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

7 Scopus citations

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

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

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