Naveed A Khan, Ijaz Shah, Abrar-ul Hassan Pirzada.
Submuscular placement of silicone gel implant for breast augmentation: a short term experience.
J Sharif Med Dent Coll Jan ;1(2):79-86.

Objective: This study was done to assess the efficacy of the implants in 30 consecutive patients who presented for breast augmentation. Methodology: Data was prospectively collected for all patients who underwent bilateral breast augmentation between July 2014 to July 2015. Breast augmentation was performed by placing textured, round, silicone gel intraglandular position implants via inframammary approach. The 30 patients included in this series were analyzed according to demographic details, preoperative & postoperative findings and observer satisfaction scores, and complications. Standard pictures were taken before surgery and during follow-up visits over 6 months, standardized objective measurements of breast and chest were also taken. The test statistics used to analyze the data were descriptive statistics and repeated measure ANOVA. A Visual Analogue Scale (VAS) was used to evaluate the subjects' global impression of clinical improvement and one independent observer visually reviewed pre and postoperative result to grade aesthetic results. Results: Observers evaluation by predefined criteria (volume, shape, consistency, inframammary fold and scar) rated 60 % of patients with excellent outcome, 30% good, 10% fair and none had a poor score. A significant percentage (63.3%) of the 30 patients rated their satisfaction as very good and nine (30%) patient rated as good. None of the patients responded the result as poor or as very poor. No serious complications such as implant malposition or significant capsular contracture were observed. Conclusion: We conclude that round textured cohesive gel implants provide excellent results, are well accepted by patients; and most short term postoperative adverse effects following cosmetic implantation are clinically insignificant and do not require treatment. Keywords: Augmentation mammoplasty. Silicone gel implants.

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