Sequential Advancement Method: A Funnel-Based Technique for Safe Placement of Small Breast Implants

Why this matters

Abstract Recent aesthetic trends in breast augmentation favor smaller implants and minimal-incision techniques. This work contributes to evidence-based plastic and reconstructive surgery — helping clinicians interpret outcomes, refine technique, and counsel patients with clearer data.

Author

Dr. Orr Shauly

Plastic and reconstructive surgery resident at Emory University (UCLA BS, USC MD) with an h-index of 21 and peer-reviewed work spanning aesthetic surgery, reconstruction, medical devices, and AI in medicine.

Abstract

Abstract Recent aesthetic trends in breast augmentation favor smaller implants and minimal-incision techniques. However, placement of very small implants (100–165 cc), may pose unique mechanical challenges during funnel-assisted insertion due to the smaller contact surface area available for force distribution. The Sequential Advancement Method (SAM) provides a simple and reproducible solution by placing a larger sizer behind the implant within a sterile funnel-based implant delivery device to distribute force more evenly. This technique enables safe prepectoral placement through 2 cm incisions, reducing peak pressure and lowering tissue trauma. While larger cohort studies are needed to validate outcomes, SAM offers a biomechanically sound strategy to support patient aesthetic preferences while decreasing the risk of implant-related complications.