A Rationale for Micro-textured Breast Implant Augmentation

Chiemi, Julia A; Kelishadi, S Sean

doi:10.1093/asjof/ojac020

Cited by 7 publications

(4 citation statements)

References 23 publications

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“…In silicone gel breast augmentation, micro-textured devices by themselves show a trend toward decreased scar malposition, although not statistically significant. 8 This cohort study found that patients at high risk for scar migration with micro-textured breast implants give similar results to patients at average risk for malposition with smooth implants and must also be counseled by their physician on the risk of BIA-ALCL that accompanies their implants. For practitioners wishing to avoid this minimal risk altogether, as well as the conversation and controversy surrounding it, a viable alternative may include the use of mesh.…”

Section: Discussionmentioning

confidence: 71%

“…A recent analysis of a large-volume single-surgeon experience found statistically similar incidences of scar migration in smooth vs micro-textured breast implants, 8 suggesting that micro-textured implants may not be fully protective against implant malposition as advertised ( Table 1 ). However, a viable alternative to texture is necessary should these implant shells be phased out of the US market, especially for use in patients with anatomical features (such as pectus carinatum, pectus excavatum, or a mobile vs manipulated inframammary fold [IMF] that creates fold instability) that put them at risk to developing malposition with smooth implants.…”

mentioning

confidence: 99%

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Polydioxanone Internal Support Matrix: A Rationale for Prophylactic Internal Bra Support in Breast Augmentation

Chiemi¹,

Kelishadi²

2022

Aesthetic Surgery Journal Open Forum

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Background Textured breast implants have been used in aesthetic breast surgery to decrease rates of implant malposition. Recent analysis of a large-volume single-surgeon experience found statistically similar rates of malposition in smooth versus micro-textured breast implants. Objectives Prophylactic use of a Polydioxanone (PDO) internal support matrix in breast augmentation was hypothesized to prevent scar malposition and increase pocket control. Methods 200 patients received silicone gel primary augmentations performed by a single surgeon from January 2018–December 2020. 84 patients received smooth implants alone; 49 patients received micro-textured implants; 67 patients received smooth implants plus PDO internal support matrix. All surgeries were performed in the dual-plane using an inframammary incision. Implant-related complications and scar malposition were recorded and compared. Results No significant difference in implant-related complication rates was found between shell types (3.57% for smooth devices alone, 2.04% for textured devices [P=0.62, 95% CI -0.06–0.01]). There were zero complications in the smooth plus mesh study arm. Comparison of scar malposition rates between the smooth alone and textured groups revealed no significant difference (15.4% for smooth devices and 8.16% for textured devices [P=0.23, 95% CI -0.12–0.01]). The smooth implant group with prophylactic placement of PDO mesh had the lowest scar malposition rate of 4.48%, a significant difference compared to the smooth devices alone [P=0.03, 95% CI -0.21– -0.01%]. Conclusions Micro-textured devices show a trend towards decreased scar malposition, although not significant. Prophylactic use of PDO internal support matrix in silicone gel breast augmentation is safe and has the lowest incidence of scar malposition.

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Section: Discussionmentioning

confidence: 71%

mentioning

confidence: 99%

Polydioxanone Internal Support Matrix: A Rationale for Prophylactic Internal Bra Support in Breast Augmentation

Chiemi¹,

Kelishadi²

2022

Aesthetic Surgery Journal Open Forum

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“…Malposition has been found to be more severe with smooth implants compared with textured implants. 12 Textured breast implants were developed to decrease the risk of capsular contracture and malposition but some recent concerns regarding BIA-ALCL linked to textured devices have led to new innovations in breast implant design. The risk of capsular contracture has been reported to be increased for smooth surface devices.…”

Section: Discussionmentioning

confidence: 99%

A Multicentric and Retrospective Clinical Study: 2 Year Follow-up Results for Breast Surgery With Perle Smooth Opaque Silicone Breast Implants

Jauffret

2024

Aesthetic Surgery Journal Open Forum

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Background For breast surgery, there are a number of implants available which offer different options such as shape, surface characteristics, gel-fillers and size/profile to meet the diverse needs of the patient population. Each implant option has its own advantages and disadvantages and the individual patient needs should be taken into account when making choices. Objectives To conduct an assessment of the safety, performance, and satisfaction rates through a two-year follow-up study for the PERLE™ mammary implant. Methods Retrospective, observational, multi-center, non-comparative study conducted from March 2023 to June 2023. The collection of data took place in 5 centres across France and Italy. Patients included in the study received the evaluated device between October 2020 and June 2021 for cosmetic and medical indications. Results Of the 97 patients included in the study, only 9 patients reported complications during the two years following the surgery. The overall complication rate was 9.28%. All patients and surgeons were satisfied or very satisfied with the surgery and the implant. Conclusions This patient cohort showed a rate of complication consistent with the range of other smooth implants after 2-years follow up and a high rate of both patient and surgeon satisfaction.

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“…After the recall, only micro/nanotextured and smooth breast implants were commercially available in the market today [ 19 , 20 , 21 ].…”

Section: Introductionmentioning

confidence: 99%

Use of High-Resolution Ultrasound in Characterizing the Surface Topography of a Breast Implant

Kim,

Park,

Song

et al. 2023

Medicina

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Background and Objectives: With the emergence of breast implant-associated anaplastic large cell lymphoma (BIA-ALCL), it has become necessary to identify the implant shell type patients have received. Therefore, an immediate, reliable method for identifying a breast implant shell type is essential. Evidence-based research and applying a real-world technique that identifies the surface topographic information of the inserted breast implants, without surgery, has become of paramount importance for breast implant physicians. Methods and Materials: A review of the medical records of 1901 patients who received 3802 breast implants and subsequently received an ultrasound-assisted examination was performed. All patients received not only a breast cancer examination but also a high-resolution ultrasonography (HRUS) assisted examination of the device at a single center between 31 August 2017 and 31 December 2022. Results: Most patients had breast implants within 10 years (77.7%) of the examination. Of the 3802 implants screened, 2034 (53.5%) were identified with macro-textured shell topography in ultrasonography. A macrotextured shell type implant was used in 53.5% of cases and a smooth type in 42.7% of cases. Seventy-three (1.9%) breast implant shell types could not be identified due to ruptures. However, 250 breast implant shell types could be identified despite rupture cases (6.5%). Conclusions: HRUS was found to be a useful and reliable image modality for identifying various surface shell types of breast implants. The shell type information would be helpful to patients who lack information about their breast implants and are concerned about BIA-ALCL.

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A Rationale for Micro-textured Breast Implant Augmentation

Cited by 7 publications

References 23 publications

Polydioxanone Internal Support Matrix: A Rationale for Prophylactic Internal Bra Support in Breast Augmentation

Polydioxanone Internal Support Matrix: A Rationale for Prophylactic Internal Bra Support in Breast Augmentation

A Multicentric and Retrospective Clinical Study: 2 Year Follow-up Results for Breast Surgery With Perle Smooth Opaque Silicone Breast Implants

Use of High-Resolution Ultrasound in Characterizing the Surface Topography of a Breast Implant

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