Aesthetic breast augmentation and thoracic deformities

Area of Science:

• Plastic Surgery
• Aesthetic Surgery
• Thoracic Surgery

Background:

• Preoperative evaluation is crucial for successful aesthetic breast augmentation.
• Assessment of underlying thoracic shape is often overlooked.
• Mild to moderate thoracic deformities can lead to unsatisfying results if not addressed.

Purpose of the Study:

• To investigate the incidence of undiagnosed thoracic wall deformities in breast augmentation patients.
• To evaluate the outcomes of breast augmentation in patients with mild to moderate thoracic deformities.
• To highlight the importance of preoperative assessment of thoracic anatomy.

Main Methods:

• Retrospective chart review of 548 patients undergoing breast augmentation.
• Identification of patients with low- to midgrade thoracic wall deformities.
• Analysis of implant selection, placement, volume, and patient outcomes.

Main Results:

• 7.1% (39 of 548) of patients had undiagnosed thoracic wall deformities.
• Patients were augmented with silicone-filled, textured round implants, with adapted placement and volume.
• High patient and physician satisfaction was reported, with no reoperations.

Conclusions:

• A significant percentage of breast augmentation patients have undiagnosed thoracic deformities.
• Individualized surgical planning and careful implant selection are key to achieving optimal results.
• Thorough preoperative physical examination and documentation are essential for successful aesthetic breast augmentation.