SynthesisAesthetic plastic surgery2026
Implant Pocket Plane Selection in Primary Breast Augmentation: A Meta-Analysis and Systematic Review of Complication Profiles.
Synthesis in Aesthetic plastic surgery, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.
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.
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.
Who cites it
3 citing papers in PubMed.
- Methodological Considerations in Assessing Implant Pocket Plane and Capsular Contracture Risk.Aesthetic plastic surgery · 2026Article
- Reconsidering Implant Pocket Plane Selection: The Role of Implant Surface, Tissue Envelope, and Contamination Control.Aesthetic plastic surgery · 2026Article
- Postoperative Infection After Implant-Based Breast Reconstruction: Risk Factors and Clinical Burden in a Large Single-Center Cohort.Journal of clinical medicine · 2026Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundImplant pocket selection is a key determinant of safety and aesthetic outcomes in primary breast augmentation. Despite the widespread use of subglandular, subfascial, submuscular, and dual-plane techniques, no clear consensus exists on the optimal approach.
methodsA PRISMA-guided systematic review and meta-analysis of PubMed, Embase, Scopus, and Web of Science identified studies on implant pocket-related complications in primary breast augmentation from inception to February 2025. One-arm and pairwise random-effects meta-analyses were performed, with heterogeneity assessed by I
resultsNinety one studies (51,524 patients; mean age 33.0 years, BMI 21.6 kg/m
conclusionsAll pocket planes demonstrated low complication rates with notable variation. Submuscular and dual-plane showed the most favorable profiles, while subfascial may represent a balanced alternative. These findings may help refine surgical decision-making, offering tailored pocket selection strategies to optimize both safety and aesthetic outcomes in primary breast augmentation. 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.
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Registered trials
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