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Breast Augmentation

Hidalgo, David A. M.D.; Spector, Jason A. M.D.

Plastic and Reconstructive Surgery: April 2014 - Volume 133 - Issue 4 - p 567e–583e
doi: 10.1097/PRS.0000000000000033
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Learning Objectives: After studying this article, the participant should be able to: 1. Assess patient physical characteristics that influence implant selection. 2. Adopt a system to aid in implant size selection. 3. Become cognizant of the advantages and disadvantages of incision, pocket plane, and implant options. 4. Understand implant positioning concepts and aseptic implant handling methods. 5. Manage untoward postoperative sequelae 6. Understand secondary surgery concepts.

Summary: Breast augmentation is the most commonly performed aesthetic surgical procedure. Choices of incisions, pocket plane, and myriad implant characteristics constitute the basis for surgical planning. Analysis of physical characteristics and inclusion of the patient in implant selection contribute to overall satisfaction and reduce requests for secondary surgery. Technical expertise in implant positioning and aseptic handling helps to prevent capsular contracture, implant malposition, and other shape problems. Despite the need for secondary surgery in some, patient satisfaction is high.

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New York, N.Y.

From the Division of Plastic Surgery, Weill Cornell Medical College.

Received for publication April 9, 2012; accepted September 21, 2012.

Disclosure: Neither author has a financial interest in any of the products or devices mentioned in this article. This work was not supported by outside funding.

Related Video content is available for this article. The videos can be found under the “Related Videos” section of the full-text article, or, for Ovid users, using the URL citations published in the article.

David Hidalgo, M.D., 655 Park Avenue, New York, N.Y. 10065,

©2014American Society of Plastic Surgeons