Silicone breast prostheses: A cohort study of complaints, complications, and explantations between 2003 and 2015

Journal of Plastic, Reconstructive & Aesthetic Surgery : JPRAS
Shariselle M W PoolChantal M Mouës-Vink

Abstract

Complications after silicone implantation, with silicone extravasation being the most severe, remain a safety issue in breast implantation surgery. The purpose of our study was to determine the incidence of medium- and long-term postoperative complaints and complications and indications for explantation in patients with a silicone breast implant. This is a retrospective cohort study consisting of patients who received silicone breast implants of the fourth or fifth generation between 2003 and 2015. Long-term outcomes (> 3 months after initial placement) were derived from medical records. The association with indication of breast surgery, method of placement, and type of reconstruction was determined. In total, 448 patients (n = 738 silicone breast implants) met the inclusion criteria with a median follow-up of 330 days. Overall, 18% of the implants resulted in postoperative complaints, with discomfort or pain being the most common complaint (12%), significantly more frequent in reconstructive cases and significantly associated with subglandular placement in cosmetically augmented breasts. Physical examination revealed in 14% one or more postoperative complications, with capsular contracture being the most common complication. A...Continue Reading

Citations

Nov 26, 2019·Archives of Pathology & Laboratory Medicine·Ellen G EastAndrew P Sciallis
Jul 17, 2020·Aesthetic Surgery Journal·Renée M L MiseréRené R W J van der Hulst
Feb 6, 2020·Journal of Materials Science. Materials in Medicine·Julia TolksdorfIngo Ludolph
Mar 3, 2021·Aesthetic Surgery Journal·Denis Souto ValenteSibelie Souto Valente
Apr 20, 2021·Aesthetic Surgery Journal·Yang SilingMatthias M Aitzetmüller
Jul 17, 2021·The Breast : Official Journal of the European Society of Mastology·Renée Ml MiseréRené Rwj van der Hulst
Dec 1, 2020·Aesthetic Surgery Journal·Renée M L Miseré, René R W J van der Hulst

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