Breast implant stability in the subfascial plane and the new shaped silicone gel breast implants

Aesthetic Plastic Surgery
João Carlos Sampaio Góes

Abstract

The author presents his experience with breast augmentation using a next-generation, form-stable, anatomically shaped silicone gel breast implant. Rotation is a potential complication for anatomically shaped breast implants. Anatomically shaped saline implants have been reported to have a rotation rate as high as 14%, while lower rotation rates of 1-2.6% for anatomic cohesive gel silicone implants have been reported. Currently, these implants are limited in the United States to US FDA-approved clinical trials. The author reviews the appropriate surgical techniques to prevent rotation when using these devices. A recent innovation, placement of the superior pole of the implant underneath the superficial fascia of the pectoralis major muscle, is described. Primary and secondary breast augmentations in 241 procedures using the Allergan Style 410 implant resulted in a 0.0% rotation rate. Overall, the anatomic form-stable silicone gel breast implants, when placed sub fascially, improve common complications such as capsular contracture and implant rupture with improved aesthetic outcomes and patient satisfaction.

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Citations

May 15, 2013·Journal of Plastic, Reconstructive & Aesthetic Surgery : JPRAS·James D NamnoumMitchell H Brown
Sep 27, 2015·Clinics in Plastic Surgery·Alexandre Mendonça MunhozJoão Carlos Sampaio Goes
Jun 13, 2015·Annals of Plastic Surgery·Saime IrkorenYasemin Durum
Apr 30, 2016·Plastic and Reconstructive Surgery·Jacob G UngerWilliam Carpenter
Apr 6, 2013·Aesthetic Surgery Journal·Joan A LargentMark L Jewell
Jun 28, 2019·Plastic and Reconstructive Surgery·Mark L JewellMary Lind Jewell
Nov 28, 2013·Plastic and Reconstructive Surgery·Frank Lista, Jamil Ahmad
Feb 26, 2016·Plastic and Reconstructive Surgery·Dinah Wan, Rod J Rohrich
Feb 17, 2017·Aesthetic Surgery Journal·David A SieberWilliam P Adams
Feb 5, 2020·Aesthetic Surgery Journal. Open Forum·Daniel J GouldW Grant Stevens

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