Polyurethane-covered Mammary Implants

Gasperoni, Carlo; Salgarello, Marzia; Gargani, Gabriele

doi:10.1097/00000637-199210000-00005

Cited by 38 publications

(8 citation statements)

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“…Gasperoni et al [74] found a capsular contracture rate of 3.3% when polyurethane-coated implants were utilized and only a few of the contractures were found to be clinically significant. The theories proposed, regarding why polyurethane-covered implants may prevent or prolong the onset of capsular contracture, include: first, collagen fibrils are arranged randomly into 'sponge' spaces, rather than parallel [60]; and second, punctures to the implant are less likely to result in a rupture, leading to silicone leak from the implant [75].…”

Section: Capsular Contracture: Possible Aetiological Background Theormentioning

confidence: 99%

A literature review and summary of capsular contracture: An ongoing challenge to breast surgeons and their patients

Malahias

Jordan

Hughes

et al. 2016

International Journal of Surgery Open

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A B S T R A C TCapsular contracture is a significant difficulty where implants are used in both breast augmentation and breast reconstruction surgery. This report reviews the published literature focusing on factors and techniques that reduce the incidence of this complication, as well as evaluating the available treatment options for patients who have developed a contracture.A search of the MEDLINE database for clinical studies involving the understanding, diagnosis and management of capsular contracture was performed, with 106 articles deemed relevant for this review. Our search criteria included observational studies as we wish to discuss and highlight the areas of this condition that have been investigated, and unfortunately there is limited clinical evidence in regard to high quality trials in this field.Risk factors for capsular contracture are multi-factorial, and all surgeons should aim to minimise these as much as possible both intra-and peri-operatively. However, in high risk patients it is not achievable to completely remove these elements. When capsular contracture does develop, there are currently only a limited number of surgical options including capsulotomy, capsulectomy with or without reimplantation, or reconstruction with autologous tissue. These procedures, as well as the original implant surgery, ought to be discussed with patients on an individual basis, taking into account their personal needs and expectations.The future of this complication may lie in the development of pharmaceutical interventions, and recent studies have shown promising results. Although this field requires more research, the effectiveness of some new pharmaceutical approaches, to provide alternative non-surgical options for patients with capsular contracture, can only aid both patients and the breast surgeon.

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Section: Capsular Contracture: Possible Aetiological Background Theormentioning

confidence: 99%

A literature review and summary of capsular contracture: An ongoing challenge to breast surgeons and their patients

Malahias

Jordan

Hughes

et al. 2016

International Journal of Surgery Open

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“…Recognising the ability of polyurethane to alleviate contracture rates and due to a conceived perception that this was a consequence of implant texture, several silicone implant surface textures which attempted to mimic the polyurethane surface were developed. (12,13) Biological inspiration has been utilised in many branches of engineering to elucidate new approaches to technical problems; biomimicry is the extension of this principal. Biological surfaces have evolved over millions of years to produce materials and topographies that are highly organised from the macro-to the nano-scale.…”

Section: Introductionmentioning

confidence: 99%

Development, fabrication and evaluation of a novel biomimetic human breast tissue derived breast implant surface

Barr

Hill

2017

Acta Biomaterialia

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Breast implants are still manufactured using outdated techniques and have changed little since their inception in the 1960's. Breast implants can cause a medical condition, capsular contracture which often results in disfigurement, pain, implant removal and further surgery. This condition is due to the body's reaction to these breast implants. This article describes the successful development and testing of a novel breast implant surface inspired by the native shapes present in breast tissue. Results show that this novel implant surface is capable of reducing the negative reaction of human cells to these surfaces which may help reduce capsular contracture formation. This work represents the first steps in producing a biocompatible breast implant.

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“…Capsular contracture is the most common complication after breast augmentation with silicone implants [ 1 ], [ 2 ], [ 3 ], [ 4 ], [ 8 ], [ 9 ], [ 10 ], [ 11 ], [ 12 ], [ 13 ], [ 14 ], [ 15 ], [ 16 ], [ 17 ], [ 18 ], [ 19 ]. For the patient this means disfiguration and pain, and after reoperation procedures frequently the constant fear of reoccurrence.…”

Section: Discussionmentioning

confidence: 99%

One stage rescue procedure after capsular contracture of breast implants with autologous fat grafts collected by water assisted liposuction (“BEAULI Method”)

Ueberreiter

Tanzella

Cromme

et al. 2013

GMS Interdisciplinary Plastic and Reconstructive Surgery DGPW; 2:Doc03; ISSN 2193-8091

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Polyurethane-covered Mammary Implants

Cited by 38 publications

References 0 publications

A literature review and summary of capsular contracture: An ongoing challenge to breast surgeons and their patients

A literature review and summary of capsular contracture: An ongoing challenge to breast surgeons and their patients

Development, fabrication and evaluation of a novel biomimetic human breast tissue derived breast implant surface

One stage rescue procedure after capsular contracture of breast implants with autologous fat grafts collected by water assisted liposuction (“BEAULI Method”)

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