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Evaluation of Different Breast Implant Shapes in the Same Patient: Is There Really a Difference between Round and Anatomical Implants?

BACKGROUND: The choice of the right implant shape is one of the most frequent debates in cosmetic breast augmentation. In current literature, the question of whether there is a difference in the appearance of different implant shapes is still an argument of highly controversial discussion. The aim o...

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Autores principales: Montemurro, Paolo, Mallucci, Patrick, Nava, Maurizio B., Hedén, Per, Adams, William P., Wagner, Johannes M.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Lippincott Williams & Wilkins 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10519491/
https://www.ncbi.nlm.nih.gov/pubmed/37753330
http://dx.doi.org/10.1097/GOX.0000000000005294
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author Montemurro, Paolo
Mallucci, Patrick
Nava, Maurizio B.
Hedén, Per
Adams, William P.
Wagner, Johannes M.
author_facet Montemurro, Paolo
Mallucci, Patrick
Nava, Maurizio B.
Hedén, Per
Adams, William P.
Wagner, Johannes M.
author_sort Montemurro, Paolo
collection PubMed
description BACKGROUND: The choice of the right implant shape is one of the most frequent debates in cosmetic breast augmentation. In current literature, the question of whether there is a difference in the appearance of different implant shapes is still an argument of highly controversial discussion. The aim of the present work was, therefore, to analyze whether any difference exists in terms of aesthetic outcome between round and anatomical implants, and if they can be distinguished from each other in a like for like swap, making sure the evaluation was made in exactly similar conditions. METHODS: Fourteen consecutive patients who underwent aesthetic breast augmentations received primarily an implant of a given volume, projection, and shape (round or anatomical) and then decided to undergo implant replacement to a different shape but maintaining the same volume and projection. At 12-months follow-up, standardized photographs were taken, blinded and randomized. They were evaluated by 10 plastic surgeons and 10 nurses. RESULTS: All 20 observers could distinguish between round and anatomical shape in all 14 cases (100%), which was highly significant (P < 0.0001) for each observer. CONCLUSIONS: The present data indicate that there is a clear difference between anatomical and round-shaped implants in terms of aesthetic appearance, when a comparison is properly performed. With the use of both round and anatomical implant shapes, aesthetically appealing results can be achieved in cosmetic breast augmentation. The right implant choice must be made, based on patients’ anatomy and desires.
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spelling pubmed-105194912023-09-26 Evaluation of Different Breast Implant Shapes in the Same Patient: Is There Really a Difference between Round and Anatomical Implants? Montemurro, Paolo Mallucci, Patrick Nava, Maurizio B. Hedén, Per Adams, William P. Wagner, Johannes M. Plast Reconstr Surg Glob Open Cosmetic BACKGROUND: The choice of the right implant shape is one of the most frequent debates in cosmetic breast augmentation. In current literature, the question of whether there is a difference in the appearance of different implant shapes is still an argument of highly controversial discussion. The aim of the present work was, therefore, to analyze whether any difference exists in terms of aesthetic outcome between round and anatomical implants, and if they can be distinguished from each other in a like for like swap, making sure the evaluation was made in exactly similar conditions. METHODS: Fourteen consecutive patients who underwent aesthetic breast augmentations received primarily an implant of a given volume, projection, and shape (round or anatomical) and then decided to undergo implant replacement to a different shape but maintaining the same volume and projection. At 12-months follow-up, standardized photographs were taken, blinded and randomized. They were evaluated by 10 plastic surgeons and 10 nurses. RESULTS: All 20 observers could distinguish between round and anatomical shape in all 14 cases (100%), which was highly significant (P < 0.0001) for each observer. CONCLUSIONS: The present data indicate that there is a clear difference between anatomical and round-shaped implants in terms of aesthetic appearance, when a comparison is properly performed. With the use of both round and anatomical implant shapes, aesthetically appealing results can be achieved in cosmetic breast augmentation. The right implant choice must be made, based on patients’ anatomy and desires. Lippincott Williams & Wilkins 2023-09-25 /pmc/articles/PMC10519491/ /pubmed/37753330 http://dx.doi.org/10.1097/GOX.0000000000005294 Text en Copyright © 2023 The Authors. Published by Wolters Kluwer Health, Inc. on behalf of The American Society of Plastic Surgeons. https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution-Non Commercial-No Derivatives License 4.0 (CCBY-NC-ND) (https://creativecommons.org/licenses/by-nc-nd/4.0/) , where it is permissible to download and share the work provided it is properly cited. The work cannot be changed in any way or used commercially without permission from the journal.
spellingShingle Cosmetic
Montemurro, Paolo
Mallucci, Patrick
Nava, Maurizio B.
Hedén, Per
Adams, William P.
Wagner, Johannes M.
Evaluation of Different Breast Implant Shapes in the Same Patient: Is There Really a Difference between Round and Anatomical Implants?
title Evaluation of Different Breast Implant Shapes in the Same Patient: Is There Really a Difference between Round and Anatomical Implants?
title_full Evaluation of Different Breast Implant Shapes in the Same Patient: Is There Really a Difference between Round and Anatomical Implants?
title_fullStr Evaluation of Different Breast Implant Shapes in the Same Patient: Is There Really a Difference between Round and Anatomical Implants?
title_full_unstemmed Evaluation of Different Breast Implant Shapes in the Same Patient: Is There Really a Difference between Round and Anatomical Implants?
title_short Evaluation of Different Breast Implant Shapes in the Same Patient: Is There Really a Difference between Round and Anatomical Implants?
title_sort evaluation of different breast implant shapes in the same patient: is there really a difference between round and anatomical implants?
topic Cosmetic
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10519491/
https://www.ncbi.nlm.nih.gov/pubmed/37753330
http://dx.doi.org/10.1097/GOX.0000000000005294
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