Evaluation of a Technique to Minimize Complications in Breast Augmentation Surgery with Anatomical Implants: A Single Surgeon's, 10-Year Experience.

[BACKGROUND] Breast augmentation surgery (BAS) is one of the commonest plastic surgery procedures worldwide. A long-standing debate on the use of anatomical implants versus round implants in terms of complications, especially implant rotation, monopolizes relevant bibliography in recent years.

[METHODS] A retrospective cohort study was conducted. All patients' records undergoing primary breast augmentation with anatomical implants from January 2010 to December 2023 by a single surgeon (V.K.), who implemented a novel surgical technique, were assessed for eligibility. Patients' demographics, and preoperative and operative data were recorded. Statistical analysis was conducted using IBM® SPSS® Statistics version 25.0.

[RESULTS] In total, 622 patients underwent breast augmentation surgery with anatomical implants during the study period (median age 34 years, median body mass index 22.3, median follow-up time 43.8 months). Ten implants were rotated (0.8%) and correlated in univariate analysis with implant projection type (p = 0.003). Twelve implants (0.96%) were complicated by capsular contracture, six (0.48%) by bottoming-out deformity, two patients (0.32%) developed a unilateral hematoma in the first 24 h and one patient (0.16%) developed a double-bubble deformity.

[CONCLUSION] The use of the proposed surgical technique minimizes complication rates, making anatomical implants an optimal choice for breast augmentation surgery.

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