The Chestnut Technique: A Novel Approach to Enhancing Implant Stability in Breast Augmentation.

IF 2 3区医学 Q2 SURGERY

Aesthetic Plastic Surgery Pub Date : 2025-07-07 DOI:10.1007/s00266-025-05062-w

Mert Demirel, Mert Ersan

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引用次数: 0

Abstract

Background: Despite advancements in implant technology and surgical techniques, achieving long-term implant stability in breast augmentation remains challenging, particularly in cases where enhanced soft tissue support is required.

Objective: The chestnut technique was developed to enhance implant stability and address soft tissue support-related complications by incorporating a structurally supportive soft tissue framework. This study aims to describe the surgical steps of the chestnut technique and evaluate patient-reported outcomes following its application.

Method: This retrospective study included 60 female patients who underwent primary breast augmentation between April 2020 and November 2024. Implants were placed in a customized subpectoral pocket, ensuring superior and inferior muscle and fascia coverage with pectoral fascia support at the midsection. Patient satisfaction was assessed using the BREAST-Q module preoperatively and at 1 year postoperatively.

Results: The mean follow-up period was 31.8 months (range: 12-56 months). No cases of implant malposition, rippling, or animation deformity were observed. Minor complications occurred in 5% of patients and were successfully managed with conservative treatment. The mean BREAST-Q satisfaction score significantly increased from 23.44 ± 10.20 preoperatively to 84.46 ± 9.90 at 1 year, with similar improvements in psychosocial and sexual well-being (p < 0.001).

Conclusion: The chestnut technique provides a safe and effective approach to primary breast augmentation, particularly in cases where enhanced soft tissue support is desired. By optimizing implant stability and minimizing displacement-related complications, it serves as a reliable alternative to conventional methods while ensuring predictable and aesthetically favorable outcomes.

Level of evidence iv: This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/0026 .

查看原文本刊更多论文

栗子技术：一种提高隆胸植入物稳定性的新方法。

背景：尽管假体技术和手术技术不断进步，但在隆胸手术中实现假体的长期稳定性仍然具有挑战性，特别是在需要增强软组织支持的情况下。目的：栗子技术通过结合结构支持的软组织框架来提高种植体的稳定性和解决软组织支持相关的并发症。本研究旨在描述板栗技术的手术步骤，并评估其应用后患者报告的结果。方法：本回顾性研究包括60例在2020年4月至2024年11月期间接受了原发性隆胸手术的女性患者。植入物放置在定制的胸下口袋中，确保上下肌肉和筋膜覆盖，胸筋膜支持在中段。术前和术后1年采用BREAST-Q模块评估患者满意度。结果：平均随访时间为31.8个月（12 ~ 56个月）。未观察到种植体错位、波纹或动画畸形。5%的患者发生轻微并发症，保守治疗成功。平均BREAST-Q满意度从术前的23.44±10.20分显著提高到1年后的84.46±9.90分，心理社会和性幸福感的改善程度相似（p < 0.001）。结论：栗子技术提供了一种安全有效的方法来进行初级隆胸，特别是在需要增强软组织支持的情况下。通过优化种植体稳定性和最大限度地减少移位相关并发症，它可以作为传统方法的可靠替代方案，同时确保可预测和美观的结果。证据等级iv：本刊要求作者为每篇文章指定一个证据等级。有关这些循证医学评级的完整描述，请参阅目录或在线作者说明www.springer.com/0026。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Aesthetic Plastic Surgery 医学-外科

CiteScore

4.40

自引率

25.00%

发文量

479

审稿时长

3 months

期刊介绍： Aesthetic Plastic Surgery is a publication of the International Society of Aesthetic Plastic Surgery and the official journal of the European Association of Societies of Aesthetic Plastic Surgery (EASAPS), Società Italiana di Chirurgia Plastica Ricostruttiva ed Estetica (SICPRE), Vereinigung der Deutschen Aesthetisch Plastischen Chirurgen (VDAPC), the Romanian Aesthetic Surgery Society (RASS), Asociación Española de Cirugía Estética Plástica (AECEP), La Sociedad Argentina de Cirugía Plástica, Estética y Reparadora (SACPER), the Rhinoplasty Society of Europe (RSE), the Iranian Society of Plastic and Aesthetic Surgeons (ISPAS), the Singapore Association of Plastic Surgeons (SAPS), the Australasian Society of Aesthetic Plastic Surgeons (ASAPS), the Egyptian Society of Plastic and Reconstructive Surgeons (ESPRS), and the Sociedad Chilena de Cirugía Plástica, Reconstructiva y Estética (SCCP). Aesthetic Plastic Surgery provides a forum for original articles advancing the art of aesthetic plastic surgery. Many describe surgical craftsmanship; others deal with complications in surgical procedures and methods by which to treat or avoid them. Coverage includes "second thoughts" on established techniques, which might be abandoned, modified, or improved. Also included are case histories; improvements in surgical instruments, pharmaceuticals, and operating room equipment; and discussions of problems such as the role of psychosocial factors in the doctor-patient and the patient-public interrelationships. Aesthetic Plastic Surgery is covered in Current Contents/Clinical Medicine, SciSearch, Research Alert, Index Medicus-Medline, and Excerpta Medica/Embase.