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Asian Breast Augmentation: A Systematic Review.

Jonathan Zelken1, Ming-Huei Cheng1

  • 1Private Practice, Finesse Plastic Surgery, Newport Beach, Calif.; Department of Plastic and Reconstructive Surgery, Chang Gung Memorial Hospital, College of Medicine, Chang Gung University, Taoyuan, Taiwan; and Center for Tissue Engineering, Chang Gung Memorial Hospital, Taoyuan, Taiwan.

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Asian women undergoing breast augmentation rely on limited data. This review of 2089 patients highlights common techniques and complications, emphasizing the need for tailored, evidence-based guidelines to improve outcomes.

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Area of Science:

  • Plastic Surgery
  • Aesthetic Surgery
  • Breast Augmentation

Background:

  • Popularity of implant-based breast augmentation is rising in Asia.
  • Existing evidence-based medicine may not be fully relevant to Asian women due to distinct anatomical and cultural factors.
  • A tailored approach is needed for breast augmentation in Asian populations.

Purpose of the Study:

  • To explore the current experience and outcomes of breast augmentation in Asian women.
  • To review the recent literature on augmentation mammoplasty in this demographic.

Main Methods:

  • Literature search conducted for articles published after 2000.
  • Databases searched include MEDLINE, Embase, and Pubmed.
  • Focus on studies involving Asian women undergoing augmentation mammoplasty, summarizing technique and outcomes.

Main Results:

  • Twelve articles reported on 2089 women, primarily from Korea, China, Taiwan, and Japan.
  • Silicone implants were prevalent (82.1%), with round implants favored over anatomic.
  • Low rates of major complications were reported, though undesirable scarring was most frequent (7.3%).

Conclusions:

  • Current studies on breast augmentation in Asian women are limited, often lacking well-defined outcomes and follow-up.
  • Accumulating experience and literature are crucial for developing evidence-based guidelines tailored to Asian women.
  • Improved guidelines can enhance outcomes, patient satisfaction, and foster innovation in the field.