Features of Subpectoral Pocket Development During Augmentation Mammaplasty With Nanotextured Implants

The purpose of this study was to provide information for minimizing complications following augmentation mammaplasty or breast reconstruction. The study was conducted at the Department of Plastic and Reconstructive Surgery, Bogomolets National Medical University Institute of Postgraduate Education, Kyiv, Ukraine. We placed smooth (n = 50), textured (n = 50), and nanotextured (n = 100) implants in subpectoral pockets in 200 women. We used several methods to evaluate the implants postoperatively, including ultrasound examination of tissue, analysis of biopsy samples, and assessment of postoperative dynamics at various stages of rehabilitation. We found a significant reduction in the risk for secondary mastopathy (i.e., changes in breast structure, including the formation of fibrous tissue, and inflammation) in the patients receiving implants with a nanotextured surface. We also noted that these patients showed an improvement in aesthetic parameters and a reduction in the risk for developing postoperative capsular contracture. Our evaluation of the aesthetic results showed an improvement in the natural shape, symmetry, and overall appearance of the breast in the patients who received nanotextured implants. Integrating innovative solutions to achieve optimal results can significantly improve the quality of life of patients and reduce the likelihood for repeated surgical interventions.