Breast Implant Stability in the Subfascial Plane and the New Shaped Silicone Gel Breast Implants

• Published in: Aesthetic plastic surgery Vol. 34; no. 1; pp. 23 - 28
• Main Author: Sampaio Góes, João Carlos
• Format: Journal Article
• Language: English
• Published: New York Springer-Verlag 01-02-2010; Springer Nature B.V
• Subjects: Breast Implantation - adverse effects; Breast Implantation - methods; Breast Implants - adverse effects; Female; Humans; Medicine; Medicine & Public Health; Minimally Invasive Surgical Procedures - methods; Original Article; Otorhinolaryngology; Plastic Surgery; Postoperative Complications - etiology; Postoperative Complications - prevention & control; Prosthesis Design; Silicone Gels - adverse effects; Treatment Outcome; Breast augmentation; Cohesive gel breast implant; Complications; Rotation; Breast implants; Subfascial implantation
• ISSN: 0364-216X; 1432-5241
• DOI: 10.1007/s00266-009-9429-6

The author presents his experience with breast augmentation using a next-generation, form-stable, anatomically shaped silicone gel breast implant. Rotation is a potential complication for anatomically shaped breast implants. Anatomically shaped saline implants have been reported to have a rotation rate as high as 14%, while lower rotation rates of 1–2.6% for anatomic cohesive gel silicone implants have been reported. Currently, these implants are limited in the United States to US FDA-approved clinical trials. The author reviews the appropriate surgical techniques to prevent rotation when using these devices. A recent innovation, placement of the superior pole of the implant underneath the superficial fascia of the pectoralis major muscle, is described. Primary and secondary breast augmentations in 241 procedures using the Allergan Style 410 implant resulted in a 0.0% rotation rate. Overall, the anatomic form-stable silicone gel breast implants, when placed subfascially, improve common complications such as capsular contracture and implant rupture with improved aesthetic outcomes and patient satisfaction.