Montemurro Paolo, Cheema Mubashir, Hedén Per
From the Akademikliniken.
Department of Plastic Surgery, University Hospitals Birmingham.
Plast Reconstr Surg. 2023 Apr 1;151(4):759-770. doi: 10.1097/PRS.0000000000009992. Epub 2022 Dec 6.
Breast augmentation is a common operation. Evidence has grown with experience and long-term studies, but variation in practice exists. The authors detail the existing practices of a group of surgeons for primary and secondary aesthetic breast augmentation.
Seventy-two plastic surgeons with a specialist interest in aesthetic breast surgery were asked to participate in the survey about aesthetic breast augmentation. A 54-point online survey was given, covering demographics about the surgeon and practice, implant choice and perioperative technique, use of emerging evidence and surgical techniques, preferences about secondary surgery, and opinions about topics of controversy.
All 72 surgeons completed the survey. Their mean age was 57.6 years, 56.9% had been in surgical practice for over 20 years, and 88.9% were performing more than 50 primary breast augmentations per year. The most commonly used measurement for implant selection was breast width, the most common implant type was silicone (81.9%), and volume range was 250 to 350 cc (86.1%). A total of 36.1% of surgeons use anatomic implants in more than half of their cases. Opinions were divided about postoperative return to work, use of insertion funnel, and acellular dermal matrix.
Multiple factors affect clinical outcome in primary and secondary aesthetic breast surgery. A few well-established techniques have gained common acceptance, but opinions are more diverse for difficult, complicated, or challenging scenarios. This survey helps clarify the decision-making process of expert surgeons with an interest in aesthetic breast surgery.
隆胸是一种常见的手术。随着经验积累和长期研究，相关证据不断增加，但实际操作仍存在差异。作者详细介绍了一组外科医生在初次和二次美学隆胸方面的现有做法。
邀请了72位对美学隆胸手术有专业兴趣的整形外科医生参与此次关于美学隆胸的调查。进行了一项包含54个问题的在线调查，内容涵盖外科医生及其执业情况的人口统计学信息、植入物选择和围手术期技术、新证据和手术技术的应用、二次手术的偏好以及对争议话题的看法。
所有72位外科医生均完成了调查。他们的平均年龄为57.6岁，56.9%的医生从事外科工作超过20年，88.9%的医生每年进行超过50例初次隆胸手术。选择植入物时最常用的测量方法是乳房宽度，最常用的植入物类型是硅胶（81.9%），体积范围为250至350立方厘米（86.1%）。共有36.1%的外科医生在超过一半的病例中使用解剖型植入物。在术后恢复工作、使用插入漏斗和无细胞真皮基质方面，意见存在分歧。
多种因素影响初次和二次美学隆胸手术的临床结果。一些成熟的技术已得到普遍认可，但对于困难、复杂或具有挑战性的情况，意见则更为多样。这项调查有助于阐明对美学隆胸手术感兴趣的专家外科医生的决策过程。
