Clinical Application of Precise Composite Breast Augmentation.

Abstract:

OBJECTIVE:For thin women with little subcutaneous fat and micromastia, they could not obtain ideal results by choosing autologous fat breast augmentation or prosthesis-only breast augmentation. To address these problems, we combined autologous fat and prosthesis for breast augmentation, and the clinical results were satisfactory. METHODS:Eleven cases of composite breast augmentation from 2014 to 2017 were analyzed retrospectively. Postoperative follow-up and evaluation were completed. The operations were performed through a subaxillary incision, and the round, high-convex breast prostheses were implanted into the retropectoralis major space. Autologous fat was injected into subcutaneous, retromammary, and prepectoralis layers to cover the whole breast before and after implanting the prosthesis. RESULTS:The mean follow-up period was 16 months (range, 6-36 months). All patients were satisfied with the size of their breasts. Postoperative complications such as infection, vascular embolism, delayed healing incision, hematoma, and seroma were not detected. In 1 case, the sensation of a unilateral nipple-areola was decreased initially but recovered after 4 months. Long-term complications such as capsular contracture, palpable nodules, double-bubble deformity, asymmetry, poor handling, implant edge visibility, and palpability also did not occur. CONCLUSION:Breast augmentation combining autologous fat and prosthesis was safe and could achieve aesthetically satisfactory results.

journal_name

Ann Plast Surg

authors

Shi Y,Sun H,Fang J,Yang Z,Jiang P,Tan X

doi

10.1097/SAP.0000000000002093

subject

Has Abstract

pub_date

2019-10-01 00:00:00

pages

S5-S10

issue

4S Suppl 1

eissn

0148-7043

issn

1536-3708

pii

00000637-201910001-00002

journal_volume

83

pub_type

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