Breast animation deformity

Diana Lydia Dyrberg, Camilla Bille, Gudjon Leifur Gunnarsson, Tove Faber Frandsen, C. Andrew Salzberg, Jens Ahm Sørensen, Jørn Bo Thomsen*

*Corresponding author for this work

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Abstract

Breast animation deformity (BAD) has been reported to occur after submuscular implant placement following breast augmentation and immediate breast reconstruction. Despite its apparent impact on patients’ quality of life, BAD has only recently become a topic of general concern. Its incidence and etiology have yet to be established. The aim of this systematic review was to identify papers that clearly defined and classified BAD and described how the degree of animation was assessed. We performed a search in PubMed and Embase. Studies meeting the inclusion criteria that described BAD after implant-based breast augmentation or immediate breast reconstruction were included. After screening 866 publications, four studies were included: three describing BAD after breast augmentation and one describing BAD after immediate breast reconstruction. The median percentage of patients with some degree of BAD was 58%. The highest percentages were found in patients operated on using the Regnault technique or the dual-plane technique (73%–78%). The lowest percentages were found following the dual-plane muscle-splitting technique (30%) and the triple-plane technique (33%). We found no studies meeting the inclusion criteria that analyzed BAD after prepectoral implant placement. This review of the current literature suggests that the degree of BAD is proportional to the degree of muscle involvement. Evidence is scarce, and the phenomenon seems to be underreported. Future comparative studies are warranted.

Original languageEnglish
JournalArchives of Plastic Surgery
Volume46
Issue number1
Pages (from-to)7-15
ISSN2234-6163
DOIs
Publication statusPublished - 15. Jan 2019

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Breast Implants
Muscles
PubMed
Publications
Quality of Life
Incidence

Keywords

  • Breast implant
  • Breast reconstruction
  • Mammaplasty
  • Treatment outcome

Cite this

Dyrberg, Diana Lydia ; Bille, Camilla ; Gunnarsson, Gudjon Leifur ; Frandsen, Tove Faber ; Salzberg, C. Andrew ; Sørensen, Jens Ahm ; Thomsen, Jørn Bo. / Breast animation deformity. In: Archives of Plastic Surgery. 2019 ; Vol. 46, No. 1. pp. 7-15.
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abstract = "Breast animation deformity (BAD) has been reported to occur after submuscular implant placement following breast augmentation and immediate breast reconstruction. Despite its apparent impact on patients’ quality of life, BAD has only recently become a topic of general concern. Its incidence and etiology have yet to be established. The aim of this systematic review was to identify papers that clearly defined and classified BAD and described how the degree of animation was assessed. We performed a search in PubMed and Embase. Studies meeting the inclusion criteria that described BAD after implant-based breast augmentation or immediate breast reconstruction were included. After screening 866 publications, four studies were included: three describing BAD after breast augmentation and one describing BAD after immediate breast reconstruction. The median percentage of patients with some degree of BAD was 58{\%}. The highest percentages were found in patients operated on using the Regnault technique or the dual-plane technique (73{\%}–78{\%}). The lowest percentages were found following the dual-plane muscle-splitting technique (30{\%}) and the triple-plane technique (33{\%}). We found no studies meeting the inclusion criteria that analyzed BAD after prepectoral implant placement. This review of the current literature suggests that the degree of BAD is proportional to the degree of muscle involvement. Evidence is scarce, and the phenomenon seems to be underreported. Future comparative studies are warranted.",
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Breast animation deformity. / Dyrberg, Diana Lydia; Bille, Camilla; Gunnarsson, Gudjon Leifur; Frandsen, Tove Faber; Salzberg, C. Andrew; Sørensen, Jens Ahm; Thomsen, Jørn Bo.

In: Archives of Plastic Surgery, Vol. 46, No. 1, 15.01.2019, p. 7-15.

Research output: Contribution to journalReviewResearchpeer-review

TY - JOUR

T1 - Breast animation deformity

AU - Dyrberg, Diana Lydia

AU - Bille, Camilla

AU - Gunnarsson, Gudjon Leifur

AU - Frandsen, Tove Faber

AU - Salzberg, C. Andrew

AU - Sørensen, Jens Ahm

AU - Thomsen, Jørn Bo

PY - 2019/1/15

Y1 - 2019/1/15

N2 - Breast animation deformity (BAD) has been reported to occur after submuscular implant placement following breast augmentation and immediate breast reconstruction. Despite its apparent impact on patients’ quality of life, BAD has only recently become a topic of general concern. Its incidence and etiology have yet to be established. The aim of this systematic review was to identify papers that clearly defined and classified BAD and described how the degree of animation was assessed. We performed a search in PubMed and Embase. Studies meeting the inclusion criteria that described BAD after implant-based breast augmentation or immediate breast reconstruction were included. After screening 866 publications, four studies were included: three describing BAD after breast augmentation and one describing BAD after immediate breast reconstruction. The median percentage of patients with some degree of BAD was 58%. The highest percentages were found in patients operated on using the Regnault technique or the dual-plane technique (73%–78%). The lowest percentages were found following the dual-plane muscle-splitting technique (30%) and the triple-plane technique (33%). We found no studies meeting the inclusion criteria that analyzed BAD after prepectoral implant placement. This review of the current literature suggests that the degree of BAD is proportional to the degree of muscle involvement. Evidence is scarce, and the phenomenon seems to be underreported. Future comparative studies are warranted.

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KW - Breast implant

KW - Breast reconstruction

KW - Mammaplasty

KW - Treatment outcome

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