Turkish Plastic Surgeons’ Preferences Related to the Inframammary Approach in Breast Augmentation Surgery: A Descriptive Study

Yıl: 2022 Cilt: 42 Sayı: 4 Sayfa Aralığı: 241 - 248 Metin Dili: İngilizce DOI: 10.5336/medsci.2022-89113 İndeks Tarihi: 26-05-2023

Turkish Plastic Surgeons’ Preferences Related to the Inframammary Approach in Breast Augmentation Surgery: A Descriptive Study

Öz:
Objective: Breast augmentation is one of the most frequently performed aesthetic surgery procedures. Unlike in other surgeries, the lo- cation of the incision is vital in breast augmentation, especially in the in- framammary incision. A survey was conducted to define surgeons’ preferences in the inframammary approach to breast augmentation. Ma- terial and Methods: A 16-item electronic questionnaire was administered to plastic surgeons in Türkiye. Questions on incision location, incision length, implant, surface, and other details were included. The collected data were analyzed. Results: There were 140 plastic surgeons who responded. The respondents preferred inframammary incisions in 97%, axillary inci- sions in 2%, and periareolar incisions in 1% of cases. Moreover, %66 pre- ferred subglandular or subfascial pockets, whereas 34% preferred submuscular pockets. Eighty-five percent used round implants, and 15% used anatomical implants most commonly. Ninety-six percent preferred tex- tured implants, and 4% preferred smooth implants. The most prominent rea- son for preferring the inframammary approach was “easier implant insertion,” with 62% giving this response. The mean inframammary incision length was 4.02 (0.36) cm for implants of less than 300 cc, 4.37 (0.60) cm for implants of 300-399 cc, 4.68 (0.66) cm for implants of 400-499 cc, and 4.85 (0.69) cm for implants of 500 cc or above. Conclusion: Although practices for the length of the incision and its vertical and horizontal loca- tion differ between surgeons in the inframammary approach, it is by far the most preferred incision location among plastic surgeons in Türkiye.
Anahtar Kelime:

İnframammarian Yaklaşımla Yapılan Meme Büyütme Ameliyatında Türk Plastik Cerrahların Tercihleri: Tanımlayıcı Çalışma

Öz:
maç: Meme büyütme, en s ık uygulanan estetik cerrahi prose- dürlerinden biridir. Diğer cerrahilerin aksine insizyonun yerleşimi özel- likle inframammarian insizyondan çok önemlidir. Bu sebeple cerrahların inframammarian yaklaşımla meme büyütmedeki pratiklerini ortaya koy- mak için bir anket uygulandı. Gereç ve Yöntemler: On altı soruluk elek- tronik bir anket Türkiye’deki plastik cerrahlara uyguland ı. İnsizyon yerleşimi, insizyon uzunluğu, implant şekli, implant yüzeyi ve diğer de- taylara dair sorular mevcuttur. Toplanan veriler analiz edildi. Bulgular: Çalışmaya 140 plastik cerrah kat ıldı. Tercih edilen insizyon %97 infra- mamarian, %2 transaksiller, %1 periareolard ı. Katılımcıların %66’sının subglandüler ya da subfasiyal planı, %34’ünün ise submusküler planı ter- cih ettiği görüldü. Yüzde 85 yuvarlak, %15 anatomik implant kullan ımı tespit edildi. Yüzde 96 pürtüklü, %4 düz yüzeyli implant tercih edildi ği görüldü. İnframammarian yaklaşımın tercih edilmesindeki en öne ç ıkan neden %62 ile “daha kolay implant yerle ştirilmesi” idi. Ortama infra- mammarian insizyon uzunlu ğu 300 cc alt ındaki implantlar için 4,02 (0,36) cm, 300-399 cc aralığındaki implantlar için 4,37 (0,60) cm, 400- 499 cc aral ığındaki implantlar için 4,68 ( 0,66) cm ve 500 ve cc üzeri implantlar için 4,85 ( 0,69) cm olarak hesapland ı. Sonuç: İnsizyonu uzunluğu, vertikal ve horizontal yerleşimi cerrahlar arasında farklılık gös- terse de inframammarian yaklaşım meme büyütmede Türkiye’de en çok tercih edilen insizyon şeklidir.
Anahtar Kelime:

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
  • 1. Tebbetts JB. A system for breast implant selection based on patient tissue characteristics and implant-soft tissue dynamics. Plast Recon- str Surg. 2002;109(4):1396-409; discussion 1410-5. [Crossref] [PubMed]
  • 2. Tebbetts JB, Adams WP. Five critical decisions in breast augmentation using five measurements in 5 minutes: the high five decision support process. Plast Reconstr Surg. 2006;118(7 Suppl):35S-45S. [Crossref] [PubMed]
  • 3. Mallucci P, Branford OA. Design for natural breast augmentation: the ICE principle. Plast Reconstr Surg. 2016;137(6):1728-37. [Crossref] [PubMed]
  • 4. Beekman WH, Beekman VK. The breast implant ARC: an algorithm for determining the position of the IMF in breast augmentation planning. Aesthetic Plast Surg. 2020;44(1):16-23. [Crossref] [PubMed]
  • 5. Swanson E. The supra-inframammary fold approach to breast augmen- tation: avoiding a double bubble. Plast Reconstr Surg Glob Open. 2017;5(7):e1411. [Crossref] [PubMed] [PMC]
  • 6. Zelken J, Tobbia D, Lin YL, Cheng MH. Lateral inframammary approach for Asian augmentation mammaplasty. Plast Reconstr Surg Glob Open. 2018;6(7):e1723. [Crossref] [PubMed] [PMC]
  • 7. Muresan C, Ford MM, Anderson EW, Lee TJ, Hiller AR, Kachare SD, et al. Optimal inframammary fold incision length based on implant volume for breast enlargement: a cadaveric study. Eplasty. 2019;19:e7. [PubMed] [PMC]
  • 8. Hidalgo DA, Sinno S. Current trends and controversies in breast aug- mentation. Plast Reconstr Surg. 2016;137(4):1142-50. [Crossref] [PubMed]
  • 9. Heidekrueger PI, Sinno S, Hidalgo DA, Colombo M, Broer PN. Current trends in breast augmentation: an international analysis. Aesthet Surg J. 2018;38(2):133-48. [Crossref] [PubMed]
  • 10. Friedman T, Davidovitch N, Scheflan M. Comparative double blind clin- ical study on round versus shaped cohesive gel implants. Aesthet Surg J. 2006;26(5):530-6. [Crossref] [PubMed]
  • 11. Rubi CG, Lozano JA, Pérez-Espadero A, Leache ME. Comparing round and anatomically shaped implants in augmentation mammaplasty: the experts' ability to differentiate the type of implant. Plast Reconstr Surg. 2017;139(1):60-4. [Crossref] [PubMed]
  • 12. Bronz G. A comparison of naturally shaped and round implants. Aesthet Surg J. 2002;22(3):238-46. [Crossref] [PubMed]
  • 13. K Groth A, Graf R. Breast Implant-Associated Anaplastic Large Cell Lym- phoma (BIA-ALCL) and the Textured Breast Implant Crisis. Aesthetic Plast Surg. 2020;44(1):1-12. Erratum in: Aesthetic Plast Surg. 2020;44(5):1951. [Crossref] [PubMed]
  • 14. Teitelbaum S. The inframammary approach to breast augmentation. Clin Plast Surg. 2009;36(1):33-43, v-vi. [Crossref] [PubMed]
  • 15. Fanous N, Tawilé C, Brousseau VJ. Minimal inframammary incision for breast augmentation. Can J Plast Surg. 2008;16(1):14-7. [Crossref] [PubMed] [PMC]
APA ERDAL A (2022). Turkish Plastic Surgeons’ Preferences Related to the Inframammary Approach in Breast Augmentation Surgery: A Descriptive Study. , 241 - 248. 10.5336/medsci.2022-89113
Chicago ERDAL Ayhan Işık Turkish Plastic Surgeons’ Preferences Related to the Inframammary Approach in Breast Augmentation Surgery: A Descriptive Study. (2022): 241 - 248. 10.5336/medsci.2022-89113
MLA ERDAL Ayhan Işık Turkish Plastic Surgeons’ Preferences Related to the Inframammary Approach in Breast Augmentation Surgery: A Descriptive Study. , 2022, ss.241 - 248. 10.5336/medsci.2022-89113
AMA ERDAL A Turkish Plastic Surgeons’ Preferences Related to the Inframammary Approach in Breast Augmentation Surgery: A Descriptive Study. . 2022; 241 - 248. 10.5336/medsci.2022-89113
Vancouver ERDAL A Turkish Plastic Surgeons’ Preferences Related to the Inframammary Approach in Breast Augmentation Surgery: A Descriptive Study. . 2022; 241 - 248. 10.5336/medsci.2022-89113
IEEE ERDAL A "Turkish Plastic Surgeons’ Preferences Related to the Inframammary Approach in Breast Augmentation Surgery: A Descriptive Study." , ss.241 - 248, 2022. 10.5336/medsci.2022-89113
ISNAD ERDAL, Ayhan Işık. "Turkish Plastic Surgeons’ Preferences Related to the Inframammary Approach in Breast Augmentation Surgery: A Descriptive Study". (2022), 241-248. https://doi.org/10.5336/medsci.2022-89113
APA ERDAL A (2022). Turkish Plastic Surgeons’ Preferences Related to the Inframammary Approach in Breast Augmentation Surgery: A Descriptive Study. Türkiye Klinikleri Tıp Bilimleri Dergisi, 42(4), 241 - 248. 10.5336/medsci.2022-89113
Chicago ERDAL Ayhan Işık Turkish Plastic Surgeons’ Preferences Related to the Inframammary Approach in Breast Augmentation Surgery: A Descriptive Study. Türkiye Klinikleri Tıp Bilimleri Dergisi 42, no.4 (2022): 241 - 248. 10.5336/medsci.2022-89113
MLA ERDAL Ayhan Işık Turkish Plastic Surgeons’ Preferences Related to the Inframammary Approach in Breast Augmentation Surgery: A Descriptive Study. Türkiye Klinikleri Tıp Bilimleri Dergisi, vol.42, no.4, 2022, ss.241 - 248. 10.5336/medsci.2022-89113
AMA ERDAL A Turkish Plastic Surgeons’ Preferences Related to the Inframammary Approach in Breast Augmentation Surgery: A Descriptive Study. Türkiye Klinikleri Tıp Bilimleri Dergisi. 2022; 42(4): 241 - 248. 10.5336/medsci.2022-89113
Vancouver ERDAL A Turkish Plastic Surgeons’ Preferences Related to the Inframammary Approach in Breast Augmentation Surgery: A Descriptive Study. Türkiye Klinikleri Tıp Bilimleri Dergisi. 2022; 42(4): 241 - 248. 10.5336/medsci.2022-89113
IEEE ERDAL A "Turkish Plastic Surgeons’ Preferences Related to the Inframammary Approach in Breast Augmentation Surgery: A Descriptive Study." Türkiye Klinikleri Tıp Bilimleri Dergisi, 42, ss.241 - 248, 2022. 10.5336/medsci.2022-89113
ISNAD ERDAL, Ayhan Işık. "Turkish Plastic Surgeons’ Preferences Related to the Inframammary Approach in Breast Augmentation Surgery: A Descriptive Study". Türkiye Klinikleri Tıp Bilimleri Dergisi 42/4 (2022), 241-248. https://doi.org/10.5336/medsci.2022-89113