THE IMPACT OF VARIOUS FACTORS ON THE LONG-TERM OUTCOMES OF AUGMENTATION MAMMOPLASTY USING SILICONE IMPLANTS

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Goal. To study factors influencing the development of unfavorable postoperative outcomes in patients who underwent augmentation mammoplasty

Material and methods. The Department of Reconstructive Surgery of the Republican Scientific Center for Cardiovascular Surgery and the ORMED Medical Center for Aesthetic and Laser Surgery included 190 patients who underwent augmentation mammoplasty between 2010 and 2024. All subjects included in the study were female. Thirtytwo women (16.8%) had a history of breast surgery prior to presentation. All procedures were for benign conditions (fibroids, incisions for mastitis); subjects with a history of malignant tumors were not included in the study.

Results. The overall duration of surgery was not related to age (46.7±13.3 in Group 1 and 48.2±15.6 in Group 2). No statistically significant differences were observed for this aspect of surgical time. However, in both groups, surgeries lasted longer in patients with a high body mass index: in Group 1, subjects with a high BMI lasted 56.7±16.1 compared to 42.4±15.5 in Group 2. A similar difference was observed in the second clinical group: those with a high BMI (57.3±15.2) versus a normal BMI (43.6±15.7). Hematomas of varying severity were observed in two patients in the under35 group and in four cases in women older than this age. Blood loss volume also varied between the groups. The average blood loss volume for women under 35 was 345.7±112.4 ml, while for women in the older age group, the average blood loss volume was 461.6±104.8 ml. In both cases, the parameters were within normal limits. s. No lifethreatening bleeding was observed. All hematomas were treated with drainage and rubber bands.

Conclusion. Thus, age is a significant factor when planning the volume of breast augmentation, as well as preventing complications in the immediate and late postoperative periods. The operating surgeon must take this into account when planning the augmentation.

Keywords

augmentation mammoplasty breast augmentation silicone implants mammary glands

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