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Single-Port Robotic-assisted Transaxillary Breast-conserving Surgery: A Prospective, Single-arm, Non-randomized Phase IIa Clinical Trial
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Is There a Breast Augmentation Outcome Difference Between Subfascial and Subglandular Implant Placement? A
Ivan Maluf Junior1, Ruth Maria Graf2, Adriana Sayuri Kurogi Ascenço3
1Aesthetic and Reconstructive Plastic Surgery Service at Hospital de Clínicas, Universidade Federal Do Paraná (UFPR), Curitiba, Paraná State, Brazil. ivanmalufjr@yahoo.com.br.
Aesthetic Plastic Surgery
|August 1, 2019
Summary
Subfascial and subglandular breast augmentation techniques show no significant clinical differences in outcomes. The choice between subfascial or subglandular pockets depends on surgeon preference, not superior results.
Area of Science:
- Plastic Surgery
- Surgical Techniques
- Breast Augmentation
Background:
- Subfascial breast augmentation is increasingly popular due to reduced implant distortion and edge visibility.
- However, the impact of the pectoral fascia compared to the subglandular technique remains debated.
Purpose of the Study:
- To prospectively compare clinical and radiological outcomes of subfascial versus subglandular breast augmentation pockets.
Main Methods:
- A randomized, blinded study of 20 primary breast augmentation patients.
- Evaluated clinical and MRI data for capsule, folds, fluids, base, and projection over 12 months.
Main Results:
- No statistically significant differences in breast consistency, implant pocket, symmetry, contour, or shape between groups.
- MRIs showed a larger implant base in the subfascial group (p=0.024), but no differences in capsule thickness, folds, fluids, or projection.
Conclusions:
- Subfascial and subglandular breast augmentation techniques yield comparable clinical outcomes.
- The selection of surgical plane can be based on surgeon experience rather than demonstrated superiority of one technique.
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