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High- and Extra-High-Profile Round Implants in Breast Augmentation: Guidelines to Prevent Rippling and Implant Edge

Antonio Carlos Abramo1, Marcio Scartozzoni2, Thiago Walmsley Lucena2

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Summary

Matching retroareolar mammary parenchyma thickness with specific implant profiles effectively prevents breast augmentation rippling and edge visibility. This ensures a natural aesthetic and long-term patient satisfaction with breast implants.

Keywords:
Breast augmentationExtra-high-profile round implantHigh-profile round implantImplant edge visibilityMRIRippling

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Area of Science:

  • Plastic Surgery
  • Aesthetic Medicine
  • Biomedical Engineering

Background:

  • Breast augmentation outcomes like rippling and implant edge visibility are influenced by factors such as breast soft tissue thickness and implant profile.
  • Retroareolar mammary parenchyma thickness is a key correlate for preventing these aesthetic complications.

Purpose of the Study:

  • To investigate the correlation between retroareolar mammary parenchyma thickness and the selection of breast implant profiles to prevent rippling and edge visibility.
  • To assess the long-term aesthetic outcomes and implant integrity following breast augmentation using tailored implant selection.

Main Methods:

  • Thirty patients underwent breast augmentation with subfascial dissection, categorized by retroareolar mammary parenchyma thickness (≥4.0 cm or ≤3.9 cm).
  • Group I received high-profile 85% fill round implants; Group II received extra-high-profile 100% fill round implants.
  • Magnetic Resonance Imaging (MRI) was used preoperatively and 5 years postoperatively to evaluate tissue changes and implant contouring.

Main Results:

  • All 30 patients achieved noticeable breast improvement without rippling or implant edge visibility.
  • A natural breast appearance, enhanced mammary cone, and balanced contouring were maintained at 5 years postoperatively.
  • Postoperative MRI confirmed no implant deformities, soft tissue thinning, parenchymal atrophy, or chest wall deformities.

Conclusions:

  • Correlation between retroareolar mammary parenchyma thickness and specific implant fills (high-profile 85% and extra-high-profile 100%) is crucial for preventing rippling and edge visibility.
  • Co-adjuvant factors include wide fascial support, implant width smaller than breast diameter, and use of soft cohesive gel-filled implants.