Invited Discussion On: Muscle-Splitting Breast Augmentation

  • Ozan SozerEmail author
  • Paul Phillips
Editor’s Invited Commentary

Level of Evidence V 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

The author presents a long-term follow-up regarding his experience with the muscle-splitting breast augmentation technique with over 1500 patients. He demonstrates a technique with acceptable complication rates and benefits. The noted capsular contracture rate (1.2%) is lower than the quoted capsular contracture (1.3–30%) [1]. One possibility for the author’s lower contracture rate is the prominent usage of textured implants.

Drain usage in the presented article also appears high (5.3% and 7.5% in primary and revision cases, respectively). The majority of plastic surgeons have abandoned the use of close-suction drains during primary mammaplasty. In our practice, we typically will only use drains if there is concurrent...


Compliance with Ethical Standards

Conflict of interest

The authors declare that they have no conflicts of interest to disclose.

Ethical Approval

This article does not contain any studies with human participants or animals performed by any of the authors.

Informed Consent

For this type of study, informed consent is not required.


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Copyright information

© Springer Science+Business Media, LLC, part of Springer Nature and International Society of Aesthetic Plastic Surgery 2019

Authors and Affiliations

  1. 1.El Paso Cosmetic Plastic Surgery CenterEl PasoUSA

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