{Reference Type}: Journal Article
{Title}: Restoring Breast Volume in High BMI Patients: A Single-Center Review of Breast Reconstruction Using Hyperinflated Saline Implants.
{Author}: Kachare MD;Kachare SD;Vivace BJ;Elfanagely O;Barrow B;O'Toole A;Simpson AM;Safeek R;Choo JH;McCurry TM;Wilhelmi BJ;Kachare MD;Kachare SD;Vivace BJ;Elfanagely O;Barrow B;O'Toole A;Simpson AM;Safeek R;Choo JH;McCurry TM;Wilhelmi BJ;
{Journal}: Eplasty
{Volume}: 22
{Issue}: 0
{Year}: 2022
暂无{Abstract}: <B>UNASSIGNED: </B>Breast reconstruction in the obese patient is often fraught with poor patient satisfaction due to inadequate volume restoration. The off-label hyperinflation of saline implants is a direct yet controversial solution to this problem, with limited studies in the literature. This study sought to determine the safety and efficacy of this technique for breast reconstruction.<BR><B>UNASSIGNED: </B>A retrospective chart review was performed to identify all patients with a body mass index (BMI) greater than or equal to 30 kg/m2 who underwent breast reconstruction between the years 2013 to 2020 with saline implants filled beyond the manufacturer's maximum recommended volume.<BR><B>UNASSIGNED: </B>The 21 patients identified had an average age of 49 years. The mean BMI was 39.5 kg/m2. A total of 42 implants were placed; 34 were 800 mL, 4 were 750 mL, and 4 were 700 mL. The average overfill volume was 302 mL (138%). Mean follow-up was 65.0 months. Of these, 1 (4.8%) patient with a history of chest wall radiotherapy underwent reoperation for unilateral implant exposure 27 days after the index procedure, no patient sustained spontaneous leak or rupture, and 1 patient had unilateral deflation following emergent central line and pacemaker placement 2 years after the implant was placed for an unrelated cardiovascular event.<BR><B>UNASSIGNED: </B>Hyperinflation of saline implants beyond the maximum recommended volume may be considered for volume replacement in obese patients undergoing implant-based breast reconstruction. This practice is well tolerated, has a complication rate comparable to using implants filled to the recommended volume, and has the potential to restore lost breast volume in the obese patient post mastectomy.