Evidence map›Paper›PMID 39014235›Full record

ArticleAesthetic plastic surgery2025

A Decalogue on Enhanced Recovery After Breast Augmentation Surgery (ERABAS).

Juan M Seren, Andre Cervantes, Montserrat Fontbona, Fabian Cortinas, Gustavo Abrile, Horacio F Mayer

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Article in Aesthetic plastic surgery, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

6 authors.

Juan M SerenDepartment of Plastic Surgery, Sanatorio de la Trinidad Palermo, Buenos Aires, Argentina. juan.seren@hotmail.com.ORCID 0009-0006-8175-8818
Andre CervantesDepartment of Plastic Surgery, Hospital do Coracao, Sao Paulo, Brazil.
Montserrat FontbonaDepartment of Plastic Surgery, Hospital Militar de Santiago, Santiago de Chile, Chile.
Fabian CortinasPrivate Practice, Buenos Aires, Argentina.
Gustavo AbrileDepartment of Plastic Surgery, Parque de la Salud, Posadas, Misiones, Argentina.
Horacio F MayerDepartment of Plastic Surgery, Hospital Italiano de Buenos Aires, Buenos Aires, Argentina.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMedical and technical advances have changed the state of postoperative surgical patient care, allowing for better and faster recovery. Since its publication, predictable 24-hour recovery in breast augmentation surgery has been controversial and has generated discussion. In this study, we present a novel, easy, and reproducible protocol for Enhanced Recovery After Breast Augmentation Surgery (ERABAS), along with a summary of the ten points to follow.

methodsWe conducted a retrospective study of all primary breast augmentation surgeries performed between 2010 and 2020 by a private activity. All surgeries were performed by the same surgeon according to the same protocol, and all implants were obtained from the same company. Data were evaluated using two binary logistic regression models, taking as variables responses to recovery time and postoperative pain and as predictor or explanatory variables to the factors age, smoking, size, and location of the implant.

resultsIn total, 2906 patients were included in this study. Of these, 2770 patients (95%) immediately returned to normal life within the first 24 h, 129 achieved normal life in four days, and only seven needed a week to recover. In these seven patients, the main acute complications were hemorrhage and acute hematoma. The implants were always round; textured implants were used in 88.8% of patients, while smooth implants were used in 11.2%. A subfascial pocket was used in 934 patients, and a dual-plane pocket was performed for 1972 patients. The only factor that showed a significant effect on recovery time was the location of the implant (p  < 0.05), with the dual-plane pocket being the intervention associated with a later recovery, specifically a probability of recovery after 24 hour, 2.86 times greater than subfascial.

conclusionsThe ERABAS protocol allowed rapid return to daily activities with low complication rates. Further prospective comparative multicenter studies are required to confirm these results. LEVEL OF EVIDENCE III: This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266.

Indexed as

Breast ImplantationBreast ImplantsEnhanced Recovery After SurgeryMammaplastyAdultCohort StudiesFemaleFollow-Up StudiesHumansMiddle AgedPostoperative ComplicationsRecovery of FunctionRetrospective StudiesRisk AssessmentTreatment OutcomeYoung AdultBreast augmentationBreast implantsBreast surgeryDual planeERAS

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.