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August 1957

Implantation of Plastics in the Breast: Complications in a Case

Author Affiliations

U. S. Army
Walter Reed Army Institute of Research, Walter Reed Army Medical Center, Washington, D. C. Present address: The Surgeon General's Office, Main Navy Building, Washington 25, D. C.

AMA Arch Surg. 1957;75(2):224-229. doi:10.1001/archsurg.1957.01280140062010

Indications for increasing the size of "underdeveloped" human female breasts by the operation known as "breast plasty," which is described as the implantation of plastic sponges behind the breasts, are somewhat nebulously stated in the medical literature, but the procedure may be indicated for (1) the relief of psychic disturbances, actual or potential, presumably caused by possession of hypoplastic breasts; (2) the increase of breast mass for other reasons, e. g., social or economic, or (3) combinations of (1) and (2).

Most advocates of "breast plasty," writing in both the lay and the medical press, appear to claim relief of psychic disturbances as an indication for operating. Pangman and Wallace1 reported upon 400 such implants in selected cases, some of which were apparently done for hypoplasia and others following mastectomy. They stated that their patients were uniformly pleased. In questionnaires sent to their patients, all but one replied that

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