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Revisiting Prepectoral Breast Augmentation: Indications and Refinements
1Department of Plastic Surgery, Soonchunhyang University Hospital, Seoul, Korea.
Aesthetic Surgery Journal
|October 30, 2018
Summary
Prepectoral breast augmentation using microtextured implants is a safe alternative to traditional retropectoral methods. This technique offers a less invasive option with a shorter recovery, showing no major complications in a recent study.
Area of Science:
- Plastic Surgery
- Aesthetic Surgery
- Breast Augmentation Techniques
Background:
- Prepectoral breast reconstruction is gaining traction as an alternative to retropectoral approaches.
- Patient demand for safer, less invasive procedures with quicker recovery drives interest in prepectoral augmentation.
Purpose of the Study:
- To evaluate prepectoral breast augmentation with microtextured implants.
- To assess its viability as an alternative to retropectoral augmentation.
Main Methods:
- 76 women underwent primary breast augmentation.
- Endoscopic subfascial dissection and axillary approach for microtextured implant placement.
- Inclusion criterion: >3 cm upper pole breast pinch test.
Main Results:
- Mean follow-up: 12 months. Mean implant volume: 278.1 mL.
- No seroma, capsular contracture, or malposition observed.
- Two patients had minor contour visibility concerns; no revisions needed.
Conclusions:
- Fascial coverage and microtextured implants effectively managed prepectoral placement drawbacks.
- No major complications with Motiva Ergonomix SilkSurface implants.
- Prepectoral augmentation warrants reconsideration due to surgical and device advancements.
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