What are some new breast augmentation techniques that could become more widely used in the future?

Question

Examples: less scarring, safer materials, less risk of capsular contracture, etc.

Ronald J. Edelson, MD · Answer

Progress in techniques and materials is very slow. Also when something new comes out there are invariably problems found later. For now stick to tried and true techniques

Semih Yildiz, MD, FEPOBRAS · Answer

The biggest improvements in breast augmentation will probably be refinements rather than one dramatic new technique. Useful areas include better implant-shell and gel design, more precise pocket planning with 3D imaging and measurements, smaller-incision insertion methods, improved sterile/no-touch technique, and selective use of fat grafting or internal support materials when the tissue needs help.

For capsular contracture, the future is likely less about one special implant and more about lowering inflammation and bacterial contamination: careful pocket choice, atraumatic technique, antibiotic irrigation when appropriate, minimal implant handling, good hemostasis, and long-term follow-up. New materials or devices can be exciting, but they should be judged by long-term safety data, not marketing claims. The best technique will still depend on matching implant width, profile, tissue coverage, and scar placement to the patient's anatomy.

Celal Alioglu, MD · Answer

hello we are using polytech brand of implants which are very popular by quality and to do less of all risks need to be careful and clean during the surgery.

Yannis Alexandrides, MD, FACS · Answer

More and more surgeons are using Fat Injections to improve the results of Breast Augmentation.

I believe right now this is the most important new technique that we discuss and it is one that can be used in conjunction with breast implants to improve results or as a stand only treatment for women who want a more distinctive crease on the breast.

Jeffrey Lisiecki, MD · Answer

Great question, and there are some exciting things that could become more common in the future for breast augmentation. Subfascial implant placement seems to be increasing in popularity, and preserves the pectoralis muscle in its anatomic place which helps prevent animation deformity and is good for very active patients. It is an improved "above the muscle" option compared to old subglandular implant placement. Hybrid augmentation with implants and fat, or just fat transfer alone for breast augmentation are also becoming more popular. Hybrid augmentation can help with upper pole fullness or cleavage, or just create a softer breast with a smaller implant. Fat transfer alone avoids implants completely and uses only tiny stab incisions rather than leaving typical breast augmentation scars.

Ted Eisenberg, DO, FACOS, FAACS · Answer

Rippling rates were shown to be similar between saline and silicone implants, in the first objective scientific study in June 2020 in PRS journal by Dr. Eric Swanson. He proved this by ultrasound testing and outcome surveys comparing smooth saline and silicone implants. I published my overfilling experience in Aesthetic Plastic Surgery Journal 2021, which you can read in the link below. I also describe other advantages to the saline implant. Dr. Ted Eisenberg, Board Certified Plastic Surgeon and Author. RealSelf Distinguished Hall of Fame Inductee. Philadelphia, Pa., USA.

Camille Cash, MD · Answer

Medicine is ever evolving and we are learning more each day!  In addition to strictly adhering to sterile technique I use a Keller Funnel when inserting silicone breast implants.  This allows for smaller incisions, keeps my hands off the implant, which in turn relates to lower infection rates and lower rates of capsular contracture.  I also use other proven techniques such as using antibiotic solutions during surgery to keep infection rates low.  To keep your risk of complications as low as possible be sure to select an experienced board certified plastic surgeon for your procedure and ask lots of questions.

Adolfo Sesto, MD · Answer

Hello. Still there have not been developed new techniques or materials better than the ones already in used. All new offer is speculative and experimental. Is better to keep going the safe and proven way.

Chuma Chike-Obi, MD · Answer

We haven't seen anything that new in breast implants in the United States in decades. This is unfortunate.A Costa Rican company called Establishment Labs is working on securing FDA approval for their #Motiva implants.
These implants are supposed to have a lower risk of #capsularcontracture and superior gel and shell technology.
Much farther away from US release is a device from the same company that allows for 'injection' of small implants through a small armpit (axillary) incision.

Cassie Nghiem, MD · Answer

Hellow, excellent question. The breast augmentation technique is pretty advanced right now, and I haven't heard of any new techniques for the future. The scar is around 1 inch and usually hidden (breast crease, armpit, belly button), the materials are safe (thick shell, cohesive filling), and there's many maneuvers to decrease the risk of capsular contracture. Hope that helps.

What are some new breast augmentation techniques that could become more widely used in the future?

Answers (11)

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