Gould Daniel J, Shauly Orr, Ohanissian Levonti, Stevens W Grant
Department of Plastic and Reconstructive Surgery, Keck Hospital, University of Southern California, Los Angeles, CA.
Keck School of Medicine, University of Southern California, Los Angeles, CA.
Aesthet Surg J Open Forum. 2020 Feb 5;2(1):ojaa006. doi: 10.1093/asjof/ojaa006. eCollection 2020 Jan.
Subfascial breast augmentation is a technique originally developed to reduce the risks of capsular contracture while decreasing the postoperative pain associated with subpectoral augmentation. It was pioneered in Brazil by Dr. Graf and others, and recently this technique has gained interest in the aesthetic world.
The goal of this study was to provide a systematic analysis of subfascial breast augmentation to assess the combined reported rates of capsular contracture, animation deformity and complications.
The PubMed, Embase, and Web of Science databases were searched for the use of the subfascial plane for breast augmentation. We included studies that reported on capsular contracture and other outcomes following subfascial breast augmentation.
Through the initial search, 26 articles were identified. Of which, 22 were included in the final study. A total of 3743 patients were identified across these studies with a total number of 38 cases of capsular contracture representing a rate of 1.01% of capsular contracture. Several articles reported on demographics, perioperative and long-term complications, and outcomes with regards to the aesthetic outcome from the surgeon's perspective. Several infections were reported representing a rate of 0.1%. Animation deformity was not reported, although rippling was occasionally reported as was malrotation, axillary banding, sensory deficit, and asymmetry. Subfascial breast augmentation appears to have a low complication rate and an extremely low rate of capsular contracture at approximately 1%.
Subfascial breast augmentation may provide the benefits of low rates of capsular contracture while avoiding the discomfort and future animation deformity of subpectoral augmentation.
筋膜下隆乳术是一种最初开发用于降低包膜挛缩风险并减少与胸大肌下隆乳相关的术后疼痛的技术。它由格拉夫博士等人在巴西首创，最近这项技术在美学领域引起了关注。
本研究的目的是对筋膜下隆乳术进行系统分析，以评估所报道的包膜挛缩、动态畸形和并发症的综合发生率。
在PubMed、Embase和科学网数据库中搜索关于使用筋膜下平面进行隆乳术的文献。我们纳入了报道筋膜下隆乳术后包膜挛缩和其他结果的研究。
通过初步检索，共识别出26篇文章。其中，22篇被纳入最终研究。在这些研究中总共识别出3743例患者，共有38例包膜挛缩病例，包膜挛缩率为1.01%。几篇文章从外科医生的角度报道了人口统计学、围手术期和长期并发症以及美学效果。报道了几例感染，发生率为0.1%。未报告动态畸形，尽管偶尔报告有波纹，以及乳房旋转不良、腋束带、感觉障碍和不对称。筋膜下隆乳术似乎并发症发生率较低，包膜挛缩率极低，约为1%。
筋膜下隆乳术可能具有包膜挛缩率低的优点，同时避免胸大肌下隆乳术的不适和未来的动态畸形。
