Aesthetic Shoulder Augmentation with Silicone Impl

Authors: Bassem Nathan Zachary Nash Miriam Nathan Lawrence Mascarenhas

Publish Date: 2014/06/10

Volume: 38, Issue: 4, Pages: 824-824

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Abstract

Level of Evidence V This journal requires that authors assign a level of evidence to each article For a full description of these EvidenceBased Medicine ratings please refer to the Table of Contents or the online Instructions to Authors at wwwspringercom/00266The article by Chung and Jang 1 on shoulder augmentation using silicone implants raises ethical and technical concerns As doctors we must understand and appreciate cultural and ethnic differences that influence surgical practice in different parts of the world However we were concerned that the authors performed 79 operations of what many plastic surgeons would still regard as novel on totally asymptomatic young men who have no deformity whatsoever The authors tell us that Korean men do not commonly opt for plastic surgery that entails alloplastic implants Therefore we must ask the authors how they recruited young men who had no deformities to their experiment We also want to know how this study was funded and we welcome a statement from the authors on prior ethical approval and informed consent that was lacking from their articleFrom a technical aspect the implants with overlying erythema were visible in all the featured postoperative photographs and we wonder if the authors feel that their technique of subcutaneous implantation needs further refinement It would also be helpful to know the longterm satisfaction explantation rate and their success rate with the percutaneous suture fixation of implants

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