Breast Implant Surfaces and Their Impact on Current Practices: Where We Are Now and Where Are We Going?
Summary:. Most commercially available breast implants feature some degree of elastomer surface modifications to increase surface roughness, in part because several clinical series have demonstrated positive outcomes from texturizing. However, the literature shows that textured implants support highe...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
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Wolters Kluwer
2019-10-01
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| Series: | Plastic and Reconstructive Surgery, Global Open |
| Online Access: | http://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000002466 |
| _version_ | 1828163000748474368 |
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| author | Alexandre Mendonça Munhoz, MD, PhD Mark W. Clemens, MD, FACS Maurice Y. Nahabedian, MD, FACS |
| author_facet | Alexandre Mendonça Munhoz, MD, PhD Mark W. Clemens, MD, FACS Maurice Y. Nahabedian, MD, FACS |
| author_sort | Alexandre Mendonça Munhoz, MD, PhD |
| collection | DOAJ |
| description | Summary:. Most commercially available breast implants feature some degree of elastomer surface modifications to increase surface roughness, in part because several clinical series have demonstrated positive outcomes from texturizing. However, the literature shows that textured implants support higher rates of bacterial growth, and there is a clear association between increased bacterial contamination and host response in vivo, such as capsular contracture. Furthermore, the infectious theory related to bacterial contamination has recently been described as a potential cause in the etiology of anaplastic large-cell lymphoma. Recent research has focused on the physiology of breast implant surfaces advances and how they interact with the body, creating new surface technologies which have the potential to affect all aspects of breast surgery. Understanding how surface properties affect inflammatory cell response will be essential in designing implants that can provide an esthetic solution while also minimizing long-term clinical complications. This special topic highlights the current knowledge on silicone implant surfaces, as well as innovations that have shaped and will continue to change the silicone breast implant industry in the future. It also provides an overview of the principal surfaces that exist and may find clinical applications in esthetic and reconstructive breast surgery. As additional advances emerge, objective tools will be required to evaluate the different surfaces available on the market, along with the long-term efficacy of new technologies. |
| first_indexed | 2024-04-12T01:02:35Z |
| format | Article |
| id | doaj.art-aaaef13521fe4ab9ab31df777624c4a0 |
| institution | Directory Open Access Journal |
| issn | 2169-7574 |
| language | English |
| last_indexed | 2024-04-12T01:02:35Z |
| publishDate | 2019-10-01 |
| publisher | Wolters Kluwer |
| record_format | Article |
| series | Plastic and Reconstructive Surgery, Global Open |
| spelling | doaj.art-aaaef13521fe4ab9ab31df777624c4a02022-12-22T03:54:23ZengWolters KluwerPlastic and Reconstructive Surgery, Global Open2169-75742019-10-01710e246610.1097/GOX.0000000000002466201910000-00018Breast Implant Surfaces and Their Impact on Current Practices: Where We Are Now and Where Are We Going?Alexandre Mendonça Munhoz, MD, PhD0Mark W. Clemens, MD, FACS1Maurice Y. Nahabedian, MD, FACS2From the *Plastic Surgery Division, Hospital Sírio-Libanês, São Paulo, Brazil§Department of Plastic Surgery, MD Anderson Cancer Center, University of Texas, Houston, Tex.¶Plastic Surgery Department, Virginia Commonwealth University-Inova Branch, Falls Church, Va.Summary:. Most commercially available breast implants feature some degree of elastomer surface modifications to increase surface roughness, in part because several clinical series have demonstrated positive outcomes from texturizing. However, the literature shows that textured implants support higher rates of bacterial growth, and there is a clear association between increased bacterial contamination and host response in vivo, such as capsular contracture. Furthermore, the infectious theory related to bacterial contamination has recently been described as a potential cause in the etiology of anaplastic large-cell lymphoma. Recent research has focused on the physiology of breast implant surfaces advances and how they interact with the body, creating new surface technologies which have the potential to affect all aspects of breast surgery. Understanding how surface properties affect inflammatory cell response will be essential in designing implants that can provide an esthetic solution while also minimizing long-term clinical complications. This special topic highlights the current knowledge on silicone implant surfaces, as well as innovations that have shaped and will continue to change the silicone breast implant industry in the future. It also provides an overview of the principal surfaces that exist and may find clinical applications in esthetic and reconstructive breast surgery. As additional advances emerge, objective tools will be required to evaluate the different surfaces available on the market, along with the long-term efficacy of new technologies.http://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000002466 |
| spellingShingle | Alexandre Mendonça Munhoz, MD, PhD Mark W. Clemens, MD, FACS Maurice Y. Nahabedian, MD, FACS Breast Implant Surfaces and Their Impact on Current Practices: Where We Are Now and Where Are We Going? Plastic and Reconstructive Surgery, Global Open |
| title | Breast Implant Surfaces and Their Impact on Current Practices: Where We Are Now and Where Are We Going? |
| title_full | Breast Implant Surfaces and Their Impact on Current Practices: Where We Are Now and Where Are We Going? |
| title_fullStr | Breast Implant Surfaces and Their Impact on Current Practices: Where We Are Now and Where Are We Going? |
| title_full_unstemmed | Breast Implant Surfaces and Their Impact on Current Practices: Where We Are Now and Where Are We Going? |
| title_short | Breast Implant Surfaces and Their Impact on Current Practices: Where We Are Now and Where Are We Going? |
| title_sort | breast implant surfaces and their impact on current practices where we are now and where are we going |
| url | http://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000002466 |
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