A critical review of augmentation mammoplasty with saline-filled prostheses.

This report analyzes the results of augmentation mammoplasty using saline implants. Follow-ups ranged from 18 months to 13 years. Of the 75 patients in this review, 39 had one or more problems, after the initial surgery, that detracted from a good or excellent result. Forty-two patients needed different volumes of saline to balance asymmetry of the breasts. Fourteen patients who preoperatively were thought to have normal breasts had breast pathology shown by biopsy at the time of surgery. Sixty-seven of the 75 patients eventually had excellent or good results, but 22 patients needed more than the initial operation to achieve this.