author_facet Montemurro, Paolo
Papas, Athanasios
Hedén, Per
Montemurro, Paolo
Papas, Athanasios
Hedén, Per
author Montemurro, Paolo
Papas, Athanasios
Hedén, Per
spellingShingle Montemurro, Paolo
Papas, Athanasios
Hedén, Per
Plastic & Reconstructive Surgery
Is Rotation a Concern with Anatomical Breast Implants? A Statistical Analysis of Factors Predisposing to Rotation
Surgery
author_sort montemurro, paolo
spelling Montemurro, Paolo Papas, Athanasios Hedén, Per 0032-1052 Ovid Technologies (Wolters Kluwer Health) Surgery http://dx.doi.org/10.1097/prs.0000000000003387 <jats:sec> <jats:title>Background:</jats:title> <jats:p>Since their introduction in 1993, anatomical implants have provided a more natural appearance in breast augmentation, and many surgeons advocate their use and promote the good aesthetic results. However, the risk of implant rotation makes some of them reluctant to use these devices. The rotation rate varies among authors.</jats:p> </jats:sec> <jats:sec> <jats:title>Methods:</jats:title> <jats:p>The authors present a 6.5-year series of 531 patients who underwent primary breast augmentation with macrotextured anatomical implants in a Swedish facility performed by one consultant surgeon (P.M.). The authors examined the rotation rate and the correlation with possible predisposing factors such as preoperative breast cup size, childbirth, and body mass index.</jats:p> </jats:sec> <jats:sec> <jats:title>Results:</jats:title> <jats:p>A total of 20 implants (1.88 percent; 95 percent CI, 1.15 to 2.89 percent) in 19 patients (3.58 percent; 95 percent CI, 2.17 to 5.53 percent) were rotated. In one patient (0.22 percent), both implants rotated, whereas in the remaining patients, the rotation was unilateral. The authors were unable to establish a statistically significant correlation between implant rotation and previous childbirth or increased body mass index. However, there was a relation between rotation rate and preoperative breast cup size that showed an upward trend as the cup size increased from A to C.</jats:p> </jats:sec> <jats:sec> <jats:title>Conclusion:</jats:title> <jats:p>The authors believe that if the implant is correctly selected and the operation is performed meticulously with proper pocket dissection, the rotation rate is minimal and it should not be considered a disadvantage for the use of anatomical implants.</jats:p> </jats:sec> <jats:sec> <jats:title>CLINICAL QUESTION/LEVEL OF EVIDENCE:</jats:title> <jats:p>Risk, III.</jats:p> </jats:sec> Is Rotation a Concern with Anatomical Breast Implants? A Statistical Analysis of Factors Predisposing to Rotation Plastic & Reconstructive Surgery
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title Is Rotation a Concern with Anatomical Breast Implants? A Statistical Analysis of Factors Predisposing to Rotation
title_unstemmed Is Rotation a Concern with Anatomical Breast Implants? A Statistical Analysis of Factors Predisposing to Rotation
title_full Is Rotation a Concern with Anatomical Breast Implants? A Statistical Analysis of Factors Predisposing to Rotation
title_fullStr Is Rotation a Concern with Anatomical Breast Implants? A Statistical Analysis of Factors Predisposing to Rotation
title_full_unstemmed Is Rotation a Concern with Anatomical Breast Implants? A Statistical Analysis of Factors Predisposing to Rotation
title_short Is Rotation a Concern with Anatomical Breast Implants? A Statistical Analysis of Factors Predisposing to Rotation
title_sort is rotation a concern with anatomical breast implants? a statistical analysis of factors predisposing to rotation
topic Surgery
url http://dx.doi.org/10.1097/prs.0000000000003387
publishDate 2017
physical 1367-1378
description <jats:sec> <jats:title>Background:</jats:title> <jats:p>Since their introduction in 1993, anatomical implants have provided a more natural appearance in breast augmentation, and many surgeons advocate their use and promote the good aesthetic results. However, the risk of implant rotation makes some of them reluctant to use these devices. The rotation rate varies among authors.</jats:p> </jats:sec> <jats:sec> <jats:title>Methods:</jats:title> <jats:p>The authors present a 6.5-year series of 531 patients who underwent primary breast augmentation with macrotextured anatomical implants in a Swedish facility performed by one consultant surgeon (P.M.). The authors examined the rotation rate and the correlation with possible predisposing factors such as preoperative breast cup size, childbirth, and body mass index.</jats:p> </jats:sec> <jats:sec> <jats:title>Results:</jats:title> <jats:p>A total of 20 implants (1.88 percent; 95 percent CI, 1.15 to 2.89 percent) in 19 patients (3.58 percent; 95 percent CI, 2.17 to 5.53 percent) were rotated. In one patient (0.22 percent), both implants rotated, whereas in the remaining patients, the rotation was unilateral. The authors were unable to establish a statistically significant correlation between implant rotation and previous childbirth or increased body mass index. However, there was a relation between rotation rate and preoperative breast cup size that showed an upward trend as the cup size increased from A to C.</jats:p> </jats:sec> <jats:sec> <jats:title>Conclusion:</jats:title> <jats:p>The authors believe that if the implant is correctly selected and the operation is performed meticulously with proper pocket dissection, the rotation rate is minimal and it should not be considered a disadvantage for the use of anatomical implants.</jats:p> </jats:sec> <jats:sec> <jats:title>CLINICAL QUESTION/LEVEL OF EVIDENCE:</jats:title> <jats:p>Risk, III.</jats:p> </jats:sec>
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author Montemurro, Paolo, Papas, Athanasios, Hedén, Per
author_facet Montemurro, Paolo, Papas, Athanasios, Hedén, Per, Montemurro, Paolo, Papas, Athanasios, Hedén, Per
author_sort montemurro, paolo
container_issue 6
container_start_page 1367
container_title Plastic & Reconstructive Surgery
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description <jats:sec> <jats:title>Background:</jats:title> <jats:p>Since their introduction in 1993, anatomical implants have provided a more natural appearance in breast augmentation, and many surgeons advocate their use and promote the good aesthetic results. However, the risk of implant rotation makes some of them reluctant to use these devices. The rotation rate varies among authors.</jats:p> </jats:sec> <jats:sec> <jats:title>Methods:</jats:title> <jats:p>The authors present a 6.5-year series of 531 patients who underwent primary breast augmentation with macrotextured anatomical implants in a Swedish facility performed by one consultant surgeon (P.M.). The authors examined the rotation rate and the correlation with possible predisposing factors such as preoperative breast cup size, childbirth, and body mass index.</jats:p> </jats:sec> <jats:sec> <jats:title>Results:</jats:title> <jats:p>A total of 20 implants (1.88 percent; 95 percent CI, 1.15 to 2.89 percent) in 19 patients (3.58 percent; 95 percent CI, 2.17 to 5.53 percent) were rotated. In one patient (0.22 percent), both implants rotated, whereas in the remaining patients, the rotation was unilateral. The authors were unable to establish a statistically significant correlation between implant rotation and previous childbirth or increased body mass index. However, there was a relation between rotation rate and preoperative breast cup size that showed an upward trend as the cup size increased from A to C.</jats:p> </jats:sec> <jats:sec> <jats:title>Conclusion:</jats:title> <jats:p>The authors believe that if the implant is correctly selected and the operation is performed meticulously with proper pocket dissection, the rotation rate is minimal and it should not be considered a disadvantage for the use of anatomical implants.</jats:p> </jats:sec> <jats:sec> <jats:title>CLINICAL QUESTION/LEVEL OF EVIDENCE:</jats:title> <jats:p>Risk, III.</jats:p> </jats:sec>
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spelling Montemurro, Paolo Papas, Athanasios Hedén, Per 0032-1052 Ovid Technologies (Wolters Kluwer Health) Surgery http://dx.doi.org/10.1097/prs.0000000000003387 <jats:sec> <jats:title>Background:</jats:title> <jats:p>Since their introduction in 1993, anatomical implants have provided a more natural appearance in breast augmentation, and many surgeons advocate their use and promote the good aesthetic results. However, the risk of implant rotation makes some of them reluctant to use these devices. The rotation rate varies among authors.</jats:p> </jats:sec> <jats:sec> <jats:title>Methods:</jats:title> <jats:p>The authors present a 6.5-year series of 531 patients who underwent primary breast augmentation with macrotextured anatomical implants in a Swedish facility performed by one consultant surgeon (P.M.). The authors examined the rotation rate and the correlation with possible predisposing factors such as preoperative breast cup size, childbirth, and body mass index.</jats:p> </jats:sec> <jats:sec> <jats:title>Results:</jats:title> <jats:p>A total of 20 implants (1.88 percent; 95 percent CI, 1.15 to 2.89 percent) in 19 patients (3.58 percent; 95 percent CI, 2.17 to 5.53 percent) were rotated. In one patient (0.22 percent), both implants rotated, whereas in the remaining patients, the rotation was unilateral. The authors were unable to establish a statistically significant correlation between implant rotation and previous childbirth or increased body mass index. However, there was a relation between rotation rate and preoperative breast cup size that showed an upward trend as the cup size increased from A to C.</jats:p> </jats:sec> <jats:sec> <jats:title>Conclusion:</jats:title> <jats:p>The authors believe that if the implant is correctly selected and the operation is performed meticulously with proper pocket dissection, the rotation rate is minimal and it should not be considered a disadvantage for the use of anatomical implants.</jats:p> </jats:sec> <jats:sec> <jats:title>CLINICAL QUESTION/LEVEL OF EVIDENCE:</jats:title> <jats:p>Risk, III.</jats:p> </jats:sec> Is Rotation a Concern with Anatomical Breast Implants? A Statistical Analysis of Factors Predisposing to Rotation Plastic & Reconstructive Surgery
spellingShingle Montemurro, Paolo, Papas, Athanasios, Hedén, Per, Plastic & Reconstructive Surgery, Is Rotation a Concern with Anatomical Breast Implants? A Statistical Analysis of Factors Predisposing to Rotation, Surgery
title Is Rotation a Concern with Anatomical Breast Implants? A Statistical Analysis of Factors Predisposing to Rotation
title_full Is Rotation a Concern with Anatomical Breast Implants? A Statistical Analysis of Factors Predisposing to Rotation
title_fullStr Is Rotation a Concern with Anatomical Breast Implants? A Statistical Analysis of Factors Predisposing to Rotation
title_full_unstemmed Is Rotation a Concern with Anatomical Breast Implants? A Statistical Analysis of Factors Predisposing to Rotation
title_short Is Rotation a Concern with Anatomical Breast Implants? A Statistical Analysis of Factors Predisposing to Rotation
title_sort is rotation a concern with anatomical breast implants? a statistical analysis of factors predisposing to rotation
title_unstemmed Is Rotation a Concern with Anatomical Breast Implants? A Statistical Analysis of Factors Predisposing to Rotation
topic Surgery
url http://dx.doi.org/10.1097/prs.0000000000003387