Abstract

Background

Several attempts have been made to develop dual-lumen self-enclosed breast implants and differentially shaped breast implants. However, they have not achieved the goal of a more anatomical configuration of the breast.

Objective

This study examines the results of breast procedures, both reconstructions and secondary augmentations, in which double-lumen permanent stacked implants were used.

Methods

For use in breast reconstruction, a dual-lumen stacked tissue expander was placed in a submuscular/subfascial pocket extending 2 cm below the inframammary crease. Active and then passive expansion was followed by removal of the expander and replacement with a dual-lumen permanent stacked implant. Augmentation patients underwent bilateral total open capsulectomy with removal of ruptured silicone gel implants and replacement with dual-lumen permanent stacked implants.

Results

In a series of 20 patients, anatomically accurate, acceptably symmetric breasts were achieved.

Conclusions

The dual-lumen permanent stacked implant yields a pleasing sloped breast profile.

You do not currently have access to this article.