...mentioning

confidence: 99%

Breast augmentation for transfeminine patients: methods, complications, and outcomes

Bekeny¹,

Zolper²,

Fan³

et al. 2020

Gland Surg

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Gender-affirming procedures are critical steps in helping transgender patients reach identity actualization and maximal quality of life. Although there are many techniques for gender-affirming care, surgical breast augmentation, or "top surgery," is often cited as the most important-and sometimes onlyprocedure sought by transfeminine patients. Unfortunately, years of individual and systemic prejudice placed barriers between transgender patients and the healthcare providers needed to affirm gender identity. Policy has recently begun to change as research proving the safety, need, and outcomes of breast augmentation in transfeminine patients dismantles long-established systemic inequalities. With this change, more patients are seeking knowledgeable and respectful providers who can address their unique gender-affirming needs.Overall, breast augmentation in transfeminine patients is technically similar to procedures performed in cisgender peers, but with significant considerations. The most common method of augmentation relies on breast implants, since removable prostheses, exogenous hormones, and fat grafting alone often produce unsatisfactory results. Special attention needs to be directed towards anatomic differences in transgender versus cisgender patients in order to achieve optimal size and position of the breast and nippleareolar complex. Complications for transfeminine patients undergoing breast augmentation are rare, and complication rates are equivalent with cisgender peers who pursue similar procedures. Short-and longterm benefits to quality of life have been well-documented. The aim of this review is to give providers the technical knowledge concerning breast augmentation options, pre-surgical evaluation, post-surgical care, and special considerations in transfeminine patients so that provider and patient can have a successful, respectful partnership in reaching gender-affirming goals.

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Implementation of an Integrated Biodimensional Method of Breast Augmentation with Anatomic, Highly Cohesive Silicone Gel Implants: Short-Term Results With the First 620 Consecutive Cases

Abstract: 4.

Cited by 21 publications

References 12 publications

Breast Augmentation with Microtextured Anatomical Implants in 653 Women: Indications and Risk of Rotation

Breast Augmentation with Microtextured Anatomical Implants in 653 Women: Indications and Risk of Rotation

Keller Funnel Efficacy in “No Touch” Breast Augmentation and Reconstruction: A Systematic Review

Breast augmentation for transfeminine patients: methods, complications, and outcomes

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