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Review
. 2014 Apr;133(4):567e-583e.
doi: 10.1097/PRS.0000000000000033.

Breast augmentation

David A Hidalgo  1 , Jason A Spector
Affiliations
Review

Breast augmentation

David A Hidalgo et al. Plast Reconstr Surg. 2014 Apr.

Abstract

Learning objectives: After studying this article, the participant should be able to: 1. Assess patient physical characteristics that influence implant selection. 2. Adopt a system to aid in implant size selection. 3. Become cognizant of the advantages and disadvantages of incision, pocket plane, and implant options. 4. Understand implant positioning concepts and aseptic implant handling methods. 5. Manage untoward postoperative sequelae 6. Understand secondary surgery concepts.

Summary: Breast augmentation is the most commonly performed aesthetic surgical procedure. Choices of incisions, pocket plane, and myriad implant characteristics constitute the basis for surgical planning. Analysis of physical characteristics and inclusion of the patient in implant selection contribute to overall satisfaction and reduce requests for secondary surgery. Technical expertise in implant positioning and aseptic handling helps to prevent capsular contracture, implant malposition, and other shape problems. Despite the need for secondary surgery in some, patient satisfaction is high.

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References

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    1. Hodgkinson DJ. The management of anterior chest wall deformity in patients presenting for breast augmentation. Plast Reconstr Surg. 2002;109:1714–1723
    1. Hirsch EM, Brody GS. Anatomic variation and asymmetry in female anterior thoracic contour: An analysis of 50 consecutive computed tomography scans. Ann Plast Surg. 2007;59:73–77
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    1. Tsai FC, Hsieh MS, Liao CK, Wu ST. Correlation between scoliosis and breast asymmetries in women undergoing augmentation mammaplasty. Aesthetic Plast Surg. 2010;34:374–380

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