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Aesthetic Plastic Surgery
Published in: Aesthetic Plastic Surgery 1/2020

01-02-2020 | Breast Augmentation | Review

Types of Errors Made During Breast Augmentation with Polyurethane Implants: A Systematic Review

Authors: D. Batiukov, V. Podgaiski, D. Ladutko

Published in: Aesthetic Plastic Surgery | Issue 1/2020

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Abstract

Background

Implementation of polyurethane-covered (PU) implants into practice requires a reassessment of the experience and a learning curve period. Occasional publications describe a few difficulties in this regard. However, there are no publications covering the spectrum of errors. The absence of definite information and contradictory findings makes the learning curve longer leading to many unsatisfactory results.

Materials and Methods

The systematization is based on the 12 years of experience with over 1000 patients and previously published data. A literature review was conducted using PUBMED with the following keywords: polyurethane or foam or sponge and breast and implant. A total of 285 articles were found (last accessed 08/13/2019). All articles concerning polyurethane implants were studied along with any articles found describing the surgical techniques applied to them. Additional references found in the above-mentioned articles were also included in the study.

Results

All errors can be divided into planning errors, errors in pocket development and surface-dependent errors, for which the polyurethane surface is the main reason. Surface-dependent errors include the errors connected to positioning and biointegration. The possible causes of late seroma with PU implants are discussed.

Conclusions

The polyurethane surface should not be considered textured in the clinical point of view. Previous experience with non-PU implants cannot be transferred to PU implants. The learning curve is unavoidable. The systematization of errors with PU implants facilitates a decision-making process during the primary and secondary surgery and lowers the risk of the unsatisfactory results.

Level of Evidence IV

This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine Ratings, please refer to Table of Contents or online Instructions to Authors www.​springer.​com/​00266.
Appendix
Available only for authorised users
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Metadata
Title
Types of Errors Made During Breast Augmentation with Polyurethane Implants: A Systematic Review
Authors
D. Batiukov
V. Podgaiski
D. Ladutko
Publication date
01-02-2020
Publisher
Springer US
Published in
Aesthetic Plastic Surgery / Issue 1/2020
Print ISSN: 0364-216X
Electronic ISSN: 1432-5241
DOI
https://doi.org/10.1007/s00266-019-01510-6

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