Optimizing Surgical Outcomes with Small-Volume Silicone Implants Associated with Autogenous Fat Grafting in Primary and Revision Breast Augmentation Surgery: Soft Weight Hybrid (SWEH) Concept

2021 ◽  
Author(s):  
Alexandre Mendonça Munhoz ◽  
Ary de Azevedo Marques Neto ◽  
João Maximiliano
Keyword(s):  
Breast Augmentation ◽  
Surgical Outcomes ◽  
Small Volume ◽  
Fat Grafting ◽  
Silicone Implants

scholarly journals Silicone Implant Versus Silicone Implant Assisted by Stromal Enriched Lipograft Breast Augmentation: A Prospective Comparative Study

Medicines ◽  
2020 ◽  
Vol 7 (5) ◽  
pp. 28
Author(s):  
Aris Sterodimas
Keyword(s):  
Patient Satisfaction ◽  
Breast Augmentation ◽  
Fat Grafting ◽  
Silicone Implant ◽  
Silicone Implants ◽  
Complication Rates ◽  
High Profile ◽  
Group A ◽  
Group B ◽  
Age Range

Background: Implant-assisted breast augmentation is among the most performed surgeries performed by plastic surgeons today. This prospective study evaluated the patient satisfaction and complication rates using high-profile round silicone implant alone (traditional breast augmentation) Group A versus the high-profile round silicone implant assisted with stromal enriched lipograft (composite breast augmentation) Group B. Methods: A total of 50 female patient candidates to undergo breast augmentation between January to September 2017 were randomly assigned to either group. The periareolar technique for breast augmentation and the subfascial plane were used in both groups for the insertion of the high-profile round silicone implants. The stromal enriched lipograft (SEL) was used in Group B for the preparation of the autologous fat grafting to the breast. The satisfaction of each patient with body appearance following breast augmentation was rated using an already published scale of 1–5. The rate of complications was analysed. Results: AS performed all the surgeries. In Group A, the age range was between 19 and 48 years (mean of 22.5 years). In Group B, the age range was between 20 and 47 years (mean of 24.1 years). The average BMI of Group A was 24 m/kg2 and 23 m/kg2 of Group B. Patient satisfaction meta-analysis for Group A and B at 12 months shows that patients in Group B expressed a satisfaction that is superior when compared to Group A patients. The ability to camouflage the implant could explain the higher satisfaction rates in Group B. The rate of complications appears similar in both groups. Conclusions: Composite breast augmentation using a combination of round high-profile implants and SEL in breast augmentation can achieve a higher patient satisfaction and aesthetic outcome as compared to the round high-profile breast augmentation alone. The technique is safe, simple and fast with low complication rates. Large multicentre, controlled, prospective studies need to be performed to further confirm the favourable results that were observed in this study.

Radiologic Evaluation of Women Following Cosmetic Breast Augmentation with Silicone Implants and Fat Grafting

2014 ◽  
Vol 134 ◽  
pp. 91-92 ◽  
Author(s):  
Jennifer A. Cameron ◽  
Eric Auclair ◽  
Michael Nelson ◽  
Bruce L. Cunningham
Keyword(s):  
Breast Augmentation ◽  
Fat Grafting ◽  
Silicone Implants ◽  
Radiologic Evaluation

scholarly journals Large-Volume Autologous Fat Grafting to the Breast

2021 ◽  
Vol 41 (Supplement_1) ◽  
pp. S16-S24
Author(s):  
Maurice Y Nahabedian
Keyword(s):  
Large Volume ◽  
Breast Augmentation ◽  
Small Volume ◽  
Fat Grafting ◽  
Autologous Fat Grafting ◽  
Level Of Evidence ◽  
Autologous Fat ◽  
General Consensus

Abstract Autologous fat grafting in the setting of breast augmentation and reconstruction has become globally accepted and routinely performed. There is general consensus that small-volume grafting is reproducible and predictable; however, large-volume fat grafting (>100 mL) is less predictable and is not as commonly performed. The aim of this article was to review outcomes following large-volume and megavolume fat grafting in the setting of breast augmentation and reconstruction. Level of Evidence: 4

Fat Grafting in Composite Breast Augmentation with Round Implants: A New Concept for Breast Reshaping

2018 ◽  
Vol 43 (2) ◽  
pp. 550-551
Author(s):  
Nathalie Kerfant ◽  
Alexandre Marchac ◽  
Eric Auclair
Keyword(s):  
Breast Augmentation ◽  
Fat Grafting ◽  
Breast Reshaping

Study of the effect of platelet rich plasma (PRP) on structural fat grafting for breast augmentation

2012 ◽  
Vol 10 (2) ◽  
pp. 755-763
Author(s):  
Asser A El-Hilaly ◽  
Sameh M El-Taher ◽  
Ahmed F El-Sherif ◽  
Mohamed H Zedan
Keyword(s):  
Breast Augmentation ◽  
Platelet Rich Plasma ◽  
Fat Grafting

scholarly journals Bilateral Breast Reconstruction With Profunda Artery Perforator Flaps and Immediate Implant Augmentation

2020 ◽  
Vol 2 (1) ◽  
Author(s):  
Carrie K Chu ◽  
Michael DeFazio ◽  
Rene D Largo ◽  
Merrick Ross
Keyword(s):  
Breast Reconstruction ◽  
Brca2 Mutation ◽  
Donor Site ◽  
Free Flaps ◽  
Fat Grafting ◽  
Silicone Implants ◽  
Level Of Evidence ◽  
Immediate Reconstruction ◽  
Immediate Implant ◽  
Artery Perforator

Abstract The smaller volume of the profunda artery perforator (PAP) flap relative to that of abdominal flaps limits the size of breast reconstruction that may be achieved. Immediate implant augmentation of abdominal free flaps has been performed, but immediate implant augmentation of PAP flaps has never been described. A 54-year-old woman with BRCA2 mutation, submuscular implants, and previous abdominoplasty presented for nipple-sparing mastectomies (NSM). Autologous tissue volume was inadequate to support reconstruction to the desired size. She wished to avoid serial expansion. Skin quality was unsuitable for direct-to-implant reconstruction. The patient underwent bilateral NSM. The previous implants were removed with capsule preservation. Bilateral PAP flaps were harvested and anastomosed to the internal mammary vessels. Moderate classic profile 170-mL smooth round silicone implants were placed into the existing capsule pockets with lateral capsulorraphy. There were no flap, implant, or infectious complications. Initial mastectomy skin and nipple ischemia completely resolved without necrosis. Donor site healing was uneventful. At 8 months, the reconstruction is supple and the implants remain well-positioned without rippling. One minor revision was performed for fat grafting and to correct lateral nipple deviation. PAP flap breast reconstruction with immediate implant augmentation is technically feasible. Advantages include improved prosthetic coverage, allowing for immediate reconstruction to a larger size with reduced concern regarding mastectomy skin necrosis and threat to the device, optimal implant camouflage, and improved substrate for secondary fat grafting if necessary. Level of Evidence: 5

scholarly journals Methods used for evaluation of volume retention rate in autologous fat grafting for breast augmentation

2019 ◽  
Vol 132 (18) ◽  
pp. 2223-2228 ◽  
Author(s):  
Cheng-Long Wang ◽  
Si-Si Luan ◽  
Adriana C. Panayi ◽  
Min-Qiang Xin ◽  
Jie Luan
Keyword(s):  
Breast Augmentation ◽  
Retention Rate ◽  
Fat Grafting ◽  
Autologous Fat Grafting ◽  
Autologous Fat ◽  
Volume Retention
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