Lubricating the Insertion Funnel with Autologous Fat Tissue for Inserting Breast Implants

Chen, Shu-Hsien; Yang, San-Tsun; Huang, Wen-Chi

doi:10.1097/gox.0000000000001641

Cited by 2 publications

(1 citation statement)

References 6 publications

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“…Jang and Kim 25 used different implants, such as anatomic implants, smooth, cohesive gel, and round microtexture, and used IMF incision. Chen et al 26 all used textured implants. There was no mention of the incision type or antibiotics.…”

Section: Resultsmentioning

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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Section: Resultsmentioning

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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Transumbilical Silicone Implant Breast Augmentation

Huang

Tsai

Yang³

et al. 2023

Plastic &Amp; Reconstructive Surgery

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Summary: Transumbilical breast augmentation with pre-filled silicone implants has been performed previously, but technical challenges remain to accommodate more implant options and dissection planes. We aimed to demonstrate the feasibility of transumbilical breast augmentation using various types of pre-filled silicone implants (TUSBA), and its applicability for subglandular, subfascial, dual-plane implantation. In the early stage, TUSBA was primarily performed using endoscope-assisted blunt dissection, and later converted to full endoscopy dissection to achieve better results. Endoscope was used to confirm the pocket and check bleeding for both groups. For endoscope-assisted group, surgical techniques were modified from conventional TUBA. In full endoscopy TUSBA, the entire dissection process was performed under endoscopic monitoring. Preliminary data of patients undergoing TUSBA from June 2016 to April 2021 were retrospectively reviewed. Breast implants with smooth, textured or nanotextured surface properties and round or anatomical shapes were used, with sizes up to 500 mL. Seventy-four patients with mean age 36.4 years (range: 21-55 years) were enrolled in this study. Follow-up ranged from 1 month to 4 years and 6 months (mean: 15.6 months). No excessive postoperative pain in breast or abdomen was reported. Surgery outcomes were aesthetically pleasing in both groups. In the endoscope-assisted group, 3 (4.6%) required major revisional procedures. No revision was required in the full endoscopy group. TUSBA with various types of silicone implants is feasible, and accommodable to all dissection planes. Full endoscopy technique is helpful in reducing the higher complication rate.

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Lubricating the Insertion Funnel with Autologous Fat Tissue for Inserting Breast Implants

Cited by 2 publications

References 6 publications

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

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

Transumbilical Silicone Implant Breast Augmentation

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