In Plane Sight: Choosing the Ideal Breast Pocket for Your Patient | Featuring Italy, Brazil, United States | Global Partner Webinar Series-In Plane Sight: Choosing the Ideal Breast Pocket for Your Patient | Featuring Italy, Brazil, United States

In Plane Sight: Choosing the Ideal Breast Pocket for Your Patient | Featuring Italy, Brazil, United States | Global Partner Webinar Series

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Video Transcription

Video Summary

The ASPS Global Partner Webinar featured renowned plastic surgeons Dr. Ruth Graff and Dr. Gaurav Bahardi discussing breast implant pocket selection. Dr. Graff shared her extensive experience, highlighting her shift from subpectoral to subfascial pockets and from textured to smooth implants to reduce animation deformity and complications like ALCL. She emphasized the importance of precise pocket dissection, preserving fascia and ligaments for implant stabilization, and tailoring approaches for primary and revision cases. Dr. Bahardi presented a patient-centered, tissue-based algorithm combining anatomical evaluation with patient goals, endorsing individualized pocket choices (subpectoral, dual-plane, subfascial, subglandular). He discussed the historical evolution of implant pockets, weighing pros and cons such as animation deformity, implant visibility, and capsular contracture risks. Both stressed minimizing over-dissection, involvement of patients in implant selection, and reducing postoperative restrictions for faster recovery. They noted trends toward smaller implant sizes, faster return to activity, and emerging techniques like PRESERVE that preserve breast ligaments and reduce complications. Future directions include bioresorbable matrices and fat grafting to enhance natural results. The session underscored that no single pocket technique fits all; success depends on personalized planning, surgical precision, and patient collaboration to achieve optimal and lasting aesthetic outcomes.

Keywords

breast implant pocket selection

subpectoral pocket

subfascial pocket

implant animation deformity

ALCL complications

patient-centered algorithm

capsular contracture

PRESERVE technique

bioresorbable matrices