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Evidence-Based Medicine: Augmentation Mammaplasty

Lista, Frank M.D.; Ahmad, Jamil M.D.

Plastic and Reconstructive Surgery: December 2013 - Volume 132 - Issue 6 - p 1684–1696
doi: 10.1097/PRS.0b013e3182a80880

Learning Objectives: After studying this article, the participant should be able to: 1. Recognize the role of biofilm in breast implant surgery and possible ways to reduce the incidence of capsular contracture. 2. Describe the advantages and disadvantages of various surgical approaches including the incision placement and implant location. 3. List the advantages and disadvantages of implant characteristics including implant fill, shell surface characteristics, and implant shape. 4. Take steps to avoid the phenomena of double capsule and late seroma.

Summary: This article was prepared to accompany practice-based assessment with ongoing surgical education for the Maintenance of Certification for the American Board of Plastic Surgery. It is structured to outline the care of the patient presenting for cosmetic breast augmentation.

Mississauga, Ontario, Canada

From The Plastic Surgery Clinic.

Received for publication April 19, 2013; accepted May 14, 2013.

Disclosure: The authors have no financial interest to declare in relation to the content of this article.

Jamil Ahmad, M.D., The Plastic Surgery Clinic, 1421 Hurontario Street, Mississauga, Ontario L5G 3H5, Canada,

©2013American Society of Plastic Surgeons