Augmentation in ptotic and densely glandular breasts: prevention, treatment, and classification of XXXX .

@entity1 @entity2080 @entity1410 @entity1159 @entity85
After breast augmentation, separation of breast tissue from the implant is common, especially in @entity1 with well-formed preoperative breasts. This problem is enhanced to a marked @entity85 of @entity1159 with firm, fixed implants. This paper addresses this problem preoperatively and therapeutically in secondary correction of double-bubble and waterfall deformity. The author classifies and explains @entity85 in @entity1 in whom the implant is below the normal crease, with glandular breast tissue superior and anterior to the implant. In "waterfall" deformity (a term suggested by the author), the glandular breast tissue droops over the implant and is inferior and anterior to the implant. Treatment used consists of opening the breast tissue from its posterior surface using radial incisions to accommodate the implant. This allows the two structures--the breast tissue and the implant-to blend as one unit with satisfactory results. The technique is easy to perform and teach. Complications are similar to those of regular breast augmentation. Strangely, radial incisions have not increased complications, and there have been no cases of @entity2080 or @entity1410 to date.
