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Related Experiment Video

Updated: May 8, 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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Breast augmentation with anatomic implants: a method based on the breast implantation base.

Jose L Martin del Yerro1, Manuel R Vegas, Ignacio Sanz

  • 1Plastic, Reconstructive and Aesthetic Surgery Service, Hospital Quirón, C/ Diego Velazquez 1, Pozuelo de Alarcon, Madrid, Spain, mdelyerro@yerro.com.

Aesthetic Plastic Surgery
|September 5, 2013
PubMed
Summary

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This study emphasizes the importance of breast implantation base (BIB), lower pole proportions, and patient somatotype for natural breast augmentation. A preoperative marking method is detailed for precise implant selection and aesthetic outcomes.

Area of Science:

  • Plastic Surgery
  • Aesthetic Anatomy
  • Surgical Techniques

Background:

  • Breast augmentation focuses on contouring and dimensions.
  • Over 5,000 breast augmentations with cohesive anatomic implants have been performed.
  • Aesthetic outcomes depend on precise anatomical considerations.

Purpose of the Study:

  • To explore aesthetic anatomy of the augmented breast.
  • To highlight the significance of breast implantation base (BIB), lower breast pole proportions, and somatotype in implant selection.
  • To present a method for translating aesthetic concepts to preoperative markings.

Main Methods:

  • Analysis of aesthetic anatomy in augmented breasts.
  • Correlation of breast implantation base (BIB), lower pole aesthetics, and somatotype with implant choice.

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  • Development of a preoperative marking technique based on aesthetic proportions.

    • Main Results:

    • The breast implantation base (BIB), lower breast pole proportions, and patient somatotype are crucial for natural-appearing breast augmentation.
    • A systematic method for preoperative marking ensures accurate transfer of aesthetic proportions.
    • Experience with over 5,000 cases informs the presented aesthetic principles.

    Conclusions:

    • Aesthetic breast augmentation requires a thorough understanding of breast dimensions and proportions.
    • The breast implantation base (BIB), lower pole aesthetics, and somatotype are key determinants for selecting appropriate implants.
    • A standardized preoperative marking method enhances predictability and natural-looking results in breast augmentation surgery.