Objective clinical assessment of posture patterns after implant breast augmentation

Giovanni Nicoletti, Silvia Mandrini, Valentina Finotti, Anna Dall'angelo, Alberto Malovini, Simona Chierico, Angela Faga, Elena Dalla Toffola

Research output: Contribution to journalArticle

2 Citations (Scopus)

Abstract

Background: An increased weight of the breasts causes several spinal postural alterations that reduce the ability to perform dynamic tasks requiring a stable balance. The effects of the increased weight of the breasts on static posture after implant breast augmentation have not been investigated yet. Methods: Forty volunteer healthy women were asked to wear different sized breast implants (800, 400, and 300 g) inside a dedicated sports bra for 6 1/2 consecutive hours during their everyday life activities, 1 day for every implant size. Posture changes were assessed with the association of a physiatric clinical examination with a static force platform analysis. Results: A significant increase in cervical lordosis after the use of 400-g breast implants and upward was demonstrated. This alteration was stable between the 400-g and 800-g breast implants. The 400-g (per breast) implant might therefore be the load threshold that breaks the cervical postural physiologic balance. A significant increase in lumbar lordosis was demonstrated only after the use of the 800-g breast implants. The static force platform assessment demonstrated a worsening of the balance independent from the visual control with the use of 400-g and 800-g implants. Conclusions: Heavy breast implants proved to induce reversible alterations in the spinal curve, and 400 g is the cutoff for functional physiologic compensation in the short term. Such a weight might be considered the safety limit for the use of breast implants for cosmetic purposes.

Original languageEnglish
Pages (from-to)162e-170e
JournalPlastic and Reconstructive Surgery
Volume136
Issue number2
DOIs
Publication statusPublished - Aug 31 2015

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Breast Implants
Posture
Lordosis
Weights and Measures
Breast
Postural Balance
Physical and Rehabilitation Medicine
Cosmetics
Sports
Healthy Volunteers
Safety

ASJC Scopus subject areas

  • Surgery
  • Medicine(all)

Cite this

Objective clinical assessment of posture patterns after implant breast augmentation. / Nicoletti, Giovanni; Mandrini, Silvia; Finotti, Valentina; Dall'angelo, Anna; Malovini, Alberto; Chierico, Simona; Faga, Angela; Dalla Toffola, Elena.

In: Plastic and Reconstructive Surgery, Vol. 136, No. 2, 31.08.2015, p. 162e-170e.

Research output: Contribution to journalArticle

Nicoletti, Giovanni ; Mandrini, Silvia ; Finotti, Valentina ; Dall'angelo, Anna ; Malovini, Alberto ; Chierico, Simona ; Faga, Angela ; Dalla Toffola, Elena. / Objective clinical assessment of posture patterns after implant breast augmentation. In: Plastic and Reconstructive Surgery. 2015 ; Vol. 136, No. 2. pp. 162e-170e.
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