In-vivo Evaluation of Round Breast Implant in a Stand-Up MRI

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In-vivo Evaluation of Round Breast Implant in a Stand-Up MRI Bivik R. Shah, M.D Clinical Assistant Professor Ohio State University Columbus Institute of Plastic Surgery Kevin Delaney, M.D. Assistant Professor Medical University of South Carolina

Disclosure I have no conflicts of interest This study was funded by the ASERF Foundation Grant

Background Information provided by Manufacturer is limited Implant supine on table Without deformational forces 350-4254BC 425 cc 12.5 cm (Width) 5.0 cm (Projection)

Background Clinically and theoretically, we know size and shape are different in-vivo Gravity Muscle Surrounding Soft tissue

Methods Grade 0 or I patients Baker I only Mild asymmetry Pre-op Measurements: Breast width, Skin stretch, N:IMF max stretch, Parenchymal pinch, and Superior pole pinch MRI in sitting position with breast coil

MRI Measurements

Results Silicone High Profile No Infections, hematoma CC, or bottom out Total pts – 23 (46 implants) Average time from Surgery to MRI – 11.8 months BMI – 20.5

In-Vivo Shape in Upright Position In the upright position, has a tear drop shape Projection at 2 cm from superior edge is smaller than predicted for an ellipse

Conclusion Trends THANK YOU! Diameter is smaller than reported Projection is higher than reported Location of maximum projection is lower than mid-point. THANK YOU!