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

ABSTRACTWe report a case involving a 45-year-old woman, who presented with an axillary mass 10 years after bilateral cosmetic augmentation mammaplasty. A lump was detected in the left axilla, and subsequent mammography and magnetic resonance imaging demonstrated intracapsular rupture of the left breast prosthesis. An excisional biopsy of the left axillary lesion and replacement of the ruptured implant was performed. Histological analysis showed that the axillary lump was lymph nodes containing large amounts of silicone. Silicone lymphadenopathy is an obscure complication of procedures involving the use of silicone. It is thought to occur following the transit of silicone droplets from breast implants to lymph nodes by macrophages and should always be considered as a differential diagnosis in patients in whom silicone prostheses are present.

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Breastfeeding After Breast Implant Surgery

Clinical Lactation ◽

10.1891/clinlact-d-20-00021 ◽

2020 ◽

Vol 11 (4) ◽

pp. 202-206

Author(s):

Catherine Watson Genna

Keyword(s):

Milk Production ◽

Breast Augmentation ◽

Breast Surgery ◽

Breast Implant ◽

Significant Risk ◽

Breast Implants ◽

Augmentation Mammaplasty ◽

Implant Surgery ◽

History Of ◽

Type Of Surgery

Breast surgery increases the risk for difficulties with milk production and breastfeeding. Research on lactation outcomes of breast augmentation with implants is reassuring, but reveals a significant risk of low milk production that varies with the type of surgery and position of the implants. Understanding the potential effects of breast implants on breastfeeding can help lactation professionals optimize outcomes for families with a history of augmentation mammaplasty.

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Textured-Surface Saline-Filled Silicone Breast Implants for Augmentation Mammaplasty

Plastic & Reconstructive Surgery ◽

10.1097/00006534-200004040-00047 ◽

2000 ◽

Vol 105 (4) ◽

pp. 1542-1552 ◽

Cited By ~ 17

Author(s):

Scott L. Spear ◽

Mohamed Elmaraghy ◽

Christopher Hess

Keyword(s):

Breast Implants ◽

Augmentation Mammaplasty ◽

Textured Surface ◽

Silicone Breast Implants

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Dermis fat grafts for bilateral augmentation mammaplasty

Canadian Journal of Plastic Surgery ◽

10.1177/229255039500300303 ◽

1995 ◽

Vol 3 (3) ◽

pp. 1-8

Author(s):

John Michael Drever

Keyword(s):

Body Contouring ◽

Breast Implants ◽

Augmentation Mammaplasty ◽

Silicone Implants ◽

Lower Abdomen ◽

Silicone Breast Implants ◽

Fat Grafts ◽

Level Of Satisfaction ◽

High Level

Dermis fat grafts for body contouring have been used for over a century and extensively reported and researched, but since the advent of the more reliable silicone implants they have been dropped and neglected. As a consequence of the present controversy surrounding silicone breast implants, women are inquiring about augmentation with their own tissues. Healthy patients with good vascularity are the best candidates. These grafts are removed from the lower abdomen and placed with the dermis side facing the muscle, ‘take’ and then lose about 30 to 50% of their initial volume. Thirty-six cases were performed with this technique, and a two-and-a-half year follow-up with few complications and a high level of satisfaction is reported.

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Invited response on: “Does Overfilling Smooth Inflatable Saline-Filled Breast Implants Decrease the Deflation Rate? Experience With 4761 Augmentation Mammaplasty Patients”

Aesthetic Plastic Surgery ◽

10.1007/s00266-021-02391-4 ◽

2021 ◽

Author(s):

Ted Eisenberg

Keyword(s):

Breast Implants ◽

Augmentation Mammaplasty

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A Preliminary Retrospective Study to Assess the Short-Term Safety of Traditional Smooth or Microtextured Silicone Gel-Filled Breast Implants in Korea

Medicina ◽

10.3390/medicina57121370 ◽

2021 ◽

Vol 57 (12) ◽

pp. 1370

Author(s):

Sanghyuk Han ◽

Robert Kim ◽

Tae Seob Kim ◽

Jung Heum Park ◽

Seung Soo Kim ◽

...

Keyword(s):

Retrospective Study ◽

Postoperative Complications ◽

Subgroup Analysis ◽

Safety Profile ◽

Breast Implant ◽

Breast Implants ◽

Augmentation Mammaplasty ◽

Korean Women ◽

Short Term ◽

Silicone Gel

Background and objectives We conducted this preliminary retrospective study to assess the short-term safety of silicone gel-filled breast implants (SGBIs) that are commercially available in Korean women. Materials and methods The current retrospective, observational study was conducted in a total of 2612 patients (n =2612) who underwent augmentation mammaplasty using breast implants at our hospitals between 1 January, 2017 and 31 August 2021. Results Overall, there were a total of 248 cases (9.49%) of postoperative complications; these include 112 cases of early seroma, 52 cases of shape deformation, 32 cases of CC, 12 cases of early hematoma, 12 cases of rupture, 12 cases of infection, 12 cases of stretch deformities with skin excess and 4 cases of rippling. Overall complication-free survival of the breast implant was estimated at 1564.32 ± 75.52 days (95% CI 1416.39–1712.32). Then, the Motiva Ergonomix™SilkSurface showed the longest survival (1528.00 ± 157.92 days [95% CI 1218.48–1837.56]), followed by the BellaGelÒSmoothFine (1458.4 ± 65.76 days [95% CI 1329.56–1587.28]), the SebbinÒ Sublimity (1322.00 ± 51.20 days [95% CI 1221.64–1422.32]), the BellaGelÒ Smooth (1138.72 ± 161.28 days [95% CI 822.6–1454.84), the MentorÒ MemoryGel™ Xtra (698.4 ± 52.64 days [95% CI 595.28–801.52]) and the NatrelleÒ INSPIRA™ (380.00 ± 170.88 days [95% CI 45.04–714.96]) in the decreasing order. On subgroup analysis, both the Motiva ErgonomixTM and MentorÒ MemoryGel™ Xtra showed no postoperative complications. However, the BellaGelÒSmoothFine, SebbinÒ Sublimity and BellaGelÒ Smooth showed incidences of 8.87%, 4.84% and 1.61%, respectively. A subgroup analysis also showed differences in incidences of postoperative complications between microtextured and smooth breast implants (15.18% vs. 16.67%). Conclusions In conclusion, our results indicate that diverse types of an SGBI are commercially available and their safety profile varies according to the manufacturer. Plastic surgeons should consider the safety profile of each device in selecting the optimal types of the device for Korean women who are in need of an implant-based augmentation mammaplasty. However, this warrants a single-surgeon, single-center studywith long periods of follow-up.

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