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Aesth Plast Surg (2009) 33:743751 DOI 10.1007/s00266-009-9370-8
ORIGINAL ARTICLE
Round Gel Breast Implants or Anatomic Gel Breast Implants: Which is the Best Choice?
Lzaro Crdenas-Camarena Joel Encinas-Brambila
Received: 17 November 2008 / Accepted: 20 April 2009 / Published online: 30 May 2009 Springer Science+Business Media, LLC and International Society of Aesthetic Plastic Surgery 2009
AbstractBackground Since their introduction in 1993, anatomic implants have been popularized by numerous surgeons, but very little literature compares the precise indications, advantages, and disadvantages between round implants and anatomic implants.
Methods A retrospective analysis was performed for all the patients who underwent breast implantation by the main author over a 15-year period. The number of implanted patients, the shape of the implants placed, the approach routes, and the placement plane were determined as well as the relationship between the shape of the implant and the approach route. The aesthetic results obtained were analyzed in detail based on the shape of the implant used. Results Over a 15-year period, 932 patients underwent surgery for breast implants. During the rst 6 years, only round implants were used, and during the last 9 years, both anatomic and round implants were used. A total of 787 pairs of round implants and 145 pairs of anatomic implants were placed. The indications based on the postoperative aesthetic analysis suggest the use of implants according to their shape.
Conclusions The use of anatomic implants is suggested for patients with signicant differences in chest height and width measurements, for cases of signicant mammary asymmetry, for patients with a small breast volume or a
prominent thorax, and for breasts with a signicant decit of inferior mammary volume or signicant shortening of the breast. The authors recommend round implants for patients with a superior pole decit or moderate breast pseudoptosis, for patients who have a breast that will cover the implant, and for patients who present with a small asymmetry.
Keywords Anatomic breast implants Anatomic gel
breast implants Breast gel implants Breast implants
Round breast implants Round gel breast implants
Since the appearance of the current anatomic implants in 1993 from the McGhan Medical Corporation (currently Allergan, Santa Barbara, CA, USA), and their popularization by numerous surgeons [8, 10, 11, 13, 16], these implants have become a very important...