How Big Is Too Big? Exploring the Relationship between Breast Implant Volume and Postoperative Complication Rates in Primary Breast Augmentations
Background:. There is no consensus regarding implant size as an independent risk factor for complications in primary breast augmentation. Choosing appropriate implant volume is an integral part of the preoperative planning process. The current study aims to assess the relationship between implant si...
| Main Authors: | , , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Wolters Kluwer
2023-03-01
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| Series: | Plastic and Reconstructive Surgery, Global Open |
| Online Access: | http://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000004843 |
| _version_ | 1797859635633324032 |
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| author | Maria C. Medor, MD Gabriel Bouhadana, MD Isabella F. Churchill, MSc Thomas Hemmerling, MD, MSc, FRCSC Michelle Bonapace-Potvin, MD Constantine Papanastasiou, MD, MSc Abiye Mussie, MD Daniel E. Borsuk, MD, MBA, FRCSC Vasilios W. Papanastasiou, MDCM, MSc, FRCSC |
| author_facet | Maria C. Medor, MD Gabriel Bouhadana, MD Isabella F. Churchill, MSc Thomas Hemmerling, MD, MSc, FRCSC Michelle Bonapace-Potvin, MD Constantine Papanastasiou, MD, MSc Abiye Mussie, MD Daniel E. Borsuk, MD, MBA, FRCSC Vasilios W. Papanastasiou, MDCM, MSc, FRCSC |
| author_sort | Maria C. Medor, MD |
| collection | DOAJ |
| description | Background:. There is no consensus regarding implant size as an independent risk factor for complications in primary breast augmentation. Choosing appropriate implant volume is an integral part of the preoperative planning process. The current study aims to assess the relationship between implant size and the development of complications following augmentation mammaplasty.
Methods:. A retrospective chart review of patients undergoing primary breast augmentation at the Westmount Institute of Plastic Surgery between January 2000 and December 2021 was conducted. Demographics, implant characteristics, surgical technique, postoperative complications, and follow-up times were recorded. Univariate logistic regression was used to identify independent predictors, which were then included in multivariate logistic regressions of implant volume and implant volume/body mass index (BMI) ratio regarding complications.
Results:. A total of 1017 patients (2034 breasts) were included in this study. The average implant volume used was 321.4 ± 57.5 cm3 (range: 110–605). Increased volume and volume/BMI ratio were associated with a significant increase in risk of implant rupture (odds ratio = 1.012, P < 0.001 and 1.282, P < 0.001 respectively). Rates of asymmetry were significantly associated with increases in implant volume and volume/BMI ratio (odds ratio = 1.005, P = 0.004 and 1.151, P < 0.001, respectively). No single implant volume or volume/BMI ratio above which risks of complications significantly increase was identified.
Conclusions:. Implant rupture and postoperative asymmetries are positively correlated with bigger implant volumes. Implant size could likely be a useful independent predictor of certain complications, especially in patients with high implant to BMI ratios. |
| first_indexed | 2024-04-09T21:32:45Z |
| format | Article |
| id | doaj.art-9cbd6ab41f75406394258ac3b6c92fda |
| institution | Directory Open Access Journal |
| issn | 2169-7574 |
| language | English |
| last_indexed | 2024-04-09T21:32:45Z |
| publishDate | 2023-03-01 |
| publisher | Wolters Kluwer |
| record_format | Article |
| series | Plastic and Reconstructive Surgery, Global Open |
| spelling | doaj.art-9cbd6ab41f75406394258ac3b6c92fda2023-03-27T06:47:44ZengWolters KluwerPlastic and Reconstructive Surgery, Global Open2169-75742023-03-01113e484310.1097/GOX.0000000000004843202303000-00019How Big Is Too Big? Exploring the Relationship between Breast Implant Volume and Postoperative Complication Rates in Primary Breast AugmentationsMaria C. Medor, MD0Gabriel Bouhadana, MD1Isabella F. Churchill, MSc2Thomas Hemmerling, MD, MSc, FRCSC3Michelle Bonapace-Potvin, MD4Constantine Papanastasiou, MD, MSc5Abiye Mussie, MD6Daniel E. Borsuk, MD, MBA, FRCSC7Vasilios W. Papanastasiou, MDCM, MSc, FRCSC8From the * Division of Plastic and Reconstructive Surgery, Department of Surgery, Université de Montreal, Montreal, CanadaFrom the * Division of Plastic and Reconstructive Surgery, Department of Surgery, Université de Montreal, Montreal, Canada† Faculty of Medicine, University of Ottawa, Ottawa, Canada‡ Department of Anesthesia, McGill University, Montreal, Quebec, CanadaFrom the * Division of Plastic and Reconstructive Surgery, Department of Surgery, Université de Montreal, Montreal, Canada§ Faculty of Medicine, McGill University, Montreal, Quebec, Canada† Faculty of Medicine, University of Ottawa, Ottawa, CanadaFrom the * Division of Plastic and Reconstructive Surgery, Department of Surgery, Université de Montreal, Montreal, Canada¶ Division of Plastic and Reconstructive Surgery, Department of Surgery, McGill University, Montreal, Quebec, Canada.Background:. There is no consensus regarding implant size as an independent risk factor for complications in primary breast augmentation. Choosing appropriate implant volume is an integral part of the preoperative planning process. The current study aims to assess the relationship between implant size and the development of complications following augmentation mammaplasty. Methods:. A retrospective chart review of patients undergoing primary breast augmentation at the Westmount Institute of Plastic Surgery between January 2000 and December 2021 was conducted. Demographics, implant characteristics, surgical technique, postoperative complications, and follow-up times were recorded. Univariate logistic regression was used to identify independent predictors, which were then included in multivariate logistic regressions of implant volume and implant volume/body mass index (BMI) ratio regarding complications. Results:. A total of 1017 patients (2034 breasts) were included in this study. The average implant volume used was 321.4 ± 57.5 cm3 (range: 110–605). Increased volume and volume/BMI ratio were associated with a significant increase in risk of implant rupture (odds ratio = 1.012, P < 0.001 and 1.282, P < 0.001 respectively). Rates of asymmetry were significantly associated with increases in implant volume and volume/BMI ratio (odds ratio = 1.005, P = 0.004 and 1.151, P < 0.001, respectively). No single implant volume or volume/BMI ratio above which risks of complications significantly increase was identified. Conclusions:. Implant rupture and postoperative asymmetries are positively correlated with bigger implant volumes. Implant size could likely be a useful independent predictor of certain complications, especially in patients with high implant to BMI ratios.http://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000004843 |
| spellingShingle | Maria C. Medor, MD Gabriel Bouhadana, MD Isabella F. Churchill, MSc Thomas Hemmerling, MD, MSc, FRCSC Michelle Bonapace-Potvin, MD Constantine Papanastasiou, MD, MSc Abiye Mussie, MD Daniel E. Borsuk, MD, MBA, FRCSC Vasilios W. Papanastasiou, MDCM, MSc, FRCSC How Big Is Too Big? Exploring the Relationship between Breast Implant Volume and Postoperative Complication Rates in Primary Breast Augmentations Plastic and Reconstructive Surgery, Global Open |
| title | How Big Is Too Big? Exploring the Relationship between Breast Implant Volume and Postoperative Complication Rates in Primary Breast Augmentations |
| title_full | How Big Is Too Big? Exploring the Relationship between Breast Implant Volume and Postoperative Complication Rates in Primary Breast Augmentations |
| title_fullStr | How Big Is Too Big? Exploring the Relationship between Breast Implant Volume and Postoperative Complication Rates in Primary Breast Augmentations |
| title_full_unstemmed | How Big Is Too Big? Exploring the Relationship between Breast Implant Volume and Postoperative Complication Rates in Primary Breast Augmentations |
| title_short | How Big Is Too Big? Exploring the Relationship between Breast Implant Volume and Postoperative Complication Rates in Primary Breast Augmentations |
| title_sort | how big is too big exploring the relationship between breast implant volume and postoperative complication rates in primary breast augmentations |
| url | http://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000004843 |
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