Jabir Shehab, Vadodaria Shailesh, Nugent Nora, Sankar Thangasamy Kathiresan
Aesthet Surg J Open Forum. 2023 Jul 21;5:ojad070. doi: 10.1093/asjof/ojad070. eCollection 2023.
Breast augmentation surgery is the most frequently performed aesthetic surgical procedure within the United Kingdom year on year. However, many variations exist among surgeons regarding various aspects of implant usage and technique.
The aim of this study was to evaluate current trends and practices in breast augmentation, within the United Kingdom and correlate them to evidence-based literature.
An electronic survey of 41 questions was sent to 201 surgeons performing breast augmentation within the United Kingdom and Republic of Ireland. The survey inquired about the surgeons themselves, their practice, implant choice, surgical technique, post-op care, revision surgery, and impact of breast implant-associated anaplastic large cell lymphoma among several other questions.
There were a total of 166 respondents, with 146 completing the survey fully, equaling a response rate of approximately 73%. Overall, there were specific trends in certain aspects such as type of practice, number of augmentations performed per surgeon per year, preferred implant manufacturer, and implant characteristics. That said, there has been a change in other aspects such as implant texture with an increase in the use of smooth implants. The United Kingdom and Ireland concur with certain internationally dominant practice preferences, including the use of inframammary incisions and post-op bra use.
This survey suggests that many aspects of breast augmentation surgery in the United Kingdom are approaching standardization. There are, however, some variations in practice and controversies remaining as expected. It is our belief that further standardizing this very common aesthetic surgical procedure according to evidence-based guidelines will help to improve outcomes for patients.
在英国，隆胸手术逐年成为最常开展的美容外科手术。然而，在植入物使用和技术的各个方面，外科医生之间存在许多差异。
本研究的目的是评估英国隆胸手术的当前趋势和实践，并将它们与循证文献相关联。
向在英国和爱尔兰共和国进行隆胸手术的201名外科医生发送了一份包含41个问题的电子调查问卷。该调查询问了外科医生自身情况、他们的业务、植入物选择、手术技术、术后护理、修复手术以及乳房植入物相关间变性大细胞淋巴瘤的影响等若干其他问题。
共有166名受访者，其中146人完整填写了调查问卷，回复率约为73%。总体而言，在某些方面存在特定趋势，如业务类型、每位外科医生每年进行的隆胸手术数量、首选的植入物制造商以及植入物特征。也就是说，在其他方面也有变化，例如植入物质地，光滑植入物的使用有所增加。英国和爱尔兰与某些国际上占主导地位的实践偏好一致，包括使用乳房下皱襞切口和术后使用胸罩。
这项调查表明，英国隆胸手术的许多方面正在趋于标准化。然而，正如预期的那样，在实践中仍存在一些差异和争议。我们认为，根据循证指南进一步规范这一非常常见的美容外科手术将有助于改善患者的治疗效果。
