Objective Clinical Assessment of Posture Patterns after Implant Breast Augmentation.

Abstract:

BACKGROUND:An increased weight of the breasts causes several spinal postural alterations that reduce the ability to perform dynamic tasks requiring a stable balance. The effects of the increased weight of the breasts on static posture after implant breast augmentation have not been investigated yet. METHODS:Forty volunteer healthy women were asked to wear different sized breast implants (800, 400, and 300 g) inside a dedicated sports bra for 6½ consecutive hours during their everyday life activities, 1 day for every implant size. Posture changes were assessed with the association of a physiatric clinical examination with a static force platform analysis. RESULTS:A significant increase in cervical lordosis after the use of 400-g breast implants and upward was demonstrated. This alteration was stable between the 400-g and 800-g breast implants. The 400-g (per breast) implant might therefore be the load threshold that breaks the cervical postural physiologic balance. A significant increase in lumbar lordosis was demonstrated only after the use of the 800-g breast implants. The static force platform assessment demonstrated a worsening of the balance independent from the visual control with the use of 400-g and 800-g implants. CONCLUSIONS:Heavy breast implants proved to induce reversible alterations in the spinal curve, and 400 g is the cutoff for functional physiologic compensation in the short term. Such a weight might be considered the safety limit for the use of breast implants for cosmetic purposes.

journal_name

Plast Reconstr Surg

authors

Nicoletti G,Mandrini S,Finotti V,Dall'Angelo A,Malovini A,Chierico S,Faga A,Dalla Toffola E

doi

10.1097/PRS.0000000000001454

subject

Has Abstract

pub_date

2015-08-01 00:00:00

pages

162e-170e

issue

2

eissn

0032-1052

issn

1529-4242

pii

00006534-201508000-00009

journal_volume

136

pub_type

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