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Subglandular Breast Augmentation Workup

  • Author: Howard T Bellin, MD; Chief Editor: James Neal Long, MD, FACS  more...
 
Updated: Mar 03, 2016
 

Laboratory Studies

Perform routine blood tests, including a CBC and clotting studies, preoperatively.

Obtain a pregnancy test on the day of surgery.

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Imaging Studies

Obtain a baseline mammogram in a patient who is aged 35 years or older and who has not undergone the examination previously.

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Contributor Information and Disclosures
Author

Howard T Bellin, MD Founder, CosMedica, The Plastic Surgery Center of New York

Howard T Bellin, MD is a member of the following medical societies: Medical Society of the State of New York, American Association for the Advancement of Science, American Medical Association, American Society of Plastic Surgeons, New York Academy of Medicine, New York Academy of Sciences, New York County Medical Society

Disclosure: Nothing to disclose.

Coauthor(s)

Peter A Kreymerman, MD Plastic and Reconstructive Surgeon, Carolinas Center for Surgery, Carteret General Hospital

Disclosure: Nothing to disclose.

Farzad R Nahai, MD Assistant Clinical Professor, Division of Plastic and Reconstructive Surgery, Emory University School of Medicine; Consulting Surgeon, Paces Plastic Surgery

Farzad R Nahai, MD is a member of the following medical societies: American Society for Aesthetic Plastic Surgery, American Society of Plastic Surgeons

Disclosure: Received grant/research funds from Pfizer for none; Received consulting fee from DSM for consulting.

Specialty Editor Board

Francisco Talavera, PharmD, PhD Adjunct Assistant Professor, University of Nebraska Medical Center College of Pharmacy; Editor-in-Chief, Medscape Drug Reference

Disclosure: Received salary from Medscape for employment. for: Medscape.

Chief Editor

James Neal Long, MD, FACS Founder of Magnolia Plastic Surgery; Former Associate Professor of Plastic and Reconstructive Surgery, Division of Plastic Surgery, Children's Hospital and Kirklin Clinics, University of Alabama at Birmingham School of Medicine; Section Chief of Plastic, Reconstructive, Hand, and Microsurgery, Birmingham Veterans Affairs Medical Center

James Neal Long, MD, FACS is a member of the following medical societies: Alpha Omega Alpha, American College of Surgeons, American Medical Association, American Society of Plastic Surgeons, Plastic Surgery Research Council, Sigma Xi, Southeastern Society of Plastic and Reconstructive Surgeons, Southeastern Surgical Congress

Disclosure: Nothing to disclose.

Additional Contributors

Pankaj Tiwari, MD Assistant Professor, Division of Plastic Surgery, Ohio State University College of Medicine

Disclosure: Nothing to disclose.

References
  1. Egeberg A, Sorensen JA. The impact of breast implant location on the risk of capsular contraction. Ann Plast Surg. 2014 Jul 4. [Medline].

  2. 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. 2008 Sep. 61(3):243-6. [Medline].

  3. Handel N, Jensen JA, Black Q, et al. The fate of breast implants: a critical analysis of complications and outcomes. Plast Reconstr Surg. 1995 Dec. 96(7):1521-33. [Medline].

  4. 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. 1997 Jun. 99(7):1934-9. [Medline].

  5. Weck Roxo AC, Nahas FX, Salin R, de Castro CC, Aboudib JH, Marques RG. Volumetric Evaluation of the Mammary Gland and Pectoralis Major Muscle following Subglandular and Submuscular Breast Augmentation. Plast Reconstr Surg. 2016 Jan. 137 (1):62-9. [Medline].

  6. ASAPS Cosmetic Surgery National Data Bank. Statistics. American Society for Aesthetic Plastic Surgery. Available at http://www.surgery.org/media/statistics. Accessed: Oct 13 2014.

  7. Baker JL. Augmentation mammoplasty, a personal approach. Marsh JL, ed. Current Therapy in Plastic and Reconstructive Surgery. Mosby-Year Book; 1989. 1-9.

  8. Gutowski KA, Mesna GT, Cunningham BL. Saline-filled breast implants: a Plastic Surgery Educational Foundation multicenter outcomes study. Plast Reconstr Surg. 1997 Sep. 100(4):1019-27. [Medline].

  9. Hidalgo DA. Breast augmentation: choosing the optimal incision, implant, and pocket plane. Plast Reconstr Surg. 2000 May. 105(6):2202-16; discussion 2217-8. [Medline].

  10. Spear SL, ed. Surgery of the Breast: Principles and Art. 3rd ed. Philadelphia, Pa: Lippincott Williams & Wilkins; 2011.

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Breast augmentation, subglandular. A cup to large B cup.
Breast augmentation, subglandular. A cup to C cup.
Breast augmentation, subglandular. A cup to C cup.
Breast augmentation, subglandular. Very small A cup to C cup.
Breast augmentation, subglandular. Very small A cup to large B cup.
Breast augmentation, subglandular. A cup to large D cup.
Breast augmentation, subglandular. Small B cup to D cup.
Breast augmentation, subglandular. A cup to Large B cup.
Breast augmentation, subglandular. A cup to D cup.
Breast augmentation, subglandular. This patient had previous implants behind the muscle. Same implants placed in front of the muscle.
Breast augmentation, subglandular. This patient wanted a lift and much larger breasts. A cup and slight drooping to C cup.
Breast augmentation, subglandular. This patient wanted a modest enlargement and less drooping. A cup and slight drooping to B cup.
Breast augmentation, subglandular. This patient wanted a large C and less drooping. Small B cup and moderate drooping to D cup.
Breast augmentation, subglandular. This patient wanted much less drooping. B cup and significant drooping to D cup.
Breast augmentation, subglandular. Small B cup and significant drooping to D cup.
Anatomy of the breast.
 
 
 
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