Response to the Comments on "The Chestnut Technique: A Novel Approach to Enhancing Implant Stability in Breast Augmentation".

This response addresses the comments by Arif et al. on our article, "The Chestnut Technique: A Novel Approach to Enhancing Implant Stability in Breast Augmentation." We acknowledge the limitations raised regarding patient demographics, follow-up duration, and comorbidities and agree that larger and more diverse cohorts are needed to strengthen the evidence. We also emphasize the importance of objective assessments, noting our ongoing prospective study incorporating MRI at 12 months to evaluate inferior flap viability. Additionally, we highlight the need to assess functional outcomes such as lactation and breast sensation in future research. We appreciate these constructive remarks, which underscore the importance of extended follow-up and collaborative investigations to validate and refine the Chestnut Technique as a reliable method for enhancing implant stability.No Level Assigned This journal requires that authors assign a level of evidence to each submission to which Evidence-Based Medicine rankings are applicable. This excludes Review Articles, Book Reviews, and manuscripts that concern Basic Science, Animal Studies, Cadaver Studies, and Experimental Studies. 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 .