TY - JOUR
T1 - Dual-Anchor Cog Threads in Fat Grafting Breast Augmentation: A Novel Scarless Method for Defining Breast Footprint and Enhancing Shape
AU - Visconti, Giuseppe
AU - Salgarello, Marzia
PY - 2019
Y1 - 2019
N2 - BACKGROUND: Modern fat grafting breast augmentation allows successful breast enhancement. However, there is no fine control of breast footprint, shape, and inframammary fold. The purpose of this article is to report a novel scarless technique and to evaluate its beneficial effect by retrospectively reviewing case-control consecutive data from 51 patients. METHODS: Fifty-one consecutive patients undergoing cosmetic breast augmentation with fat only between September of 2012 and August of 2016 were retrospectively reviewed. In the first 29 cases (56 percent), the authors did not use threads (group A, control group), whereas in the remaining 22 cases (44 percent), the authors used dual-anchor cog threads (group B, case group). Breast shape analysis was performed separately by a blinded group of plastic surgeons and by the attending surgeon using a standardized evaluation method. The BREAST-Q was used to study patient satisfaction. The Mann-Whitney U and chi-square tests were used for categorical variables, and the independent-samples t test was used for continuous variables. RESULTS: No significant difference in mean graft take was found (group A, 71.2 percent; group B, 71.6 percent; p < 0.05). Group B showed a significantly higher rating than group A for lower pole profile, inframammary fold, and lateral footprint definition. No major postoperative complications were experienced in either group. In group B, no thread-related complications were experienced. CONCLUSIONS: The dual-anchor thread suture is a novel, effective, simple, reliable, safe, and scarless method of improving breast shape in fat grafting breast augmentation. Larger series are needed to further confirm the authors' findings. CLINICAL QUESTION/LEVEL OF EVIDENCE: Therapeutic, III.
AB - BACKGROUND: Modern fat grafting breast augmentation allows successful breast enhancement. However, there is no fine control of breast footprint, shape, and inframammary fold. The purpose of this article is to report a novel scarless technique and to evaluate its beneficial effect by retrospectively reviewing case-control consecutive data from 51 patients. METHODS: Fifty-one consecutive patients undergoing cosmetic breast augmentation with fat only between September of 2012 and August of 2016 were retrospectively reviewed. In the first 29 cases (56 percent), the authors did not use threads (group A, control group), whereas in the remaining 22 cases (44 percent), the authors used dual-anchor cog threads (group B, case group). Breast shape analysis was performed separately by a blinded group of plastic surgeons and by the attending surgeon using a standardized evaluation method. The BREAST-Q was used to study patient satisfaction. The Mann-Whitney U and chi-square tests were used for categorical variables, and the independent-samples t test was used for continuous variables. RESULTS: No significant difference in mean graft take was found (group A, 71.2 percent; group B, 71.6 percent; p < 0.05). Group B showed a significantly higher rating than group A for lower pole profile, inframammary fold, and lateral footprint definition. No major postoperative complications were experienced in either group. In group B, no thread-related complications were experienced. CONCLUSIONS: The dual-anchor thread suture is a novel, effective, simple, reliable, safe, and scarless method of improving breast shape in fat grafting breast augmentation. Larger series are needed to further confirm the authors' findings. CLINICAL QUESTION/LEVEL OF EVIDENCE: Therapeutic, III.
KW - Adipose Tissue
KW - Adult
KW - Breast
KW - Case-Control Studies
KW - Cicatrix
KW - Esthetics
KW - Female
KW - Humans
KW - Mammaplasty
KW - Middle Aged
KW - Patient Satisfaction
KW - Postoperative Complications
KW - Retrospective Studies
KW - Suture Techniques
KW - Transplantation, Autologous
KW - Young Adult
KW - Adipose Tissue
KW - Adult
KW - Breast
KW - Case-Control Studies
KW - Cicatrix
KW - Esthetics
KW - Female
KW - Humans
KW - Mammaplasty
KW - Middle Aged
KW - Patient Satisfaction
KW - Postoperative Complications
KW - Retrospective Studies
KW - Suture Techniques
KW - Transplantation, Autologous
KW - Young Adult
UR - http://hdl.handle.net/10807/142015
U2 - 10.1097/PRS.0000000000005431
DO - 10.1097/PRS.0000000000005431
M3 - Article
SN - 0032-1052
VL - 143
SP - 1039
EP - 1049
JO - Plastic and Reconstructive Surgery
JF - Plastic and Reconstructive Surgery
ER -