摘要

Objectives: Understand the principles of Preservation Breast Augmentation Understand the pitfalls involved in subglandular breast augmentation historically. Define the appropriate surgical candidate for the technique. Understand breast implant selection for the technique. Learn pre-operative marking. Learn the technical steps of the procedure. Introduction: Preservation breast augmentation is a novel technique which involves a minimal pre-pectoral soft tissue dissection, sparing all of the native chest wall musculature, which ultimately leads to a quicker recovery and long term patient comfort without sacrificing the aesthetic result. The use of highly cohesive 5th and 6th generation breast implants, along with a tight tissue pocket avoid implant rippling and palpability, as well as gel-bleed, thought to be a leading cause of capsular contracture. Materials / method: This didactic lecture will include the history of subglandular breast augmentation, including the traditionally reported increase in complications such as capsular contracture, implant palpability and visible rippling. Recent reports of high rates of patient dissatisfaction with submuscular or dual-plane breast augmentation in addition to long term physical complaints of neck, shoulder and back pain when an implant is placed beneath the muscle and/or the origin of the pectoralis muscle is disrupted. Technique will be reviewed and lecture will be supported by intra-op photographs and video. Results: Patient results will be shown. Conclusion: This novel technique is a gamechanger for plastic surgeons interested in providing patients with rapid recovery and long-term comfort without sacrificing the aesthetic result.