Sterodimas Aris
Plastic & Reconstructive Surgery Department, Metropolitan General Hospital, 264 Mesogeion Avenue, 15562 Athens, Greece.
Medicines (Basel). 2020 May 19;7(5):28. doi: 10.3390/medicines7050028.
Implant-assisted breast augmentation is among the most performed surgeries performed by plastic surgeons today. This prospective study evaluated the patient satisfaction and complication rates using high-profile round silicone implant alone (traditional breast augmentation) Group A versus the high-profile round silicone implant assisted with stromal enriched lipograft (composite breast augmentation) Group B. A total of 50 female patient candidates to undergo breast augmentation between January to September 2017 were randomly assigned to either group. The periareolar technique for breast augmentation and the subfascial plane were used in both groups for the insertion of the high-profile round silicone implants. The stromal enriched lipograft (SEL) was used in Group B for the preparation of the autologous fat grafting to the breast. The satisfaction of each patient with body appearance following breast augmentation was rated using an already published scale of 1-5. The rate of complications was analysed. AS performed all the surgeries. In Group A, the age range was between 19 and 48 years (mean of 22.5 years). In Group B, the age range was between 20 and 47 years (mean of 24.1 years). The average BMI of Group A was 24 m/kg and 23 m/kg of Group B. Patient satisfaction meta-analysis for Group A and B at 12 months shows that patients in Group B expressed a satisfaction that is superior when compared to Group A patients. The ability to camouflage the implant could explain the higher satisfaction rates in Group B. The rate of complications appears similar in both groups. Composite breast augmentation using a combination of round high-profile implants and SEL in breast augmentation can achieve a higher patient satisfaction and aesthetic outcome as compared to the round high-profile breast augmentation alone. The technique is safe, simple and fast with low complication rates. Large multicentre, controlled, prospective studies need to be performed to further confirm the favourable results that were observed in this study.
植入物辅助隆胸是当今整形外科医生实施最多的手术之一。这项前瞻性研究评估了单独使用高凸圆形硅胶植入物（传统隆胸）的A组与高凸圆形硅胶植入物联合富含基质的脂肪移植（复合隆胸）的B组患者的满意度和并发症发生率。2017年1月至9月期间，共有50名准备接受隆胸手术的女性患者被随机分配到两组中的一组。两组均采用乳晕周围隆胸技术和筋膜下平面来植入高凸圆形硅胶植入物。B组使用富含基质的脂肪移植来制备自体脂肪并移植到乳房。使用已发表的1 - 5级量表对每位患者隆胸后的身体外观满意度进行评分，并分析并发症发生率。所有手术均由AS实施。A组患者年龄范围在19至48岁之间（平均22.5岁）。B组患者年龄范围在20至47岁之间（平均24.1岁）。A组平均体重指数为24m/kg，B组为23m/kg。对A组和B组患者术后12个月的满意度进行的荟萃分析表明，B组患者的满意度高于A组患者。植入物的隐匿效果或许可以解释B组较高的满意度。两组的并发症发生率似乎相似。与单纯的高凸圆形隆胸相比，在隆胸手术中联合使用高凸圆形植入物和富含基质的脂肪移植进行复合隆胸能够获得更高的患者满意度和美学效果。该技术安全、简便、快速，并发症发生率低。需要开展大型多中心、对照、前瞻性研究以进一步证实本研究中观察到的良好结果。
