Bicipital Augmentation: A Retrospective Review of 94 Patient Cases

Abstract

Objective:

Reality, documentary, and makeover programs have all helped to eliminate certain taboos previously associated with cosmetic surgical procedures. As a direct result of this phenomenon, men have expressed greater interest in cosmetic surgery. Over the past 5 years, Dr Chugay and colleagues have been working to promote the use of a bicipital prosthesis for aesthetic augmentation of the biceps muscle. This article is designed to further elucidate the complications that have been encountered with the procedure to date and changes in technique that have made this a viable option for male muscular enhancement.

Methods:

A retrospective review of prospectively collected data on 94 patients was undertaken to determine the cosmetic improvements and complications seen in the patient population. Silicone prostheses were placed below the biceps muscle in each case to provide greater definition and fullness in the region of the biceps.

Results:

Over a 5-year period, 94 patients underwent bicipital augmentation. Of those cases, there were 3 major complications. One patient developed a large seroma due to poor compliance with postoperative instructions for compressive garment use. A second patient suffered a dislodgement of the implant with protrusion of the implant from beneath the muscle. The third complication encountered was that of compartment syndrome in a patient who underwent both biceps and triceps augmentation.

Conclusion:

Despite the risks inherent in performing surgery in the upper extremity, the bicipital augmentation procedure is a means by which the male physique can be enhanced with minimal risk of complication when performed using our technique.