Commentary on: Biceps Augmentation Using Solid Silicone Implants

The author presents the largest series of biceps augmentation of 21 males over a five-year period.¹ The augmentation was via a solid silicone implant placed either submuscularly or subfascially in the upper arm. The mean age was 42.6 years. The majority of patients wanted an increase in size of the biceps for purely aesthetic reasons (16), however five patients received augmentation for contour restoration of a ruptured biceps muscle. The majority (15), received a submuscular implant whilst 8 received a subfascial implant. Complications were high (48%) with a reoperation rate of 23.8%. There was a higher rate of implant malposition in the subfascial group. Being a new area of interest and endeavor, it is encouraging that the author is honest about the problems with this procedure.