ArticleAesthetic plastic surgery2025
The Chestnut Technique: A Novel Approach to Enhancing Implant Stability in Breast Augmentation.
Article in Aesthetic plastic surgery, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
backgroundDespite advancements in implant technology and surgical techniques, achieving long-term implant stability in breast augmentation remains challenging, particularly in cases where enhanced soft tissue support is required.
objectiveThe chestnut technique was developed to enhance implant stability and address soft tissue support-related complications by incorporating a structurally supportive soft tissue framework. This study aims to describe the surgical steps of the chestnut technique and evaluate patient-reported outcomes following its application.
methodThis retrospective study included 60 female patients who underwent primary breast augmentation between April 2020 and November 2024. Implants were placed in a customized subpectoral pocket, ensuring superior and inferior muscle and fascia coverage with pectoral fascia support at the midsection. Patient satisfaction was assessed using the BREAST-Q module preoperatively and at 1 year postoperatively.
resultsThe mean follow-up period was 31.8 months (range: 12-56 months). No cases of implant malposition, rippling, or animation deformity were observed. Minor complications occurred in 5% of patients and were successfully managed with conservative treatment. The mean BREAST-Q satisfaction score significantly increased from 23.44 ± 10.20 preoperatively to 84.46 ± 9.90 at 1 year, with similar improvements in psychosocial and sexual well-being (p < 0.001).
conclusionThe chestnut technique provides a safe and effective approach to primary breast augmentation, particularly in cases where enhanced soft tissue support is desired. By optimizing implant stability and minimizing displacement-related complications, it serves as a reliable alternative to conventional methods while ensuring predictable and aesthetically favorable outcomes. LEVEL OF EVIDENCE IV: 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/0026 .
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