Mammographic measurements before and after augmentation mammaplasty.
Thirty-five augmented women underwent mammography using both the standard implant-compression technique and, when possible, the implant-displacement technique; all had preaugmentation film-screen mammography available for evaluation. The area of mammographically visualized breast tissue before and after augmentation mammaplasty was measured using a transparent grid. Patients with subglandular implants had a mean decrease of 49 percent of measurable tissue area with compression mammography and a 39 percent decrease with displacement mammography. Patients with submuscular implants had a 28 percent decrease in measurable tissue area with compression mammography and a 9 percent decrease with displacement mammography. Anterior breast tissue was seen better with displacement mammography; posterior breast tissue, with compression mammography. Most patients had some degree of parenchymal scarring and lower image quality after augmentation. State-of-the-art mammography was not possible in most patients augmented with silicone-gel-filled implants.
Silverstein
M J
MJ
Breast Center Van Nuys, Calif. 91405.
Handel
N
N
Gamagami
P
P
Waisman
E
E
Gierson
E D
ED
D001940:Breast / Q000601:surgery*; D001943:Breast Neoplasms / Q000517:prevention & control; D005260:Female; D006801:Humans; D008327:Mammography / Q000379:methods*; D019736:Prostheses and Implants