İnframammarian Yaklaşımla Yapılan Meme Büyütme Ameliyatında Türk Plastik Cerrahların Tercihleri: Tanımlayıcı Çalışma

Abstract

Objective: Breast augmentation is one of the most frequently performed aesthetic surgery procedures. Unlike in other surgeries, the location of the incision is vital in breast augmentation, especially in the inframammary incision. A survey was conducted to define surgeons' preferences in the inframammary approach to breast augmentation. Material and Methods: A 16-item electronic questionnaire was administered to plastic surgeons in Türkiye. Questions on incision location, incision length, implant, surface, and other details were included. The collected data were analyzed. Results: There were 140 plastic surgeons who responded. The respondents preferred inframammary incisions in 97%, axillary incisions in 2%, and periareolar incisions in 1% of cases. Moreover, %66 preferred subglandular or subfascial pockets, whereas 34% preferred submuscular pockets. Eighty-five percent used round implants, and 15% used anatomical implants most commonly. Ninety-six percent preferred textured implants, and 4% preferred smooth implants. The most prominent reason for preferring the inframammary approach was 'easier implant insertion,' with 62% giving this response. The mean inframammary incision length was 4.02 (±0.36) cm for implants of less than 300 cc, 4.37 (±0.60) cm for implants of 300-399 cc, 4.68 (±0.66) cm for implants of 400-499 cc, and 4.85 (±0.69) cm for implants of 500 cc or above. Conclusion: Although practices for the length of the incision and its vertical and horizontal location differ between surgeons in the inframammary approach, it is by far the most preferred incision location among plastic surgeons in Türkiye.