A New Algorithm for Implant Choice in Aesthetic Breast Procedures Based on the Polytech Portfolio.

Background: Aesthetic breast surgery remains among the most requested procedures in plastic surgery. Since their introduction, breast implants have significantly evolved in terms of composition, surface, and shape. Due to the wide variability in patient anatomy and expectations, no single implant type can universally address all clinical scenarios. Therefore, achieving the best outcome requires a tailored approach. Methods: This study presented a decision-making model developed by the first author (P.M.). The model aims to obtain fully personalized outcomes using the Polytech implant catalog, which offers an extensive range of different breast implant types (such as microtextured, polyurethane, smooth, and lightweight implants), allowing tailored solutions to meet individual patient needs. Results: The model is based on the "Akademikliniken method" by Hedén, a biodimensional method that promotes a nonvolumetric, proportion-oriented approach to breast augmentation. Supported by a comprehensive implant portfolio, it enables tailored surgical planning for primary augmentations, revision procedures, and combined procedures such as mastopexy. The structured algorithm guides surgeons in selecting the most appropriate implant based on individual clinical parameters. Conclusions: The decision-making model described provides a practical and adaptable framework to support surgeons in optimizing surgical outcomes. The breadth of the Polytech portfolio is key to delivering truly personalized outcomes: it not only enhances procedural precision by offering a wide range of tools and options, but also supports professional development through informed, case-specific choices.