Eur J Plast Surg (2006) 29: 28 DOI 10.1007/s00238-006-0041-6 AUTHOR ’SREPLY J. P. A. Nicolai E. J. F. Van Reij Author’s reply on “revision operation after silicone gel breast implantation: a retrospective study” by J. P. A. Nicolai et al. Published online: 26 April 2006 # Springer-Verlag 2006 We agree with Doctor Alani. Subglandularly placed sufficiently released on its caudal border, the implant may implants are associated with more capsular contractures often be displaced cranially during muscular contractions. or at least more evident contractures. On the other hand, Implants are more difficult to place medially in the contractures around submuscular implants may only be less submuscular plane to get satisfactory cleavage. obvious. Submuscularly positioned implants are likely to The normal mammary gland is situated subcutaneously. be associated with more asymmetry and deformities of the Thus, an aesthetic satisfactory appearance is easier breasts. This may be due to the relatively noncompliant accomplished with subglandular implants. nature of the muscle cover. When the muscle has not been We thank Doctor Alani for his commentary. This reply refers to the invited commentary http://dx.doi. org/10.1007/s00238-006-0040-7 J. P. A. Nicolai (*) E. J. F. Van Reij Department of Plastic Surgery, University Medical Center Groningen, Groningen, The Netherlands e-mail: email@example.com
European Journal of Plastic Surgery – Springer Journals
Published: Jun 1, 2006
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