title: The Subfascial Approach to Primary and Secondary Breast Augmentation with Autologous Fat Grafting and Form-Stable Implants.
abstract: This article presents an overview of the subfascial approach to primary and secondary breast augmentation with form-stable implants associated with autologous fat grafting. Although breast augmentation is a well-studied procedure, there are few previous reports concerning the subfascial technique and, especially, this technique associated with lipofilling. Consequently, the authors present their experience with a form-stable, anatomically shaped silicone gel breast implant, which has recently been approved in the United States following FDA clinical trials. Primary and secondary breast augmentations using form-stable implants resulted in satisfactory outcomes.
authors.affiliation: Department of Plastic Surgery, Hospital Albert Einstein, Avenida Albert Einsten, 627/701 - Morumbi, São Paulo - SP 05652-900, Brazil; Breast Surgery and Plastic Surgery Department, Instituto Brasileiro do Controle do Câncer, Av. Alcântara Machado, 2576 - Móoca, São Paulo - SP 03102-002, Brazil. Electronic address: clinica@sampaiogoes.com.
authors.forename: João Carlos
authors.initials: JC
authors.lastname: Sampaio Goes
authors.affiliation: Department of Plastic Surgery, Hospital Sírio-Libanês, Rua Dona Adma Jafet, 115 - Bela Vista, São Paulo - SP 01308-050, Brazil; Breast Plastic Surgery, Department of Plastic Surgery, University of São Paulo School of Medicine and Instituto do Câncer do Estado de São Paulo, Avenida Doutor Arnaldo, 251 - Cerqueira César, São Paulo - SP 01255-000, Brazil.
authors.forename: Alexandre Mendonça
authors.initials: AM
authors.lastname: Munhoz
authors.affiliation: Department of Plastic Surgery, Hospital Albert Einstein, Avenida Albert Einsten, 627/701 - Morumbi, São Paulo - SP 05652-900, Brazil; Department of Plastic Surgery, University of São Paulo School of Medicine, São Paulo, Brazil.
authors.forename: Rolf
authors.initials: R
authors.lastname: Gemperli
mesh_terms: D000273:Adipose Tissue / Q000637:transplantation; D001940:Breast / Q000601:surgery*; D001941:Breast Diseases / Q000601:surgery*; D019928:Breast Implantation; D018427:Breast Implants; D000071938:Fasciotomy; D005260:Female; D006801:Humans; D016462:Mammaplasty / Q000379:methods*; D011474:Prosthesis Design; D012086:Reoperation; D014182:Transplantation, Autologous; D016896:Treatment Outcome
keywords: Breast augmentation; Complications; Fat grafting; Form-stable implants; Outcome; Silicone implant; Subfascial