Prospective Study of Saline versus Silicone Gel Implants for Subpectoral Breast Augmentation

Swanson, Eric

doi:10.1097/gox.0000000000002882

Cited by 7 publications

(2 citation statements)

References 58 publications

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“…Through outcome surveys and ultrasound evaluation, Swanson objectively found that the visible and palpable rippling rates of silicone gel and saline implants were similar [24]. In his study, the saline implants were filled to the manufacturer's recommended fill volume.…”

Section: Implant Look and Feelmentioning

confidence: 99%

Does Overfilling Smooth Inflatable Saline-Filled Breast Implants Decrease the Deflation Rate? Experience with 4761 Augmentation Mammaplasty Patients

Eisenberg

2021

Aesth Plast Surg

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Background Research suggests that overfilling saline inflatable breast implants may decrease their deflation rates. To date, there has been no large-scale study comparing breast implants filled within vs. beyond the manufacturer’s recommended fill volumes. Methods A retrospective comparative study was conducted for 4761 women who underwent aesthetic augmentation mastopexy by the author. Patients were divided into two groups: Group 1 includes 2960 patients who had breast augmentation between 2002 and 2009 with implants filled within the manufacturer’s recommended fill volumes. Group 2 includes 1801 patients who had breast augmentation between 2011 and 2018. Their implants were overfilled with an average volume between 42 and 50 cc, or 10–13%, respectively. All surgeries were performed with Mentor Style 1600 saline breast implants (smooth, round moderate profile) through an inframammary incision; implants were placed in the subpectoral (dual) plane. Also evaluated was the yearly increase in deflation rates. Results Group I had 119 deflations, representing a deflation rate of 4.02%. Group 2 had 33 deflations, providing a deflation rate of 1.83%. The author found a protective effect in overfilling the device (p < 0.00001 and Z-score of 4.17). Fold failure was the major reason for deflation in both groups. The implants filled within the manufacturer’s recommended volume had a yearly increase in deflation rate of 0.41%, not 1% as is commonly reported. The overfilled implants did not have a yearly increase in deflation rate. Conclusion Overfilling Mentor Style 1600 saline breast implants (smooth, round moderate profile) 10–13% significantly reduced the deflation rate. Level of Evidence III This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266.

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Section: Implant Look and Feelmentioning

confidence: 99%

Does Overfilling Smooth Inflatable Saline-Filled Breast Implants Decrease the Deflation Rate? Experience with 4761 Augmentation Mammaplasty Patients

Eisenberg

2021

Aesth Plast Surg

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“…Cosmetically, the appeal of either is arguable, with different studies producing results that suggest that both implant types provide a similar degree of ripple and animation deformity, an undesirable effect of the implant [5].…”

Section: Discussionmentioning

confidence: 99%

A Case Report on Breast Implant Illness

Asiedu,

Johnson,

Shah

et al. 2023

Cureus

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In this case report, we discuss the case of a 64-year-old woman who presented with an unusual complaint of a chronic cough associated with pleuritic chest pain of 15 years following a saline-filled breast implant surgery. Initially, these were minimally abated by acid reflux medications. However, her cough worsened despite other interventions.In the work-up to determine the etiology of her complaints, the most common causes of a chronic cough were considered. The history ruled out post-nasal drip, and pulmonary function tests excluded asthma and chronic obstructive pulmonary disease (COPD), although she had a family history. An IgE allergy panel and an Aspergillus antibody test were also normal. However, an esophagram revealed a significant finding of mild to moderate Gastroesophageal reflux disease (GERD).Ultimately, the subsequent removal of the implants led to a dramatic resolution of her symptoms. It is worth noting that breast implants, like any other medical device, carry certain risks. Complications such as infections, implant rupture, capsular contracture, and changes in breast sensations are known risks associated with breast augmentation surgery.

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Tuberous Breast Deformity Correction: A Simpler Less-Invasive Technique Using Saline-Inflatable Implants for a One-Stage Correction

Eisenberg

2023

Manual of Cosmetic Medicine and Surgery

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Prospective Study of Saline versus Silicone Gel Implants for Subpectoral Breast Augmentation

Abstract: Supplemental Digital Content is available in the text.

Cited by 7 publications

References 58 publications

Does Overfilling Smooth Inflatable Saline-Filled Breast Implants Decrease the Deflation Rate? Experience with 4761 Augmentation Mammaplasty Patients

Does Overfilling Smooth Inflatable Saline-Filled Breast Implants Decrease the Deflation Rate? Experience with 4761 Augmentation Mammaplasty Patients

A Case Report on Breast Implant Illness

Tuberous Breast Deformity Correction: A Simpler Less-Invasive Technique Using Saline-Inflatable Implants for a One-Stage Correction

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