Implementation of an Integrated Biodimensional Method of Breast Augmentation with Anatomic, Highly Cohesive Silicone Gel Implants

Short-Term Results With the First 620 Consecutive Cases

Paolo Montemurro, Mouchammed Agko, Alessandro Quattrini Li, Stefano Avvedimento, Per Hedén

Research output: Contribution to journalArticle

4 Citations (Scopus)

Abstract

Background: The previously described Akademikliniken (AK) method is a comprehensive approach to breast augmentation with form stable implants that has been shown to afford favorable outcomes when applied by experienced surgeons.

Objectives: To evaluate outcomes of a surgeon newly adopting this method at the beginning of his career.

Methods: A retrospective review of patients undergoing dual plane subpectoral augmentation with Style 410 implants between April 2009 and December 2014 was undertaken. The review was performed one year after the last operation. The first author (P.M.) performed all operations. Complications and reoperation rates were analyzed and correlated with patient and implant characteristics using the chi-square or Fisher's exact test, as appropriate.

Results: A total of 620 consecutive patients met the inclusion criteria with a mean follow up of 8 months (range, 1 week-60 months). Complications occurred in 14.8% of the patients: request for larger size (3.3%), rotation (3%), and Baker III/IV capsular contracture (2.2%) were the most common ones. Low implant projection was a statistically significant risk factor (P < 0.05) for the most common complication - request for a larger size. The overall reoperation rate was 8.7%. The most common indication for reoperation was request for larger size (2.2%) followed by rotation (2.2%) and capsular contracture (2%).

Conclusions: Breast augmentation with form stable anatomical implants requires a considerably different process. By implementing a systematic approach such as the AK method, novices in this terrain can expect to achieve reasonable outcomes.

Level of Evidence: 4.

Original languageEnglish (US)
Pages (from-to)782-792
Number of pages11
JournalAesthetic Surgery Journal
Volume37
Issue number7
DOIs
StatePublished - Jul 1 2017
Externally publishedYes

Fingerprint

Silicone Gels
Breast
Reoperation
Contracture

Keywords

  • Adult
  • Breast/anatomy & histology
  • Breast Implantation/adverse effects
  • Breast Implants/adverse effects
  • Female
  • Follow-Up Studies
  • Humans
  • Implant Capsular Contracture/epidemiology
  • Middle Aged
  • Organ Size
  • Prosthesis Design
  • Reoperation/statistics & numerical data
  • Retrospective Studies
  • Silicone Gels/adverse effects
  • Treatment Outcome
  • Young Adult

Cite this

Implementation of an Integrated Biodimensional Method of Breast Augmentation with Anatomic, Highly Cohesive Silicone Gel Implants : Short-Term Results With the First 620 Consecutive Cases. / Montemurro, Paolo; Agko, Mouchammed; Quattrini Li, Alessandro; Avvedimento, Stefano; Hedén, Per.

In: Aesthetic Surgery Journal, Vol. 37, No. 7, 01.07.2017, p. 782-792.

Research output: Contribution to journalArticle

@article{8fd22770da384a349ca8437fcb03019f,
title = "Implementation of an Integrated Biodimensional Method of Breast Augmentation with Anatomic, Highly Cohesive Silicone Gel Implants: Short-Term Results With the First 620 Consecutive Cases",
abstract = "Background: The previously described Akademikliniken (AK) method is a comprehensive approach to breast augmentation with form stable implants that has been shown to afford favorable outcomes when applied by experienced surgeons.Objectives: To evaluate outcomes of a surgeon newly adopting this method at the beginning of his career.Methods: A retrospective review of patients undergoing dual plane subpectoral augmentation with Style 410 implants between April 2009 and December 2014 was undertaken. The review was performed one year after the last operation. The first author (P.M.) performed all operations. Complications and reoperation rates were analyzed and correlated with patient and implant characteristics using the chi-square or Fisher's exact test, as appropriate.Results: A total of 620 consecutive patients met the inclusion criteria with a mean follow up of 8 months (range, 1 week-60 months). Complications occurred in 14.8{\%} of the patients: request for larger size (3.3{\%}), rotation (3{\%}), and Baker III/IV capsular contracture (2.2{\%}) were the most common ones. Low implant projection was a statistically significant risk factor (P < 0.05) for the most common complication - request for a larger size. The overall reoperation rate was 8.7{\%}. The most common indication for reoperation was request for larger size (2.2{\%}) followed by rotation (2.2{\%}) and capsular contracture (2{\%}).Conclusions: Breast augmentation with form stable anatomical implants requires a considerably different process. By implementing a systematic approach such as the AK method, novices in this terrain can expect to achieve reasonable outcomes.Level of Evidence: 4.",
keywords = "Adult, Breast/anatomy & histology, Breast Implantation/adverse effects, Breast Implants/adverse effects, Female, Follow-Up Studies, Humans, Implant Capsular Contracture/epidemiology, Middle Aged, Organ Size, Prosthesis Design, Reoperation/statistics & numerical data, Retrospective Studies, Silicone Gels/adverse effects, Treatment Outcome, Young Adult",
author = "Paolo Montemurro and Mouchammed Agko and {Quattrini Li}, Alessandro and Stefano Avvedimento and Per Hed{\'e}n",
note = "{\circledC} 2017 The American Society for Aesthetic Plastic Surgery, Inc. Reprints and permission: journals.permissions@oup.com",
year = "2017",
month = "7",
day = "1",
doi = "10.1093/asj/sjx024",
language = "English (US)",
volume = "37",
pages = "782--792",
journal = "Aesthetic Surgery Journal",
issn = "1090-820X",
publisher = "SAGE Publications Inc.",
number = "7",

}

TY - JOUR

T1 - Implementation of an Integrated Biodimensional Method of Breast Augmentation with Anatomic, Highly Cohesive Silicone Gel Implants

T2 - Short-Term Results With the First 620 Consecutive Cases

AU - Montemurro, Paolo

AU - Agko, Mouchammed

AU - Quattrini Li, Alessandro

AU - Avvedimento, Stefano

AU - Hedén, Per

N1 - © 2017 The American Society for Aesthetic Plastic Surgery, Inc. Reprints and permission: journals.permissions@oup.com

PY - 2017/7/1

Y1 - 2017/7/1

N2 - Background: The previously described Akademikliniken (AK) method is a comprehensive approach to breast augmentation with form stable implants that has been shown to afford favorable outcomes when applied by experienced surgeons.Objectives: To evaluate outcomes of a surgeon newly adopting this method at the beginning of his career.Methods: A retrospective review of patients undergoing dual plane subpectoral augmentation with Style 410 implants between April 2009 and December 2014 was undertaken. The review was performed one year after the last operation. The first author (P.M.) performed all operations. Complications and reoperation rates were analyzed and correlated with patient and implant characteristics using the chi-square or Fisher's exact test, as appropriate.Results: A total of 620 consecutive patients met the inclusion criteria with a mean follow up of 8 months (range, 1 week-60 months). Complications occurred in 14.8% of the patients: request for larger size (3.3%), rotation (3%), and Baker III/IV capsular contracture (2.2%) were the most common ones. Low implant projection was a statistically significant risk factor (P < 0.05) for the most common complication - request for a larger size. The overall reoperation rate was 8.7%. The most common indication for reoperation was request for larger size (2.2%) followed by rotation (2.2%) and capsular contracture (2%).Conclusions: Breast augmentation with form stable anatomical implants requires a considerably different process. By implementing a systematic approach such as the AK method, novices in this terrain can expect to achieve reasonable outcomes.Level of Evidence: 4.

AB - Background: The previously described Akademikliniken (AK) method is a comprehensive approach to breast augmentation with form stable implants that has been shown to afford favorable outcomes when applied by experienced surgeons.Objectives: To evaluate outcomes of a surgeon newly adopting this method at the beginning of his career.Methods: A retrospective review of patients undergoing dual plane subpectoral augmentation with Style 410 implants between April 2009 and December 2014 was undertaken. The review was performed one year after the last operation. The first author (P.M.) performed all operations. Complications and reoperation rates were analyzed and correlated with patient and implant characteristics using the chi-square or Fisher's exact test, as appropriate.Results: A total of 620 consecutive patients met the inclusion criteria with a mean follow up of 8 months (range, 1 week-60 months). Complications occurred in 14.8% of the patients: request for larger size (3.3%), rotation (3%), and Baker III/IV capsular contracture (2.2%) were the most common ones. Low implant projection was a statistically significant risk factor (P < 0.05) for the most common complication - request for a larger size. The overall reoperation rate was 8.7%. The most common indication for reoperation was request for larger size (2.2%) followed by rotation (2.2%) and capsular contracture (2%).Conclusions: Breast augmentation with form stable anatomical implants requires a considerably different process. By implementing a systematic approach such as the AK method, novices in this terrain can expect to achieve reasonable outcomes.Level of Evidence: 4.

KW - Adult

KW - Breast/anatomy & histology

KW - Breast Implantation/adverse effects

KW - Breast Implants/adverse effects

KW - Female

KW - Follow-Up Studies

KW - Humans

KW - Implant Capsular Contracture/epidemiology

KW - Middle Aged

KW - Organ Size

KW - Prosthesis Design

KW - Reoperation/statistics & numerical data

KW - Retrospective Studies

KW - Silicone Gels/adverse effects

KW - Treatment Outcome

KW - Young Adult

U2 - 10.1093/asj/sjx024

DO - 10.1093/asj/sjx024

M3 - Article

VL - 37

SP - 782

EP - 792

JO - Aesthetic Surgery Journal

JF - Aesthetic Surgery Journal

SN - 1090-820X

IS - 7

ER -