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Updated: Jun 24, 2026

Endoscopic Bilateral Nipple-sparing Mastectomy via a Single Axillary Incision with Immediate Pre-pectoral Implant-based Breast Reconstruction
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Endoscopic Bilateral Nipple-sparing Mastectomy via a Single Axillary Incision with Immediate Pre-pectoral Implant-based Breast Reconstruction

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Indications and practical applications for high-profile saline breast implants.

Richard A Baxter

    Aesthetic Surgery Journal
    |April 2, 2009
    PubMed
    Summary

    High-profile saline breast implants offer a solution for patients seeking larger sizes, potentially reducing rippling and enhancing shape. However, they may have reduced mobility and a less natural breast transition.

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    Area of Science:

    • Plastic Surgery
    • Aesthetic Surgery
    • Breast Augmentation

    Background:

    • New high-profile round saline breast implants are available, allowing better matching of implant diameter to breast base diameter.
    • These implants offer an alternative for achieving desired breast augmentation outcomes.

    Purpose of the Study:

    • To evaluate the advantages and disadvantages of high-profile breast implants based on initial clinical experience.
    • To define the role of high-profile implants in breast augmentation procedures.

    Main Methods:

    • Determined maximal optimal breast implant size using preoperative measurements, focusing on breast base diameter.
    • Patients selected implant size with trial implants in a bra matching desired cup size.
    • Utilized implant profile that best matched breast base diameter within the selected size range.

    Main Results:

    • Sixty-seven out of 164 patients received high-profile saline breast implants over a 14-month period.
    • High-profile implants were used for patients desiring sizes exceeding natural breast base diameter with standard profiles.

    Conclusions:

    • High-profile saline implants are a viable option for augmenting breast size beyond natural base diameter, potentially reducing rippling.
    • May achieve a more conical shape, particularly with periareolar mastopexy and augmentation.
    • Disadvantages include decreased implant mobility and a less obtuse chest-to-breast transition compared to standard implants.

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    Last Updated: Jun 24, 2026

    Endoscopic Bilateral Nipple-sparing Mastectomy via a Single Axillary Incision with Immediate Pre-pectoral Implant-based Breast Reconstruction
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    Endoscopic Bilateral Nipple-sparing Mastectomy via a Single Axillary Incision with Immediate Pre-pectoral Implant-based Breast Reconstruction

    Published on: May 17, 2024