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036). There were no statistically significant differences between the two groups with regard to the immediate complications rate. After a mean follow-up of 43.9 months, we observed more capsular contractures in the classic group (p less then 0.001). In the classic group, patients required more revision surgeries (p = 0.008), more implant changes (p less then 0.001), and higher volume of additional lipofilling (p less then 0.001). According to the Breast Q scores, patients' satisfaction was better in the MSFF group regarding their b