Our Summary

The research study compared two popular breast augmentation methods: subfascial and subglandular. They wanted to see if one approach was better than the other. The study included 20 patients who were randomly assigned to one of the two methods. The patients and surgeons didn’t know which method was being used.

The researchers then compared the results of the two methods, looking at things like the shape and feel of the breasts, as well as the placement and appearance of implants. They followed up with the patients after 1 year and 5 years to see how things had changed over time.

The results showed that the subfascial method (which places the implant under a layer of tissue known as the fascia) was better in terms of the look and feel of the breasts. The subglandular method (which places the implant directly under the breast tissue) had more wrinkles and a smaller base for the implant.

In conclusion, the study found that the subfascial breast augmentation was superior to the subglandular method.

FAQs

  1. What were the two breast augmentation methods compared in the study?
  2. What factors did the researchers consider when comparing the two methods of breast augmentation?
  3. Based on the study, which breast augmentation method was found to be superior and why?

Doctor’s Tip

A doctor might tell a patient considering breast augmentation to consider the subfascial method for better results in terms of the look and feel of the breasts, based on the findings of this research study. It is important to discuss with your surgeon about the best approach for your individual needs and goals.

Suitable For

Patients who are typically recommended for breast augmentation are those who are looking to enhance the size, shape, and symmetry of their breasts. This could include women who have naturally small breasts, asymmetrical breasts, or have lost breast volume due to weight loss, pregnancy, or aging. Patients should also be in good overall health and have realistic expectations about the results of the procedure.

Timeline

Before breast augmentation:

  1. Patient consults with a plastic surgeon to discuss goals and expectations.
  2. Patient undergoes a physical examination and medical history review.
  3. Patient chooses implant type, size, and placement with the guidance of the surgeon.
  4. Surgery is scheduled and patient receives pre-operative instructions.
  5. Patient undergoes breast augmentation surgery, which typically takes 1-2 hours under general anesthesia.

After breast augmentation:

  1. Patient wakes up from surgery in a recovery room and is monitored by medical staff.
  2. Patient may experience discomfort, swelling, and bruising in the days following surgery.
  3. Patient follows post-operative care instructions, including wearing a surgical bra and avoiding strenuous activities.
  4. Patient attends follow-up appointments with the surgeon to monitor healing and address any concerns.
  5. Over time, swelling and bruising subside, and the final results of the breast augmentation become more apparent.
  6. Patient enjoys enhanced breast size and shape, improved self-confidence, and satisfaction with the results of the surgery.

What to Ask Your Doctor

  1. What are the potential risks and complications associated with breast augmentation surgery?
  2. How long is the recovery process after breast augmentation surgery?
  3. Will I need to have any follow-up appointments after the surgery?
  4. How long do breast implants typically last before needing to be replaced?
  5. What type of implants do you recommend for me and why?
  6. Can I choose the size and shape of my implants, and what factors should I consider when making this decision?
  7. Will breast augmentation affect my ability to breastfeed in the future?
  8. What type of scarring can I expect after the surgery and how can I minimize it?
  9. Are there any lifestyle changes I should make before or after the surgery to ensure the best results?
  10. How often should I have routine check-ups or exams to monitor the condition of my implants?

Reference

Authors: Graf RM, Junior IM, de Paula DR, Ono MCC, Urban LABD, Freitas RS. Journal: Plast Reconstr Surg. 2021 Oct 1;148(4):760-770. doi: 10.1097/PRS.0000000000008384. PMID: 34550930