Our experience with retro-glandular breast implants: a 14-year review and analysis of 1,043 consecutive cases

The consistent demand for breast augmentation has led to the development of numerous techniques for implant placement over the past 20 years. Our study, based on a 14-year clinical and radiological follow-up of patients and 1,043 implanted cases, aims to investigate a breast implant positioning technique and standardize its application in various clinical cases.

All patients undergoing breast augmentation were studied using pre-surgical breast ultrasound, which served to rule out new growths and establish essential intervention feasibility parameters, including glandular and skin thickness.

After 1,043 implants, we observed a 94% patient satisfaction rate (980 patients, measured by a follow-up questionnaire). Additionally, two external surgeons were asked to assess pre- and post-op pictures using a scoring scale from 0 to 5, with an average rating of 4 out of 5. Post-surgical complications included instances of capsular contracture 0.2%, implant rotation 0.8%, post-operative hematomas 0.2%, and wrinkling 0.4%.

Standardizing the retro-glandular breast augmentation procedure, along with careful preoperative studies, can yield excellent results in terms of patient and practitioner satisfaction by fully respecting the anatomy, avoiding pectoralis major muscle impairment, achieving faster recovery, and ensuring a safer, quicker procedure.