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Breast augmentation using the expander mammary prosthesis.

H Becker

    Plastic and Reconstructive Surgery
    |February 1, 1987
    PubMed
    Summary
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    A modified expandable mammary prosthesis allows for multiple postoperative size adjustments, enhancing breast augmentation outcomes. This innovative implant design eliminates the need for revision surgeries and improves patient satisfaction with adjustable breast implant volume.

    Area of Science:

    • Plastic Surgery
    • Biomedical Engineering
    • Implant Technology

    Background:

    • Expandable mammary prostheses are established for breast reconstruction.
    • Previous designs faced challenges with leakage and required revision surgeries for size dissatisfaction.

    Purpose of the Study:

    • To evaluate a modified expandable mammary prosthesis for breast augmentation.
    • To assess the safety and efficacy of a new subcutaneous microreservoir design.
    • To determine the feasibility of multiple postoperative volume adjustments.

    Main Methods:

    • Modification of an existing expandable mammary prosthesis with a new subcutaneous microreservoir.
    • Postoperative volume adjustments performed as needed by patients.
    • Evaluation of 59 patients over a 3-year period with an average 6-month follow-up.

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    Main Results:

    • The modified implant allows for unlimited postoperative size adjustments.
    • High patient uptake for volume adjustments, indicating preference for customization.
    • Capsular contracture incidence was less than 10 percent.
    • The new valve design successfully eliminated leakage issues.

    Conclusions:

    • The modified expandable mammary prosthesis offers a safe and effective solution for breast augmentation.
    • The ability for repeated postoperative adjustments enhances aesthetic outcomes and patient satisfaction.
    • The improved design addresses previous limitations, particularly regarding leakage.