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Breast Augmentation: Survey Highlights Recent Trends In Today's...
Most Popular Cosmetic Surgery Procedure
New York, NY
(Vocus) April 27, 2009-- Despite the highly anticipated
Food and Drug Administration
(FDA) approval of silicone gel implants for cosmetic purposes in 2006,
saline-filled implants remain the most popular choice for primary
breast augmentation, according to a study published in the March/April issue
of Aesthetic Surgery
According to this survey, 60% of surgeons still were using saline implants, and
the vast majority of these doctors selected saline implants for 75% to 100% of
their patients undergoing first-time breast augmentation. The reported survey
found that 80% of responding
had increased their use of silicone gel implants since their reintroduction in
2006. There were a number of reasons for choosing one implant type over another.
Patient preference was the most common factor driving the choice of silicone gel
The 27 questions included in the survey were posed to 1746 members of the
American Society for Aesthetic Plastic Surgery (ASAPS). ASAPS members were
selected for the study population in an attempt to gather data from surgeons who
most likely perform the highest volume of primary breast augmentation
procedures. Data was gathered over a 3-month period beginning in June 2007.
The survey gathered other practice data on primary breast augmentation including
most common incision location, implant size and type, and complications:
The majority of surgeons (64%) preferred an incision near the breast crease,
while 25% preferred an incision around the bottom half of the areola.
The average implant size reported by 81% of surgeons was 300 to 400 cc (which is
approximately a small to a full 'C' cup bra).
Smooth implants, rather than implants with a textured surface, were most often
preferred by 92% of respondents because it was the surgeon's preference, less
wrinkling, or overall better results for the patient.
Ninety-six percent of surgeons used round, rather than anatomically-shaped,
The most common position for implant placement was under the muscle (62% of
The most frequently reported early complication of primary breast augmentation
was nipple sensation changes, while capsular contracture (breast firmness caused
by scar tissue contracting around the implant) was the most commonly cited
'Although the reintroduction of silicone gel implants was accompanied by
expectations of a sharp increase in their use, this survey revealed that, among
Aesthetic Society members, saline implants are used more often than silicone gel
implants,' said Rod Rohrich, MD and Edward Reece, M.D., the study's senior and
lead authors. 'However, both saline and silicone gel implants are used
frequently, safely and reliably.'
'The approval of silicone gel implants has expanded the options for women
considering breast augmentation,' says Alan Gold, MD, president of the American
Society for Aesthetic Plastic Surgery (ASAPS). 'Nevertheless, obtaining
favorable patient outcomes is usually not dependent on the type of implant as
much as the use of patient-appropriate techniques by a qualified and experienced
According to recent data from ASAPS, breast augmentation was the top cosmetic
surgical procedure in 2008, overtaking lipoplasty for the first time. In 2008,
there were 355,671 breast augmentation procedures, up over 250% from 1997.
According to the Society's most recent statistics, 46% of breast augmentations
in 2008 (including both primary and implant replacement procedures) were
performed using silicone gel implants.
Aesthetic Surgery Journal, owned by the American Society for Aesthetic Plastic
Surgery and published by Elsevier Science, is a peer-reviewed international
journal focusing on clinical and scientific developments in cosmetic surgery and
cosmetic medicine. The
Journal has subscribers in more than 80 countries. Besides its affiliation with
ASAPS, the leading organization of board-certified plastic surgeons who
specialize in aesthetic surgery, ASJ is also the official English-language
journal of plastic surgery societies in Brazil, Israel, Mexico, Japan, Korea,
Thailand, Costa Rica, Colombia, India and The Netherlands, and it is the
official journal of the Rhinoplasty Society. ASJ's Editorial Board includes
plastic surgeons and Interspecialty Editors representing anesthesiology,
dermatology, ophthalmology, otolaryngology and clinical psychology. For
information on the Journal, as well as subscriber and pay-per-view access to the
Journal's full text and graphics, go to www.aestheticsurgeryjournal.com.
The American Society for Aesthetic Plastic Surgery, the leading organization of
board-certified plastic surgeons specializing in cosmetic plastic surgery
includes Active-Member plastic surgeons certified by the American Board of
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