Aesthetic Plastic Surgery

, Volume 27, Issue 2, pp 94–99 | Cite as

Anatomic Asymmetric Prostheses: Shaping the Breast

  • Juan A. MiraEmail author


Over more than 50 years the manufacturers of mammary prostheses have offered implants of two basic shapes, sphere or teardrop, and always unilateral (symmetric). In the year 2001 Poly Implants Prothèse invited us to participate in the development of a device that, in our opinion, was going to change the conceptual design for mammary augmentation and reconstruction: the asymmetric anatomical prosthesis (AAP). On December 10, 2001 we performed, via the transareolaris inferior [1, 2, 3, 4], the first breast augmentation using a prototype of anatomic, asymmetric, cohesive silicone implants. The result was pleasing in all aspects. The prostheses were capable to reproduce faithfully, in all dimensions, the anatomy of the female breasts, including the differences between each side. Since then, we have used the AAP with two different contents, silicone cohesive gel and Hidrogel, this last model in which we are currently experimenting. We utilized either a transareolar or submammary approach, according to the case (atrophy, ptosis, tuberous breast, etc.). We present in this paper the features of this new prosthesis, the procedures used for their implant, and a comparative analysis of our results.


Mammary augmentation Mammary prosthesis Anatomy 


Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.


  1. 1.
    Bettex, S, Gailloud-Matthieu, MC, Raffoul, W, Egloff, DV 1997Breast augmentation: Indications, types of prostheses, surgical techniques, complications, results.Rev Med Suisse Romande119729Google Scholar
  2. 2.
    Bogetti, P, Boltri, M, Balocco, P, Spagnoli, G 2000Augmentation mammaplasty with a new cohesive gel prosthesis.Aesthetic Plast Surg24440CrossRefPubMedGoogle Scholar
  3. 3.
    Mira, JA, Leyton, F 1981Augmentation mammaplasty via transareolaris inferior: 100 cases.Cuad Cir Plast Iber Lat Amer756Google Scholar
  4. 4.
    Niechajev, I 2001Mammary augmentation by cohesive silicone gel implants with anatomic shape: Technical considerations:Aesthetic Plast Surg25397CrossRefPubMedGoogle Scholar

Copyright information

© Springer-Verlag 2003

Authors and Affiliations

  1. 1.ValenciaSpain

Personalised recommendations