A Rationale for Micro-textured Breast Implant Augmentation

Abstract BackgroundTextured breast implants have been used in aesthetic breast surgery to decrease rates of malposition and capsular contracture. Recent concerns regarding breast implant-associated anaplastic large cell lymphoma (BIA-ALCL)’s link to textured devices...

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Main Authors: Julia A Chiemi, S Sean Kelishadi
Format: Article
Language:English
Published: Oxford University Press 2022-03-01
Series:Aesthetic Surgery Journal Open Forum
Online Access:https://academic.oup.com/asjopenforum/article-lookup/doi/10.1093/asjof/ojac020
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author Julia A Chiemi
S Sean Kelishadi
author_facet Julia A Chiemi
S Sean Kelishadi
author_sort Julia A Chiemi
collection DOAJ
description Abstract BackgroundTextured breast implants have been used in aesthetic breast surgery to decrease rates of malposition and capsular contracture. Recent concerns regarding breast implant-associated anaplastic large cell lymphoma (BIA-ALCL)’s link to textured devices have prompted many physicians to reevaluate their use. ObjectivesThe authors aimed to create an algorithm for when to use smooth vs micro-textured breast implants and provide their rationale for when micro-textured implants may be more beneficial. MethodsIn total, 133 patients received primary augmentations performed by a single surgeon from January 2018 to December 2020; 84 patients received smooth implants and 49 patients received micro-textured implants. All surgeries were performed in the dual plane using an inframammary incision. Implant-related complications and scar malposition were recorded and compared between groups. ResultsNo significant difference in the prevalence of implant-related complications was found (3.57% for smooth devices and 2.04% for micro-textured devices [PP ConclusionsMicro-textured breast implants continue to be a safe and effective choice for patients. Micro-textured implants show a trend toward decreased scar malposition, although not statistically significant. Patients at high risk for malposition with micro-textured breast implants give similar results to patients at average risk for malposition with smooth implants. Level of Evidence: 3
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spelling doaj.art-097813a0fefa4349816984df9630b6692023-01-11T17:08:45ZengOxford University PressAesthetic Surgery Journal Open Forum2631-47972022-03-01410.1093/asjof/ojac020A Rationale for Micro-textured Breast Implant AugmentationJulia A ChiemiS Sean Kelishadi Abstract BackgroundTextured breast implants have been used in aesthetic breast surgery to decrease rates of malposition and capsular contracture. Recent concerns regarding breast implant-associated anaplastic large cell lymphoma (BIA-ALCL)’s link to textured devices have prompted many physicians to reevaluate their use. ObjectivesThe authors aimed to create an algorithm for when to use smooth vs micro-textured breast implants and provide their rationale for when micro-textured implants may be more beneficial. MethodsIn total, 133 patients received primary augmentations performed by a single surgeon from January 2018 to December 2020; 84 patients received smooth implants and 49 patients received micro-textured implants. All surgeries were performed in the dual plane using an inframammary incision. Implant-related complications and scar malposition were recorded and compared between groups. ResultsNo significant difference in the prevalence of implant-related complications was found (3.57% for smooth devices and 2.04% for micro-textured devices [PP ConclusionsMicro-textured breast implants continue to be a safe and effective choice for patients. Micro-textured implants show a trend toward decreased scar malposition, although not statistically significant. Patients at high risk for malposition with micro-textured breast implants give similar results to patients at average risk for malposition with smooth implants. Level of Evidence: 3 https://academic.oup.com/asjopenforum/article-lookup/doi/10.1093/asjof/ojac020
spellingShingle Julia A Chiemi
S Sean Kelishadi
A Rationale for Micro-textured Breast Implant Augmentation
Aesthetic Surgery Journal Open Forum
title A Rationale for Micro-textured Breast Implant Augmentation
title_full A Rationale for Micro-textured Breast Implant Augmentation
title_fullStr A Rationale for Micro-textured Breast Implant Augmentation
title_full_unstemmed A Rationale for Micro-textured Breast Implant Augmentation
title_short A Rationale for Micro-textured Breast Implant Augmentation
title_sort rationale for micro textured breast implant augmentation
url https://academic.oup.com/asjopenforum/article-lookup/doi/10.1093/asjof/ojac020
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