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Published in: Aesthetic Plastic Surgery 1/2010

01-02-2010 | Original Article

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

Author: João Carlos Sampaio Góes

Published in: Aesthetic Plastic Surgery | Issue 1/2010

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Abstract

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.
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Metadata
Title
Breast Implant Stability in the Subfascial Plane and the New Shaped Silicone Gel Breast Implants
Author
João Carlos Sampaio Góes
Publication date
01-02-2010
Publisher
Springer-Verlag
Published in
Aesthetic Plastic Surgery / Issue 1/2010
Print ISSN: 0364-216X
Electronic ISSN: 1432-5241
DOI
https://doi.org/10.1007/s00266-009-9429-6

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