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48. Jahrestagung der Deutschen Gesellschaft der Plastischen, Rekonstruktiven und Ästhetischen Chirurgen (DGPRÄC), 55. Jahrestagung der Österreichischen Gesellschaft für Plastische, Ästhetische und Rekonstruktive Chirurgie (ÖGPÄRC), 22. Jahrestagung der Vereinigung der Deutschen Ästhetisch-Plastischen Chirurgen (VDÄPC)

14.09. - 16.09.2017, Graz, Österreich

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Current Trends in Breast Augmentation - An International Analysis

Meeting Abstract

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  • presenting/speaker Paul Heidekrueger - StKM - Klinikum Bogenhausen München, Plastische und Rekonstruktive Chirurgie, München, Deutschland
  • P. Niclas Broer - StKM - Klinikum Bogenhausen München, Plastische und Rekonstruktive Chirurgie, München, Deutschland
  • Sammy Sinno - StKM - Klinikum Bogenhausen München, Plastische und Rekonstruktive Chirurgie, München, Deutschland; New York University Medical Center, Department of Plastic Surgery, New York City, NY, Vereinigte Staaten
  • David Hidalgo - Weill Cornell Medical College, Division of Plastic Surgery, New York City, NY, Vereinigte Staaten

Deutsche Gesellschaft der Plastischen, Rekonstruktiven und Ästhetischen Chirurgen. Österreichische Gesellschaft für Plastische, Ästhetische und Rekonstruktive Chirurgie. Vereinigung der Deutschen Ästhetisch-Plastischen Chirurgen. 48. Jahrestagung der Deutschen Gesellschaft der Plastischen, Rekonstruktiven und Ästhetischen Chirurgen (DGPRÄC), 55. Jahrestagung der Österreichischen Gesellschaft für Plastische, Ästhetische und Rekonstruktive Chirurgie, 22. Jahrestagung der Vereinigung der Deutschen Ästhetisch-Plastischen Chirurgen (VDÄPC). Graz, Österreich, 14.-16.09.2017. Düsseldorf: German Medical Science GMS Publishing House; 2017. Doc021

doi: 10.3205/17dgpraec021, urn:nbn:de:0183-17dgpraec0216

Published: August 16, 2017

© 2017 Heidekrueger et al.
This is an Open Access article distributed under the terms of the Creative Commons Attribution 4.0 License. See license information at http://creativecommons.org/licenses/by/4.0/.

Outline

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Background: Breast augmentation surgery remains the most frequently performed aesthetic surgical procedure worldwide. However, many variations exist in terms of preoperative planning, surgical management, and postoperative care. Goal was to evaluate current trends and practices in breast augmentation with a focus on international variability.

Methods: A questionnaire was sent to over five thousand active breast surgeons in over 20 countries worldwide. The survey inquired about current controversies, new technologies, common practices, secondary procedures, and surgeon demographics. The findings and variations were evaluated and correlated to evidence-based literature.

Results: There were a total 628 respondents with a response rate of 12.3 percent. While certain approaches and common practices prevail also on an international basis, there exist several geographic controversies. For example, while almost fifty percent of surgeons in the USA and Latin America never use anatomically shaped implants, in Europe and Oceania most surgeons use them. Similarly, in Latin America, Europe, Asia, and Oceania, over 80 percent of surgeons use silicone implants only, whereas in the US only 20 percent – meanwhile US surgeons use the largest implants (78 percent > 300 cc). Internationally dominant practice preferences include preoperative sizing with silicone implants, as well as use of inframammary incisions and partial submuscular pockets.

Conclusions: Significant differences exist when comparing most common surgical breast augmentation approaches on an international basis. While certain techniques seem to be universal standard, there still remain several controversies. Further standardizing this most common esthetic surgical procedure according to evidence-based guidelines will aid to improve outcomes.