Abstract
Malposition of the prosthesis is one complication of augmentation mammaplasty. The most projected point of the prosthesis should be placed just behind the nipple to create a natural-looking breast. However, in some cases, when a textured surface cohesive silicone gel prosthesis with an inframammary approach is used, low displacement of the prosthesis is encountered within 1 year. This phenomenon can be seen both in subpectoral augmentation with severing of the muscle at the level of the inframammary fold and in subglandular augmentation when the patient’s breast and skin are very soft and easily stretchable. Therefore, the elasticity of the breast should be evaluated before surgery. If the patients breast and skin are very soft and easily stretchable, the pocket for the prosthesis should be created 1 to 1.5 cm superiorly to the usual pocket for the prosthesis. The design of the pocket for the prosthesis should be different depending on the shape of the prosthesis and the elasticity of the patient’s breasts.
Similar content being viewed by others
References
DJ Coleman TH Foot DT Sharpe (1991) ArticleTitleTextured or smooth implants for breast augmentation? A prospective control trial Br J Plas Surg 44 444 Occurrence Handle1:STN:280:By2D3szmtFE%3D
RA Ersek (1991) ArticleTitleRate and incidence of capsular contracture: A comparison of smooth and textured silicone double-lumen breast prostheses Plast Reconstr Surg 87 879 Occurrence Handle1:STN:280:By6B3cvosV0%3D Occurrence Handle2017497
P Heden J Jernbeck M Hober (2001) ArticleTitleBreast augmentation with anatomical cohesive gel implants Clin Plast Surg 28 531 Occurrence Handle1:STN:280:DC%2BD38%2FitlKntA%3D%3D Occurrence Handle11471959
JB Tebbetts (1984) ArticleTitleTransaxillary subpectoral augmentation mammaplasty: Long-term follow-up and refinements Plast Reconstr Surg 74 636 Occurrence Handle1:STN:280:BiqD3sfpvVQ%3D Occurrence Handle6494321
C Troilous (1996) ArticleTitleCorrection of implant ptosis after a transaxillary subpectoral breast augmentation Plast Reconstr Surg 98 889 Occurrence Handle8823034
C Troilous (1995) ArticleTitleTotal muscle coverage of a breast implant is possible through the transaxillary approach Plast Reconstr Surg 95 509 Occurrence Handle7870775
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Takayanagi, S., Nakagawa, C. & Sugimoto, Y. Augmentation Mammaplasty: Where Should the Implant Be Placed?. Aesth. Plast. Surg. 28, 83–88 (2004). https://doi.org/10.1007/s00266-004-3118-2
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00266-004-3118-2