Shoulder Augmentation

ABSTRACT

As the breast of woman is considered as a symbol of femininity, the shoulder of man is regarded as a symbol of masculinity. Narrow shoulders disallow proper fitting of male clothing and result disproportionately large and unbalanced facial look in men. The purpose of this article was to evaluate the aesthetic outcomes of shoulder augmentation using soft silicone in patients with narrow shoulders. From April 2009 to July 2010, 21 male patients received shoulder augmentation by using silicone implants in the subfascial space of the deltoid muscle. The silicone implant was prefabricated according to the shape of the lateral portion of the deltoid muscle, and placed in subfascial pocket. After the operation, the shoulder width was increased by 6.6cm on average and patients were satisfied with their augmented shoulders, giving them more sharp figure when wearing their clothes. The firmness of the soft silicone is similar that of the deltoid muscle, and the curvature of the implant looks like a natural deltoid muscle. The subfascial position of the implant does not limit the range of motion of the shoulder joint. The authors expect that shoulder augmentation will take part in a new entity of body contouring surgery.