BACKGROUND Breast augmentation is the most frequent procedure performed according to the 2009 Quick Facts report of the American Society of Plastic Surgeons. This study presents the periareolar extra-glandular breast augmentation. METHODS From 2004 to 2010 among 32 female patients, peri-areolar incision was performed for breast augmentation. Dissection was performed in subcutaneous plane towa...

Breast implant exposure due to poor tissue coverage or previous irradiation represents a surgical challenge both in the reconstructive and aesthetic plastic surgery practice. In case of implant extrusion or incipient exposure, the commonly suggested strategies, such as targeted antibiotic therapy, drainage and lavage of the cavity, fistulectomy, and primary closure, may be ineffective leading t...

Background: Surgeons’ decisions impact patient outcomes and implant effects on tissues over time. Tissue assessment systems that provide quantitative, objective data enable objective rather than subjective decisions. First-generation dimensional systems for breast augmentation defined a desired result dimensionally and recommended an implant to force tissues to the desired result. A second-gene...

The advent of form-stable cohesive gel implants represents a significant device-related advance in the history of breast implants. Perhaps even more significant, however, are advances in the non–device-related process of breast augmentation itself, which have redefined the outcome and patient experience for this procedure.1 These refinements in breast augmentation technique have been particular...

BACKGROUND Breast implants are worldwide in use since 1962. Initially there were some problems with capsular contracture and the palpability of the rim of the implant. In 1968 this led to the introduction of the micropolyurethane foam-coating and then in 1970 to the first micropolyurethane foam-coated implant by F.A. Ashley. As a result of additional technical refinements in manufacturing this ...

Silicone breast implants have been used for breast augmentation and reconstructive surgery for the past 40 years. Capsular contracture is a relatively common complication (a capsule that forms around the breast implant, thereby causing a deformity and pain), and poses challenging problems for surgeons [1]. Clinically, patients with severe capsular contracture, such as those with capsular contra...

INTRODUCTION Round expander-implants (Beckers 25 and 50) and anatomical expander-prostheses filled with firm cohesive gel (McGhan Style 150) are established choices for single-stage expander breast reconstruction. Because of their drawbacks we selectively adopted the anatomical Becker-35 expander-implant filled with soft cohesive gel from January 2005. PATIENTS AND METHODS All patients underg...