Montemurro Paolo, Mallucci Patrick, Nava Maurizio B, Hedén Per, Adams William P, Wagner Johannes M
From Akademikliniken, Stockholm, Sweden.
Mallucci London, London, UK.
Plast Reconstr Surg Glob Open. 2023 Sep 25;11(9):e5294. doi: 10.1097/GOX.0000000000005294. eCollection 2023 Sep.
The choice of the right implant shape is one of the most frequent debates in cosmetic breast augmentation. In current literature, the question of whether there is a difference in the appearance of different implant shapes is still an argument of highly controversial discussion. The aim of the present work was, therefore, to analyze whether any difference exists in terms of aesthetic outcome between round and anatomical implants, and if they can be distinguished from each other in a like for like swap, making sure the evaluation was made in exactly similar conditions.
Fourteen consecutive patients who underwent aesthetic breast augmentations received primarily an implant of a given volume, projection, and shape (round or anatomical) and then decided to undergo implant replacement to a different shape but maintaining the same volume and projection. At 12-months follow-up, standardized photographs were taken, blinded and randomized. They were evaluated by 10 plastic surgeons and 10 nurses.
All 20 observers could distinguish between round and anatomical shape in all 14 cases (100%), which was highly significant ( < 0.0001) for each observer.
The present data indicate that there is a clear difference between anatomical and round-shaped implants in terms of aesthetic appearance, when a comparison is properly performed. With the use of both round and anatomical implant shapes, aesthetically appealing results can be achieved in cosmetic breast augmentation. The right implant choice must be made, based on patients' anatomy and desires.
选择合适的乳房植入物形状是隆胸手术中最常见的争论之一。在当前的文献中，不同形状的植入物外观是否存在差异仍是一个极具争议的讨论话题。因此，本研究的目的是分析圆形和解剖形植入物在美学效果方面是否存在差异，以及在同等条件下它们是否能够相互区分，确保在完全相似的条件下进行评估。
连续14例接受美学隆胸手术的患者最初植入了给定体积、突度和形状（圆形或解剖形）的植入物，然后决定更换为不同形状但保持相同体积和突度的植入物。在术后12个月随访时，拍摄标准化照片，照片不显示患者信息且随机排列。由10名整形外科医生和10名护士进行评估。
所有20名观察者在所有14例病例中都能区分圆形和解剖形（100%），每位观察者的这一结果都具有高度显著性（<0.0001）。
目前的数据表明，在进行恰当比较时，解剖形和圆形植入物在美学外观上存在明显差异。在隆胸手术中，使用圆形和解剖形两种植入物形状都可以获得美观的效果。必须根据患者的解剖结构和需求做出正确的植入物选择。
