title: Asian Outcomes of Primary Breast Augmentation in 162 Consecutive Cases by a Single Surgeon.
abstract: In 162 Asian patients, primary breast augmentation was performed by a single surgeon during 5 years. The purpose of this study evaluates Asian outcomes in primary breast augmentation using single antibiotic breast irrigation by a single surgeon's practice and examines the comparison of Asian and Western outcomes in primary breast augmentation.
  
  
  METHODS
  A retrospective chart review was performed to examine a total of 162 patients who received the same brand of implants for primary breast augmentation under sedative anesthesia (propofol infusion) in a single surgeon's practice. Asian patients' demographics, preoperative and postoperative measurements, surgical technique (single antibiotic breast irrigation), implant type, size, texture, soft tissue coverage, implant placement, incision approach, complications, and incidence of reoperation were documented.
  
  
  RESULTS
  This study presents data for 162 primary breast augmentation who received a total of 324 implants. The mean length of follow-up for all patients was 25.1 months (range, 6-60 months). The difference between Tebbetts and Adams' reoperation proportion (ρ0 = 0.028) and this article's reoperation proportion (ρ0 = 0.0185) is not statistically significant (P value = 0.3707). Reoperation rate and complications are not related with implant type, implant placement, body mass index, and incision approach.
  
  
  CONCLUSIONS
  By comparison, the reoperation rates between Asian and Western patients are equal due to adequate preoperative evaluation and surgical procedure. The differences are found somewhat in the average measurements of age, body mass index, and implant size. The technique of the use of blunt dissection with fingers under tumescent infiltration and single antibiotics irrigation provides an alternative way to surgeons for breast augmentation.
authors.affiliation: Department of Plastic Surgery, Winners Clinic, Gangnam-gu, Seoul, Korea.
authors.forename: Cheol Hwan
authors.initials: CH
authors.lastname: Kim