Montemurro Paolo, Pietruski Piotr
From Akademikliniken, Stockholm, Sweden.
Private Practice, Varese, Italy.
Plast Reconstr Surg Glob Open. 2024 Apr 5;12(4):e5720. doi: 10.1097/GOX.0000000000005720. eCollection 2024 Apr.
Breast augmentation is one of the most commonly performed aesthetic surgery procedures. Yet, few reports in the literature analyze individual surgeon experiences with a unified surgical method on a large group of patients. This study aimed to analyze a single surgeon's complications rate and experience with the Akademikliniken augmentation mammaplasty method from the beginning of his career.
A retrospective outcome analysis of all patients (n = 1646) who underwent breast augmentation between 2009 and 2021 performed by a single surgeon was conducted. Complications and reoperation rates were evaluated. In addition, correlations with the patient and implant characteristics and insertion-method-related risk factors were analyzed.
In total, 1212 female patients (mean age, 31.47 years) were analyzed. The minimal follow-up for every patient was 6 months (mean follow-up, 18.35 months). The total complication rate was 7.1%, and the most common complication (2.64%) was capsular contracture (Baker scale III/IV). Implant insertion with a funnel significantly lowered the overall risk of complications ( = 0.009). Statistical analysis indicates that the single independent risk factors for primary breast augmentation are patient age younger than 27 years, initial breast size B and C, and tobacco smoking.
This study indicated that capsular contracture and implant rotation are the most common complications of analyzed primary augmentation mammoplasty. It also identifies various risk and protection factors, such as funnel usage, which should be considered by the surgeon when performing this type of procedure.
隆胸是最常见的美容外科手术之一。然而，文献中很少有报道分析单个外科医生采用统一手术方法对大量患者的手术经验。本研究旨在分析一名外科医生从职业生涯开始就使用阿克德米kliniken隆胸术式的并发症发生率和经验。
对2009年至2021年期间由一名外科医生实施隆胸手术的所有患者（n = 1646）进行回顾性结果分析。评估并发症和再次手术率。此外，分析与患者、植入物特征以及与植入方法相关的风险因素之间的相关性。
共分析了1212例女性患者（平均年龄31.47岁）。每位患者的最短随访时间为6个月（平均随访时间18.35个月）。总并发症发生率为7.1%，最常见的并发症（2.64%）是包膜挛缩（贝克分级III/IV级）。使用漏斗植入假体显著降低了总体并发症风险（P = 0.009）。统计分析表明，初次隆胸的单一独立风险因素是患者年龄小于27岁、初始乳房大小为B和C级以及吸烟。
本研究表明，包膜挛缩和假体旋转是所分析的初次隆胸手术中最常见的并发症。它还识别了各种风险和保护因素，如漏斗的使用，外科医生在进行此类手术时应予以考虑。
