Lowering of the Mammary Fold using Form-Stable Breast Implants: Lessons learned from 185 MemoryShape breast implants.
Aldo B. Guerra, Jr., MD1, William Gus Kortesis, MD2.
1Guerra Plastic Surgery Center, Scottsdale, AZ, USA, 2Hunstad/Kortesis Plastic Surgery Center and Medspa, Huntersville, NC, USA.
MemoryShape breast implants offer plastic surgeons the opportunity to achieve good results with breast augmentation. However, these implants are associated with a steep learning curve. Inframammary fold lowering is the most challenging step with this operation. The focus of the study is on proper patient selection, preoperative planning and execution of the procedure with an emphasis on fold lowering.
The study was carried out by two experienced plastic surgeons. One hundred and eighty-five patients underwent breast augmentation in a prospective study. A preoperative plan was established before surgery. When lowering of the fold was carried out, it was done using a standardized protocol.
The results demonstrate that 74.8 % of patients required lowering of the fold. A total of 25.2 % of the patients were done without any fold lowering. In patients requiring fold drop, the average distance was 1.13 centimeters. The median volume used in this study was 375 cc. The most common implant used were MM+ (43%) and MM (34%). The overall complication rate was 24.6 %. There were no cases of rotation postoperatively.
Breast augmentation using MemoryShape breast implants is an excellent operation with a high satisfaction rate. This study offers a greater understanding of the relationship of the nipple to fold distance, implant shape and size selection, and mammary fold lowering. Based on these results, we believe that up to a quarter of the patient population can be appropriate candidates for MemoryShape breast implants without the need to lower the fold.
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