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Potential costs of breast augmentation mammaplasty

  • William P. Schmitt
    Correspondence
    Corresponding author. Tel.: +1 616 254 9883; fax: +1 616 732 6255.
    Affiliations
    Division of Plastic and Reconstructive Surgery, Grand Rapids Medical Education Partners/Michigan State University, 221 Michigan St. NE, Suite 200-A, Grand Rapids, MI 49503, USA
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  • Mitchell G. Eichhorn
    Affiliations
    Division of Plastic and Reconstructive Surgery, Grand Rapids Medical Education Partners/Michigan State University, 221 Michigan St. NE, Suite 200-A, Grand Rapids, MI 49503, USA
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  • Ronald D. Ford
    Affiliations
    Division of Plastic and Reconstructive Surgery, Grand Rapids Medical Education Partners/Michigan State University, 221 Michigan St. NE, Suite 200-A, Grand Rapids, MI 49503, USA
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Published:September 30, 2015DOI:https://doi.org/10.1016/j.bjps.2015.09.012

      Summary

      Background

      Augmentation mammaplasty is one of the most common surgical procedures performed by plastic surgeons. The aim of this study was to estimate the cost of the initial procedure and its subsequent complications, as well as project the cost of Food and Drug Administration (FDA)-recommended surveillance imaging.

      Methods

      The potential costs to the individual patient and society were calculated. Local plastic surgeons provided billing data for the initial primary silicone augmentation and reoperative procedures. Complication rates used for the cost analysis were obtained from the Allergen Core study on silicone implants. Imaging surveillance costs were considered in the estimations.

      Results

      The average baseline initial cost of silicone augmentation mammaplasty was calculated at $6335. The average total cost of primary breast augmentation over the first decade for an individual patient, including complications requiring reoperation and other ancillary costs, was calculated at $8226. Each decade thereafter cost an additional $1891. Costs may exceed $15,000 over an averaged lifetime, and the recommended implant surveillance could cost an additional $33,750.

      Discussion

      The potential cost of a breast augmentation, which includes the costs of complications and imaging, is significantly higher than the initial cost of the procedure.

      Level of evidence

      Level III, economic and decision analysis study.

      Keywords

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