{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,23]],"date-time":"2026-06-23T22:48:41Z","timestamp":1782254921976,"version":"3.54.5"},"reference-count":19,"publisher":"Georg Thieme Verlag KG","issue":"02","license":[{"start":{"date-parts":[[2026,1,5]],"date-time":"2026-01-05T00:00:00Z","timestamp":1767571200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Indian J Plast Surg"],"published-print":{"date-parts":[[2026,4]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Hybrid breast augmentation, a combination of silicone implants and autologous fat grafting, is an innovative approach aimed at achieving natural aesthetics. This study evaluates its impact on reducing intermammary distance and improving cleavage aesthetics.<\/jats:p>\n                  <jats:p>This article and the accompanying videos provide a detailed, step-by-step guide to hybrid breast augmentation using a subfascial inframammary approach, with a predictable and reproducible surgical outcome.<\/jats:p>\n                  <jats:p>Postoperative cleavage distance decreased significantly (mean reduction from 9.5\u2009\u00b1\u20091.23 to 4.74\u2009\u00b1\u20090.48\u2009cm, p\u2009&lt;\u20090.0001). High patient satisfaction was noted, with 93.9% rating their experience as \u201cvery satisfied.\u201d Minor complications (e.g., wide scars) were noted in only 3.1% of cases.<\/jats:p>\n                  <jats:p>Hybrid breast augmentation effectively reduces intermammary distance, enhances cleavage, and achieves high patient satisfaction with minimal complications. This method represents a reliable technique for improving breast aesthetics, warranting further exploration in diverse patient populations.<\/jats:p>","DOI":"10.1055\/s-0045-1812105","type":"journal-article","created":{"date-parts":[[2026,1,5]],"date-time":"2026-01-05T23:48:07Z","timestamp":1767656887000},"page":"137-142","source":"Crossref","is-referenced-by-count":0,"title":["Enhancing Cleavage Aesthetics in Patients Seeking Breast Augmentation: Surgical Technique and Key Considerations"],"prefix":"10.1055","volume":"59","author":[{"ORCID":"https:\/\/orcid.org\/0009-0005-0019-6263","authenticated-orcid":false,"given":"Rajat","family":"Gupta","sequence":"additional","affiliation":[{"name":"Department of Plastic Surgery, Excel Hospital, C.K. Birla Hospital, and Rosewalk Hospital, New Delhi, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tanvi","family":"Rao","sequence":"additional","affiliation":[{"name":"Department of Plastic Surgery, Kasturba Medical College, Manipal, Manipal Academy of Higher Education, Manipal, Karnataka, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0006-9483-1092","authenticated-orcid":false,"given":"Priya","family":"Bansal","sequence":"additional","affiliation":[{"name":"Department of Plastic Surgery, Excel Hospital, C.K. Birla Hospital, and Rosewalk Hospital, New Delhi, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gautam","family":"Chaudhury","sequence":"additional","affiliation":[{"name":"Department of Plastic Surgery, Excel Hospital, C.K. Birla Hospital, and Rosewalk Hospital, New Delhi, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"194","published-online":{"date-parts":[[2026,1,5]]},"reference":[{"issue":"04","key":"ref1","doi-asserted-by":"crossref","first-page":"597e","DOI":"10.1097\/PRS.0b013e318262f607","article-title":"Breast augmentation","volume":"130","author":"W P Adams Jr","year":"2012","journal-title":"Plast Reconstr Surg"},{"issue":"09","key":"ref2","first-page":"e69846","article-title":"Advantages and disadvantages of breast augmentation: surgical techniques, outcomes and future directions","volume":"16","author":"C R Meretsky","year":"2024","journal-title":"Cureus"},{"issue":"06","key":"ref3","doi-asserted-by":"crossref","first-page":"1892","DOI":"10.1097\/PRS.0b013e31818d20ec","article-title":"The process of breast augmentation: four sequential steps for optimizing outcomes for patients","volume":"122","author":"W P Adams Jr","year":"2008","journal-title":"Plast Reconstr Surg"},{"issue":"04","key":"ref4","doi-asserted-by":"crossref","first-page":"1142","DOI":"10.1097\/01.prs.0000481110.31939.e4","article-title":"Current trends and controversies in breast augmentation","volume":"137","author":"D A Hidalgo","year":"2016","journal-title":"Plast Reconstr Surg"},{"issue":"02","key":"ref5","doi-asserted-by":"crossref","first-page":"133","DOI":"10.1093\/asj\/sjx104","article-title":"Current trends in breast augmentation: an international analysis","volume":"38","author":"P I Heidekrueger","year":"2018","journal-title":"Aesthet Surg J"},{"issue":"06","key":"ref6","doi-asserted-by":"crossref","first-page":"1632","DOI":"10.1097\/PRS.0b013e3181ccdb97","article-title":"The three breast dimensions: analysis and effecting change","volume":"125","author":"E J Hall-Findlay","year":"2010","journal-title":"Plast Reconstr Surg"},{"issue":"03","key":"ref7","doi-asserted-by":"crossref","first-page":"436","DOI":"10.1097\/PRS.0000000000000485","article-title":"Population analysis of the perfect breast: a morphometric analysis","volume":"134","author":"P Mallucci","year":"2014","journal-title":"Plast Reconstr Surg"},{"issue":"04","key":"ref8","doi-asserted-by":"crossref","first-page":"451","DOI":"10.1016\/j.cps.2015.06.012","article-title":"Shapes, proportions, and variations in breast aesthetic ideals: the definition of breast beauty, analysis, and surgical practice","volume":"42","author":"P Mallucci","year":"2015","journal-title":"Clin Plast Surg"},{"issue":"10","key":"ref9","doi-asserted-by":"crossref","first-page":"1604","DOI":"10.21037\/gs-21-896","article-title":"Hybrid breast augmentation: our surgical approach and formula for preoperative assessment of fat graft volume","volume":"11","author":"E Trignano","year":"2022","journal-title":"Gland Surg"},{"issue":"03","key":"ref10","doi-asserted-by":"crossref","first-page":"1087","DOI":"10.1007\/s00266-021-02653-1","article-title":"Optimizing surgical outcomes with small-volume silicone implants associated with autogenous fat grafting in primary and revision breast augmentation surgery: soft weight hybrid (SWEH) concept","volume":"46","author":"A M Munhoz","year":"2022","journal-title":"Aesthetic Plast Surg"},{"issue":"02","key":"ref11","doi-asserted-by":"crossref","first-page":"325","DOI":"10.1097\/PRS.0000000000010498","article-title":"Hybrid breast augmentation: double benefit or double risk? A comparative study of 932 cases","volume":"153","author":"Z Li","year":"2024","journal-title":"Plast Reconstr Surg"},{"issue":"09","key":"ref12","doi-asserted-by":"crossref","first-page":"1232","DOI":"10.3390\/medicina58091232","article-title":"Outcomes in hybrid breast reconstruction: a systematic review","volume":"58","author":"M Alessandri Bonetti","year":"2022","journal-title":"Medicina (Kaunas)"},{"issue":"02","key":"ref13","doi-asserted-by":"crossref","first-page":"267","DOI":"10.1097\/00006534-198702000-00022","article-title":"Cosmetic breast augmentation utilizing autologous fat and liposuction techniques","volume":"79","author":"M Bircoll","year":"1987","journal-title":"Plast Reconstr Surg"},{"issue":"03","key":"ref14","doi-asserted-by":"crossref","first-page":"558","DOI":"10.1097\/PRS.0b013e31829ad2fa","article-title":"Composite breast augmentation: soft-tissue planning using implants and fat","volume":"132","author":"E Auclair","year":"2013","journal-title":"Plast Reconstr Surg"},{"issue":"01","key":"ref15","doi-asserted-by":"crossref","first-page":"82","DOI":"10.21037\/gs.2018.11.01","article-title":"Hybrid breast reconstruction-the best of both worlds","volume":"8","author":"S Kanchwala","year":"2019","journal-title":"Gland Surg"},{"issue":"07","key":"ref16","doi-asserted-by":"crossref","first-page":"e2966","DOI":"10.1097\/GOX.0000000000002966","article-title":"The prepectoral, hybrid breast reconstruction: the synergy of lipofilling and breast implants","volume":"8","author":"F BJL Stillaert","year":"2020","journal-title":"Plast Reconstr Surg Glob Open"},{"issue":"17","key":"ref17","first-page":"1","article-title":"Hybrid breast reconstruction: a systematic review of current trends and future directions","volume":"6","author":"P S Yesantharao","year":"2022","journal-title":"Ann Breast Surg"},{"key":"ref18","first-page":"63","article-title":"Impact of reducing intermammary cleavage gap on breast shape and aesthetics in hybrid breast augmentation: a case series","volume":"25","author":"R Gupta","year":"2024","journal-title":"Glob J Med Res"},{"issue":"02","key":"ref19","doi-asserted-by":"crossref","first-page":"345","DOI":"10.1097\/PRS.0b013e3181aee807","article-title":"Development of a new patient-reported outcome measure for breast surgery: the BREAST-Q","volume":"124","author":"A L Pusic","year":"2009","journal-title":"Plast Reconstr Surg"}],"container-title":["Indian Journal of Plastic Surgery"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/s-0045-1812105.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,6,23]],"date-time":"2026-06-23T22:44:22Z","timestamp":1782254662000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.1055\/s-0045-1812105"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,1,5]]},"references-count":19,"journal-issue":{"issue":"02","published-online":{"date-parts":[[2026,6,23]]},"published-print":{"date-parts":[[2026,4]]}},"URL":"https:\/\/doi.org\/10.1055\/s-0045-1812105","archive":["Portico","CLOCKSS"],"relation":{},"ISSN":["0970-0358","1998-376X"],"issn-type":[{"value":"0970-0358","type":"print"},{"value":"1998-376X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,1,5]]}}}