Sequential Advancement Method: A Funnel-Based Technique for Safe Placement of Small Breast Implants

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ID: 319655
2026
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Abstract
Abstract Recent aesthetic trends in breast augmentation favor smaller implants and minimal-incision techniques. However, placement of very small implants (100–165 cc), may pose unique mechanical challenges during funnel-assisted insertion due to the smaller contact surface area available for force distribution. The Sequential Advancement Method (SAM) provides a simple and reproducible solution by placing a larger sizer behind the implant within a sterile funnel-based implant delivery device to distribute force more evenly. This technique enables safe prepectoral placement through 2 cm incisions, reducing peak pressure and lowering tissue trauma. While larger cohort studies are needed to validate outcomes, SAM offers a biomechanically sound strategy to support patient aesthetic preferences while decreasing the risk of implant-related complications.
Reference Key
openalex_W7167333523 Use this key to autocite in the manuscript while using SciMatic Manuscript Manager or Thesis Manager
Authors Claire Olivas, Orr Shauly, Daniel J. Gould
Journal Aesthetic Surgery Journal Open Forum
Year 2026
DOI
10.1093/asjof/ojag142
URL
https://doi.org/10.1093/asjof/ojag142
Keywords Keywords not found

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