eMedicine Specialties > Plastic Surgery > Breast
Breast Augmentation, Subglandular: Follow-up
Updated: Jul 10, 2009
Outcome and Prognosis
The implant manufacturers state that their products are not meant to be lifetime devices, but because of their long-term guarantees of replacement, they obviously hope that they will be used over the patient's life.
Overall, the author has found a high degree of patient satisfaction with subglandular placement of breast implants and recommends that approach. Whatever the complications with hardness or rippling, almost no one asks for the removal of the implants.
Breast augmentation, subglandular. This patient wanted much less drooping. B cup and significant drooping to D cup.
Future and Controversies
A device is presently under investigation that stretches the skin externally and supposedly causes proliferation of the underlying tissue to provide an enlargement of the breast of up to one cup size. While the author believes not many patients will opt for this device because it is cumbersome to use, he also believes that its efficacy and the permanence of the result have yet to be demonstrated.
Saline breast implants have some serious disadvantages, especially regarding how they feel and the occurrence of rippling. In addition, silicone implants are undergoing clinical trials in which the author is participating, and the author believes they will be available for general cosmetic use within a few years.
More on Breast Augmentation, Subglandular |
| Overview: Breast Augmentation, Subglandular |
| Workup: Breast Augmentation, Subglandular |
| Treatment: Breast Augmentation, Subglandular |
Follow-up: Breast Augmentation, Subglandular |
| Multimedia: Breast Augmentation, Subglandular |
| References |
| « Previous Page | Next Page » |
References
Eldor L, Weissman A, Fodor L, Carmi N, Ullmann Y. Breast augmentation under general anesthesia versus monitored anesthesia care: a retrospective comparative study. Ann Plast Surg. Sep 2008;61(3):243-6. [Medline].
Handel N, Jensen JA, Black Q, et al. The fate of breast implants: a critical analysis of complications and outcomes. Plast Reconstr Surg. Dec 1995;96(7):1521-33. [Medline].
Tarpila E, Ghassemifar R, Fagrell D, Berggren A. Capsular contracture with textured versus smooth saline-filled implants for breast augmentation: a prospective clinical study. Plast Reconstr Surg. Jun 1997;99(7):1934-9. [Medline].
Baker JL. Augmentation mammoplasty, a personal approach. In: Marsh JL, ed. Current Therapy in Plastic and Reconstructive Surgery. Mosby-Year Book; 1989:1-9.
Gutowski KA, Mesna GT, Cunningham BL. Saline-filled breast implants: a Plastic Surgery Educational Foundation multicenter outcomes study. Plast Reconstr Surg. Sep 1997;100(4):1019-27. [Medline].
Hidalgo DA. Breast augmentation: choosing the optimal incision, implant, and pocket plane. Plast Reconstr Surg. May 2000;105(6):2202-16; discussion 2217-8. [Medline].
Spear S, ed. Surgery of the Breast, Principles and Art. 1998:845-917.
Further Reading
Keywords
breast augmentation, subglandular, subglandular breast implants, breast implants, breast implant surgery, saline implant, silicone implant, submuscular implant, over the muscle implant, capsular contracture, fibrous capsular contracture, baker system, Baker classification, breast symmetry, breast asymmetry, rippled implants, wrinkled implants, implant ripple, breast ptosis, micromastia, breast anatomy, breast pictures, breast surgery, inflatable implant, inframammary incision, inframammary fold, IMF, smooth-walled implant, round implant, textured implant, teardrop implant, infection, postoperative bleeding, deflation, implant deflation, closed capsulotomy, implant rippling, implant wrinkling








Follow-up: Breast Augmentation, Subglandular