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Relevant bibliographies by topics / Breast implants

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Academic literature on the topic 'Breast implants'

Author: Grafiati

Published: 4 June 2021

Last updated: 31 July 2024

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Journal articles on the topic "Breast implants"

1

Lotter, Luisa, Isabel Zucal, Vanessa Brébant, Norbert Heine, Robin Hartmann, Karolina Mueller, Lukas Prantl, and Daniel Schiltz. "Intraoperative 3D Comparison of Round and Anatomical Breast Implants: Dispelling a Myth." Journal of Clinical Medicine 11, no. 1 (December 28, 2021): 149. http://dx.doi.org/10.3390/jcm11010149.

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Background: Thanks to 3D imaging, it is possible to measure the influence of different parameters on breast augmentation. In this study, we compare the effect of different shapes and sizes of breast implants on the topography of the resulting breast. Furthermore, the impact of different breast implants on inter-landmark distances and on changes of the nipple position was assessed. Methods: This interventional prospective study was carried out on 10 female patients after collecting informed consent. 3D scans of the native and augmented breasts were performed intraoperatively with small, medium, and large sizes of both anatomical and round implants, resulting in a total of n = 130 single breast scans. These scans were analyzed for topographic shift quantification, nipple migration, and inter-landmark distances of the breast. Results: Implant size, but not implant shape leads to significant topographic shifts of the breast (p < 0.001 and p = 0.900, respectively). Both round and anatomical implants lead to a significantly higher volumetric increase in the upper quadrants compared to the lower quadrants (p < 0.001). Nipple migration into the superomedial quadrant was seen in about 90% of augmentations. No evident differences in inter-landmark distances were observed when round and anatomical implants of different sizes were compared. Conclusions: Implant size rather than shape influences the postoperative aesthetic results. No significant difference in topographic shift was found comparing round and anatomical implants, suggesting that both implant shapes result in comparable aesthetic outcomes.

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Magno-Padron, David A., Jessica Luo, Terry C. Jessop, Jared W. Garlick, Joanna S. Manum, Gentry C. Carter, Jayant P. Agarwal, and Alvin C. Kwok. "A population-based study of breast implant illness." Archives of Plastic Surgery 48, no. 4 (July 15, 2021): 353–60. http://dx.doi.org/10.5999/aps.2020.02117.

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Background Despite evidence supporting the safety of breast implants, some women associate their implants with adverse health effects and have called this syndrome “breast implant illness.” We sought to characterize breast implant illness symptoms and to report how implant removal affects their symptoms.Methods An anonymous 20 question survey was administered to the Facebook group: “UTAH Breast Implant Illness” to characterize the symptoms these women attributed to their breast implants. Several questions allowed us to evaluate how implant removal affected women’s symptoms.Results Of the 182 respondents, 97% report that implants negatively affect their health and 95% identify these symptoms with breast implant illness. Ninety-six percent of respondents had implants placed for cosmetic reasons and 51% had silicone implants. The most common symptoms associated with breast implant illness are brain fog (95%), fatigue (92%), joint pain (80%), and hair loss (74%). Sixty percent of respondents learned about breast implant illness from family/friends and/or social media platforms (56%), 40% of respondents had their implants removed, and 97% report relief of their symptoms post-removal (23% complete, 74% partial). Following explantation, there was a significant improvement in all but one reported symptom. An association was found between the number of symptoms reported prior to explantation and the number of symptoms resolving following explantation.Conclusions Breast implant illness is a syndrome characterized by fatigue, decreased focus, hair loss, and joint pain after the placement of breast implants. Nearly all patients report improvement of symptoms after implant removal. Significant efforts should be made to better understand breast implant illness and its etiology.

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Lee, Joo Hyuck, Jae Hyuk Jang, and Kyung Hee Min. "A Comparison of Smooth and Microtextured Breast Implants in Breast Augmentation: A Retrospective Study." Archives of Plastic Surgery 50, no. 02 (March 2023): 160–65. http://dx.doi.org/10.1055/s-0042-1760405.

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Abstract Background The number of cosmetic and reconstructive surgeries that use breast implants is increasing in Korea. Recently, it has been reported that breast implant-associated anaplastic large-cell lymphoma is related to textured breast implants, and interest in classification according to the texture of breast implants is increasing. However, there is currently no clear and unified classification. In particular, the definition of “microtextured” is highly varied. In this study, we retrospectively investigated and analyzed the clinical outcomes of smooth and microtextured breast implants. Methods A retrospective chart review of all patients who underwent breast augmentation surgery with smooth and microtextured silicone gel implants between January 2016 and July 2020 was performed. We retrospectively analyzed implant manufacturer, age, body mass index (BMI), smoking status, incision location, implant size, follow-up period, complications, and reoperation rate. Results A total of 266 patients underwent breast augmentation surgery, of which 181 used smooth silicone gel implants and 85 used microtextured silicone gel implants. Age, BMI, smoking status, implant size, and follow-up period were not significantly different between the two groups. Similarly, complications and reoperation rates were not significantly different between the two groups. Conclusion It is important to provide information regarding the clinical risks and benefits of breast implants to surgeons and patients through a clear and unified classification according to the texture of the breast implant.

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Varela-Chinchilla, Carlos Daniel, Gabriel Salinas-McQuary, Nancy de los Ángeles Segura-Azuara, and Plinio A. Trinidad-Calderón. "Breast Implant Illness: Surgical, Autoimmune, and Breast Reconstruction Associations." Surgeries 3, no. 2 (May 13, 2022): 111–25. http://dx.doi.org/10.3390/surgeries3020013.

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Breast implant illness refers to a combination of different symptoms related to breast implant surgery, including fatigue, brain fog, and arthralgias. This malaise occurs after cosmetic and reconstructive breast surgeries, although it has not been proven to be a disease. Even recent studies have reported concluding statements of the etiology, diagnosis, and treatment as unclear and widely unknown. Therefore, this review aimed to determine the associations between the manifestations of breast implant illness in surgery and breast reconstruction, as well as the autoimmune responses involved. Complications associated with breast implants include breast pain, capsular contracture, infections, as well as other manifestations specific to breast reconstruction. Moreover, patients with implants may present with new-onset systemic sclerosis, Sjögren’s syndrome, and connective tissue diseases. However, the incidence of capsular contracture has steadily decreased with each generation of implants, particularly since the development of textured implants, as well as with the use of antibiotics and antiseptic pocket irrigation. However, the incidence of anaplastic large cell lymphoma has increased with the use of textured implants. Remarkably, the autoimmune response to these implants remains unclear. Therefore, close follow-up, careful observation of any symptom presentation, and evidence-based treatment decisions are necessary for patients with breast implants.

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Lieffering, Annemiek S., Juliëtte E. Hommes, Lotte Ramerman, Hinne A. Rakhorst, Marc A. M. Mureau, Robert A. Verheij, and René R. W. J. van der Hulst. "Prevalence of Local Postoperative Complications and Breast Implant Illness in Women With Breast Implants." JAMA Network Open 5, no. 10 (October 7, 2022): e2236519. http://dx.doi.org/10.1001/jamanetworkopen.2022.36519.

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ImportanceIt is unknown how often breast implant illness (BII) is the indication for revision in women with silicone breast implants.ObjectiveTo examine how often women with silicone breast implants have their implants explanted or replaced because of BII compared with local postoperative complications.Design, Setting, and ParticipantsA legacy cohort study on breast implant revision surgery was conducted between April 1, 2015, and December 31, 2020, and a prospective cohort study on breast implantation and revision surgery was conducted between April 1, 2015, and December 31, 2019 (with follow-up until December 31, 2020). Data were obtained from the Dutch Breast Implant Registry. Data analysis was performed from September 2021 to August 2022.ExposuresSilicone breast implant.Main Outcomes and MeasuresBreast implant revision with the indication BII or local postoperative complications.ResultsAll 12 882 cosmetic breast implants (6667 women; mean [SD] age, 50.6 [12.7] years) and 2945 reconstructive breast implants (2139 women, mean [SD] age, 57.9 [11.3] years) in the legacy cohort and all 47 564 cosmetic breast implants (24 120 women, mean [SD] age, 32.3 [9.7] years) and 5928 reconstructive breast implants (4688 women, mean [SD] age, 50.9 [11.5] years) in the prospective cohort were included for analysis. In the prospective cohort, 739 cosmetic breast implants (1.6%) were revised after a median (IQR) time to reoperation of 1.8 (0.9-3.1) years, and 697 reconstructive breast implants (11.8%) were revised after a median (IQR) time to reoperation of 1.1 (0.5-1.9) years. BII was registered as the reason for revision in 35 cosmetic revisions (4.7%) and 5 reconstructive revisions (0.7%) in the prospective cohort, corresponding to 0.1% of the inserted implants. In the legacy cohort, 536 cosmetic revisions (4.2%) and 80 reconstructive breast implant revisions (2.7%) were performed because of BII.Conclusions and RelevanceIn this cohort study of women with silicone breast implants, BII was an uncommon indication for revision compared with local complications, both in the short and long term. In contrast to the increasing public interest in BII, these results showed that local complications are a far more common reason for breast implant revision.

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Brandon, Harold J., Larry S. Nichter, and Dwight D. Back. "New Evaluation Procedure for Multi-Dimensional Mechanical Strains and Tangent Moduli of Breast Implants: IDEAL IMPLANT® Structured Breast Implant Compared to Silicone Gel Implants." Bioengineering 6, no. 2 (May 12, 2019): 43. http://dx.doi.org/10.3390/bioengineering6020043.

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The IDEAL IMPLANT® Structured Breast Implant is a dual lumen saline-filled implant with capsular contracture and deflation/rupture rates much lower than single-lumen silicone gel-filled implants. To better understand the implant’s mechanical properties and to provide a potential explanation for these eight-year clinical results, a novel approach to compressive load testing was employed. Multi-dimensional strains and tangent moduli, metrics describing the shape stability of the total implant, were derived from the experimental load and platen spacing data. The IDEAL IMPLANT was found to have projection, diametric, and areal strains that were generally less than silicone gel implants, and tangent moduli that were generally greater than silicone gel implants. Despite having a relatively inviscid saline fill, the IDEAL IMPLANT was found to be more shape stable compared to gel implants, which implies potentially less interaction with the capsule wall when the implant is subjected to compressive loads. Under compressive loads, the shape stability of a higher cross-link density, cohesive gel implant was unexpectedly found to be similar to or the same as a gel implant. In localized diametric compression testing, the IDEAL IMPLANT was found to have a palpability similar to a gel implant, but softer than a cohesive gel implant.

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Jovic, Marko, Ivan Radosavljevic, Jovan Mihaljevic, Jelena Jeremic, and Milan Jovanovic. "Breast implant rupture 37 years after breast augmentation." Srpski arhiv za celokupno lekarstvo, no. 00 (2021): 69. http://dx.doi.org/10.2298/sarh210401069j.

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Introduction Silicone implants have been used ever since the second half of the 20th century. Over that period several generations of implants have been developed that differed in thickness of the shell and viscosity of the silicone gel. Development of these generations of implants was accompanied with different complication rates. The first-generation implants had the lowest tendency to rupture, but were more prone to capsular contracture and calcification formation. Case outline An 81-year-old female patient had her silicone implants placed in 1983. After a chest injury in 2015. on the lateral aspect of the left breast a tumefaction becomes palpable and she complains of pain. She denies any subjective problems before the injury. After pertinent diagnostic procedures and clinical examination, silicone implant rupture was suspected. Surgical findings confirmed ruptures of both implants so that they were extracted, capsulectomy was performed and the surrounding tissue imbibed with silicone removed. Samples were sent for histopathological examination. Conclusion Implant rupture is one of late complications of breast augmentation. The incidence of ruptures has changed with development of newer generations of silicone implants. We believe that our patient had the first-generation silicone implants, knowing the time from their placement to the occurrence of symptoms and macroscopic appearance of the shell after extraction. The fact is that these implants have proved to be very durable, but regardless of the lack of symptoms, current guidelines recommend regular screening for rupture, while possible preventive extraction, particularly in case of so old implants should be considered.

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Peters, Walter. "The Evolution of Breast Implants." Canadian Journal of Plastic Surgery 10, no. 5 (December 2002): 223–36. http://dx.doi.org/10.1177/229255030201000508.

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The present review traces the evolution of breast implants over the past 50 years. During the early years (from 1951 to 1962), a number of different sponges were used for breast augmentation. The first of these was Ivalon, a polyvinyl alcohol sponge. Other sponges were introduced subsequently, including Etheron (a poly-ether sponge popularized by Dr Paule Regnault in Montreal) and Polystan (fabric tapes that were wound into a ball). Subsequently, polyethylene strips enclosed in a fabric or polyethylene casing were also used for breast augmentation. All of these materials had similar outcomes. Although the initial results were encouraging, within one year of augmentation, breasts became very firm and lost over 25% of their volume. This was due to capsular contracture, a process that would lead to the collapse of the sponge and would continue to plague plastic surgeons and their patients for the next 50 years. In 1963, Cronin and Gerow introduced the silicone gel ‘natural feel’ implant, which revolutionized breast augmentation surgery. Approximately 10 companies have manufactured many types of silicone gel breast implants over the years. They obtained their raw materials for gels and shells from a similar number of other companies that entered and left the market at intervals. Many of the suppliers and manufactures changed their names and ownership over the years, and most of the companies no longer exist. No formal process of United States Food and Drug Administration premarket testing was in effect until 1988. There have been three generations of gel implants and a number of other lesser variations. First-generation implants (1963 to 1972) had a thick gel and a thick wall. They have generally remained intact over the years. Second-generation implants (1973 to the mid-1980s) had a thin gel and a thin wall. They have tended to disrupt over time. Third-generation implants (mid-1980s to 1992) had a thick wall and a thick gel. Except for those made by Surgitek, these implants remain intact. The breast implant business was competitive and companies introduced changes such as softer gels; barrier low-bleed shells; greater or lesser shell thickness; surface texturing; different sizes, contours and shapes; and multiple lumens in search of better aesthetics. Ultimately, more than 240 styles and 8300 models of silicone gel breast implants were manufactured in the United States alone. Inflatable breast implants were introduced in Toulons, France in 1965 (the Simaplast implant). There have been three main eras of inflatable implants: seamed, high-temperature vulcanized and room temperature vulcanized implants. In 1973, spontaneous deflation rates of 76% to 88% over three years were reported for many types of inflatable implants. Because of this, most plastic surgeons abandoned their use. From 1963 until the moratorium on gel implants (January 6, 1992), about 95% of all breast implants inserted were silicone gel filled. Only 5% were saline filled. Since the moratorium, this ratio has been reversed and 95% of all implants have been saline-filled, with only 5% being gel filled. Polyurethane-coated (PU) silicone gel implants were introduced in 1968. Over the next 20 years, they were shown to reduce the prevalence of capsular contracture to 2% to 3%. Other forms of surface texturing (Biocell, Siltex, multistructured implant) also appear to reduce capsular contracture with gel implants, but the reduction has been much less dramatic than that seen with PU implants. Contoured (anatomical) shaping appears to have advantages in some patients with gel implants. No such advantage has been seen for texturing or shaping with saline-filled implants. The story of gel implants has culminated in the largest class action lawsuit in medical history, with US$4.2 billion being awarded to women with silicone gel implants. During the past decade, there has been a tremendous amount of research on the reaction of a woman's body to gel implants. A plethora of studies have demonstrated that silicone gel implants are not associated with the development of any medical diseases. Silicone gel-filled implants have therefore been approved for use under Health Canada's Special Access Program. Silicone gel-filled implants may now be used in certain patients in whom they would provide advantages over saline implants. Silicone gel implants have not been approved for unrestricted general use. The evolution of breast implants occupies the past half century. It has been a stormy course, with many exciting advances and many bitter disappointments. The universe of breast implants is large and the variation among the implants is substantial. The purpose of the present review is to trace the evolution of breast implants over the past 50 years.

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Kim, Yang-Hee, Dong-Wook Park, Keun-Yeong Song, Hyung-Guhn Lim, Jeong-Pil Jeong, and Jae-Hong Kim. "Use of High-Resolution Ultrasound in Characterizing the Surface Topography of a Breast Implant." Medicina 59, no. 6 (June 5, 2023): 1092. http://dx.doi.org/10.3390/medicina59061092.

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Background and Objectives: With the emergence of breast implant-associated anaplastic large cell lymphoma (BIA-ALCL), it has become necessary to identify the implant shell type patients have received. Therefore, an immediate, reliable method for identifying a breast implant shell type is essential. Evidence-based research and applying a real-world technique that identifies the surface topographic information of the inserted breast implants, without surgery, has become of paramount importance for breast implant physicians. Methods and Materials: A review of the medical records of 1901 patients who received 3802 breast implants and subsequently received an ultrasound-assisted examination was performed. All patients received not only a breast cancer examination but also a high-resolution ultrasonography (HRUS) assisted examination of the device at a single center between 31 August 2017 and 31 December 2022. Results: Most patients had breast implants within 10 years (77.7%) of the examination. Of the 3802 implants screened, 2034 (53.5%) were identified with macro-textured shell topography in ultrasonography. A macrotextured shell type implant was used in 53.5% of cases and a smooth type in 42.7% of cases. Seventy-three (1.9%) breast implant shell types could not be identified due to ruptures. However, 250 breast implant shell types could be identified despite rupture cases (6.5%). Conclusions: HRUS was found to be a useful and reliable image modality for identifying various surface shell types of breast implants. The shell type information would be helpful to patients who lack information about their breast implants and are concerned about BIA-ALCL.

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Cala Uribe, Laura C., Mauricio Perez Pachon, Andres Villate Hernandez, and Andreina Zannin Ferrero. "Kite Mastopexy: Small Scar and Tissue-conserving Technique." Plastic and Reconstructive Surgery - Global Open 11, no. 9 (September 2023): e5265. http://dx.doi.org/10.1097/gox.0000000000005265.

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Background: Breasts are considered one of the most physically and sexually appealing features of the female body. Reduction/augmentation techniques have greatly evolved in the last decades. We are reporting our experience with an innovative technique for mastopexy that recovers the aesthetics of the breast and avoids over-resection of its lower pole. Methods: Inclusion criteria were women who underwent kite mastopexy with or without implants between January 2018 and May 2022 in a single center (Bogota, Colombia). Exclusion criteria were patients with American Society of Anesthesiology score more than II, with any uncontrolled chronic illness and/or medical history of diabetic mellitus, metabolic syndrome, body mass index more than 32 kg per m2, and active smokers. Results: We found 133 consecutive female patients. Age range was 18 and 67 years (median 39). Breast implants were used for the purpose of kite mastopexy in 52% cases. Patients were divided into two groups: implants (group 1) versus no implants (group 2). Procedure 1 involved mastopexy without implants; procedure 2 included current implant users who underwent either implant removal or in whom implants were not used for the sake of mastopexy. Procedures 3 and 4 included patients who underwent either new implant placement or implant exchange, respectively. Average time of surgery was 1.5 hours. Minor complications were mostly related to wound dehiscence. No major complications were reported. Conclusions: Kite mastopexy restores the breast aesthetics by following specific markings, a new plication of breast pillars, and a reduced scar. Our technique demonstrates a very low rate of complications while entailing natural and appealing results.

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Dissertations / Theses on the topic "Breast implants"

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Lagergren, Jakob. "Immediate breast reconstruction with implants in breast cancer patients /." Stockholm, 2007. http://diss.kib.ki.se/2007/978-91-7357-230-9/.

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Wilson, Kelly A. "Finite Element Analysis of Breast Implants." Thesis, Virginia Tech, 1999. http://hdl.handle.net/10919/32972.

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The Breast Implant Lifetime Study at Virginia Tech, on which this thesis is based, seeks to develop methods and data for predicting the lifetime of saline-filled implants. This research developed Finite Element Analysis (FEA) models to evaluate the stresses that are present in the silicone breast implant material under different loading situations. The FEA work was completed using the commercial codes PATRAN and ABAQUS. PATRAN was used for pre- and post-processing, while ABAQUS was used for the actual analysis and to add fluid and contact elements not supported by PATRAN. Many different loading situations and constraints were applied to these models, as well as variations in the material and model properties. Varying the Poisson's ratio of the implant material from 0.45 to 0.49 did not make a significant difference in the results. Changing the elastic modulus of the implant material from the modulus of a Smooth implant to the modulus of a Siltex implant had a noticeable effect on the stress results, increasing the maximum stresses by almost 8%. Changing the modulus of the surrounding tissue had marked effects as well, with stiffer tissue (E=300 psi) decreasing the implant's stresses by about 60% as compared to softer tissue (E=100 psi). A ten percent decrease in implant thickness yielded a 17% average increase in stress experienced by the implant. For both the 2.5" radius and the 4" radius tissue models, using CAX4 elements produced higher overall stresses in the tissue with the same loading conditions. However, in the 2.5" tissue model, the implant itself experienced less stress with the CAX4 tissue than the CAX3 tissue. In the 4" tissue model, the implant experienced more stress when surrounded by the CAX4 tissue elements. These models will be combined with implant fatigue data to develop a life prediction method for the implant membrane.
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Prasad, Karthika. "Nanocarbon polymer composite for breast implants." Thesis, Queensland University of Technology, 2019. https://eprints.qut.edu.au/128578/1/Karthika_Prasad_Thesis.pdf.

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This project aimed to explore various opportunities of using the unique properties of nanoscale carbon materials to enhance mechanical strength and cell-surface compatibility of breast implants. The thesis focused on the synthesis of advanced nanocarbon-reinforced silicone composites and revealed that they have similar flexibility yet improved safety profile compared to the currently available implants. The project outcomes have led to international collaboration directly funded by one of the major industry players in the implant manufacturing market.

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Fowler, Lori Ann. "Breast implants for graduation? Parent and adolescent narratives." Thesis, University of North Texas, 2008. https://digital.library.unt.edu/ark:/67531/metadc6111/.

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The purpose of this research is to examine through sociological and psychological theories how women make sense of the desire and attainment of breast implants for graduation. The study used a qualitative approach and focused on women ages 18-35 in the state of Texas who have received breast implants for graduation. The sample size in this study included 10 high-school graduates receiving implants as a gift and their 10 mothers. Seven theoretical paradigms provided a better understanding for why the daughters asked for breast implants and why the parent(s) paid for them. Symbolic interaction theory explained why the daughters wished to replace their "fake" cotton padded self with their augmented self, to become the most authentic woman possible. Social construction of reality theory explained why both mothers and daughters wanted to conform to the social construction of gender, and to accomplish their gender well. Conspicuous consumption theory demonstrated how cosmetic surgery practices allow women to appear wealthy, gain status, and "flash" their assets. Feminist theory explained why some women were motivated to capture the attention of men and others altered the body out of empowerment. Reference group and social comparison theories explained how the women in this study were influenced to undergo cosmetic surgery by ranking themselves in attractiveness against real friends and media icons. Lastly, self-discrepancy theory showed how the daughters in this study felt they needed surgery to fix a discrepancy between their real and ideal self. The majority of respondents expressed complete comfort with their gifting and receiving of breast implants for graduation, claiming it was a great decision. They also agreed surgery was worth any risk to increase their daughter's confidence. Most of the mothers expressed that they were comfortable with their decision to gift surgery to their daughters, despite knowing that their gift of augmentation would ultimately result in more surgery in the future.

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Kasper, Mary E. (Mary Elizabeth). "Neuropsychological Deficits Associated with Silicone Gel Breast Implants." Thesis, University of North Texas, 1996. https://digital.library.unt.edu/ark:/67531/metadc278085/.

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Thirty-two silicone breast implant patients scored in the mild to moderate range of impairment on the Halstead-Reitan Neuropsychological Battery. An unusual number of patients had positive tests for antinuclear antibody on immunological testing and a high incidence of EEG abnormalities were found. Personality testing revealed an MMPI profile which is typical for neuropsychologically impaired subjects but components were consistent with extreme emotional distress. None of the subjects were near the cutoff score for malingering or faking bad on the F-K index of the MMPI. There was no apparent relationship between length of exposure and the severity of neurological impairment. Also, explanted subjects performance was not improved when compared to subjects whose implants were still in place.

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Fowler, Lori Ann Moore Ami R. "Breast implants for graduation? parent and adolescent narratives /." [Denton, Tex.] : University of North Texas, 2008. http://digital.library.unt.edu/permalink/meta-dc-6111.

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Valencia, Lazenco Anai Alicia. "Breast implant surface development." Thesis, University of Manchester, 2015. https://www.research.manchester.ac.uk/portal/en/theses/breast-implant-surface-development(a3adf29e-6f81-4a22-8869-6f0f58aea62b).html.

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Bilateral breast augmentation is one of the most common cosmetic surgical procedures carried out on women in the western world. Breast augmentation involves increasing the volume of a woman‘s breasts through surgery by placing a silicone implant in the subglandular or subpectoral cavity. Although a capsule forms inevitably around breast implants as a natural part of healing, it can cause significant morbidity if the capsule becomes firm and contracted, a condition known as breast capsular contracture (BCC). The aetiology of BCC remains unknown however it is characterised by dense fibrocollagenous connective tissue with a local inflammatory response. Host response is influenced by several factors including implant surface texture, chemistry and interactions between cells and the extracellular matrix. Texturing holds the implant in place, thus preventing micromotion at the host prosthesis interface. While in smooth surfaces, the implant moves inside the breast, making the fibroblasts repeatedly produce collagen in response to this host-prosthesis shearing motion. In this thesis, the effect of surface characteristics and specific coatings on the cell-surface interaction has been examined on smooth compared to textured surfaces using commercially available breast implants. The properties of breast implants shells have been characterised using confocal laser microscopy, contact angle measurements, confocal Raman spectroscopy and tensile testing. Confocal laser microscopy was used to evaluate the topographical features and surface roughness of the implant surfaces. Contact angle measurements were carried out to determine the hydrophobicity of the implant surfaces. Chemical characterisation was carried out recording Raman images and spectra of the implants using confocal Raman spectrometer. The mechanical properties of the breast implant shells were measured via tensile testing. Adhesive interactions of breast-derived fibroblasts with breast implant surfaces were examined in-vitro. For this purpose, the effect of four molecule coatings (aggrecan, collagen I, fibronectin, and hyaluronic acid) was evaluated on fibroblast attachment, proliferation, fibroblast morphology, spreading, cytotoxicity and gene expression. Results from in-vitro assays demonstrated cell susceptibility to topography and protein coatings and further showed cytoskeletal re-organisation and modification with specific cell adhesion patterns. Combination of diverse topographies and specific coatings induced differential regulation of the expression of adhesion related genes, such as focal adhesion kinase, paxillin, vinculin, and α-actinin on breast fibroblasts. In conclusion, this thesis has demonstrated the extent and strength of cell adhesion and subsequent cell proliferation and differentiation. This is based on the physical interactions between cells and the extracellular environment in the form of topography and on the chemical interactions mediated by specific coatings. Precise characterisation of the silicone breast implant surfaces was achieved. This may play an important role in the development of improved breast implant surfaces with improved qualities leading the development of surfaces that may be less prone to capsular contracture.

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Gahm, Jessica. "Bilateral prophylactic mastectomy and immediate breast reconstruction with implants." Stockholm : Section of Reconstructive Plastic Surgery, Karolinska Institutet, 2009. http://diss.kib.ki.se/2009/978-91-7409-704-7/.

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Benediktsson, Kristinn P. "Nipple-sparing subcutaneous mastectomy and immediate reconstruction with implants in breast cancer /." Stockholm, 2007. http://diss.kib.ki.se/2007/978-91-7357-199-9/.

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Movahed, Mohammad-Reza. "Interference of breast implants with echocardiographic image acquisition and interpretation." BioMed Central, 2007. http://hdl.handle.net/10150/610115.

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Echocardiography is one of the most important diagnostic testing in cardiology. The presence of a breast implant overlying heart can cause significant impairment of the echocardiographic acoustic window. Breast implants are increasing in popularity in the USA and the Federal Drug and Food Administration (FDA) just approved silicone implants again. In this review, the impact of silicone breast implant on the echocardiographic image acquisition and interpretation is discussed.

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Books on the topic "Breast implants"

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1933-, Rheingold Paul D., Hinds Richard deC, and Practising Law Institute, eds. Breast implants litigation 1993. New York, N.Y: Practising Law Institute, 1993.

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United States. Food and Drug Administration., ed. Breast implants: An information update. Rockville, Md. (5600 Fishers Lane, Rockville 20857): U.S. Food and Drug Administration, 1996.

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1957-, Podolsky Doug M., ed. The truth about breast implants. New York: John Wiley, 1994.

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United States. Food and Drug Administration., ed. Breast implants: An information update. Rockville, Md. (5600 Fishers Lane, Rockville 20857): U.S. Food and Drug Administration, 1998.

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United States. Food and Drug Administration., ed. Breast implants: An information update. Rockville, Md. (5600 Fishers Lane, Rockville 20857): U.S. Food and Drug Administration, 1997.

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United States. Food and Drug Administration., ed. Breast implants: An information update. Rockville, Md. (5600 Fishers Lane, Rockville 20857): U.S. Food and Drug Administration, 1996.

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United States. Food and Drug Administration., ed. Breast implants: An information update. Rockville, Md. (5600 Fishers Lane, Rockville 20857): U.S. Food and Drug Administration, 1997.

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Middleton, Michael S. Breast implant imaging. Philadelphia: Lippincott Williams & Wilkins, 2003.

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Berger, Karen J. Implantes mamarios: Lo que las mujeres desean saber. México, D.F: Panorama Editorial, 2005.

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United States. Food and Drug Administration, ed. Breast implants: An information update, 1998. Rockville, Md. (5600 Fishers Lane, Rockville 20857): U.S. Food and Drug Administration, 1998.

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Book chapters on the topic "Breast implants"

1

Pacifico, Marc. "Implants." In Oncoplastic Breast Surgery, 320–23. Boca Raton: CRC Press, 2022. http://dx.doi.org/10.1201/9781315115146-73.

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Bricout, Nathalie. "Breast implants." In Breast surgery, 183–88. Paris: Springer Paris, 1996. http://dx.doi.org/10.1007/978-2-8178-0926-7_15.

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Yoon, Won June. "Breast Implants." In Endoscopic Transaxillary Augmentation Mammoplasty, 21–26. Singapore: Springer Singapore, 2019. http://dx.doi.org/10.1007/978-981-13-6117-3_3.

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Parada, Jose. "Breast Implants." In Lobar Approach to Breast Ultrasound, 251–56. Cham: Springer International Publishing, 2018. http://dx.doi.org/10.1007/978-3-319-61681-0_14.

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Silver, Frederick H. "Breast implants." In Biomaterials, Medical Devices and Tissue Engineering: An Integrated Approach, 236–49. Dordrecht: Springer Netherlands, 1994. http://dx.doi.org/10.1007/978-94-011-0735-8_8.

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Comstock, Christopher E., Lauren Friedlander, Victoria Mango, and Richard Ha. "Breast Implants." In Breast MRI Teaching Atlas, 291–303. New York, NY: Springer New York, 2017. http://dx.doi.org/10.1007/978-1-4939-6409-3_6.

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Palanisamy, Priya K., Bhawna Dev, and Anupama Chandrasekharan. "Breast Implants." In Holistic Approach to Breast Disease, 423–37. Singapore: Springer Nature Singapore, 2023. http://dx.doi.org/10.1007/978-981-99-0035-0_31.

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Chow, Lucy, Mikhail Roubakha, Puja Shahrouki, and Bo Li. "Implants." In Absolute Breast Imaging Review, 317–40. Cham: Springer International Publishing, 2022. http://dx.doi.org/10.1007/978-3-031-08274-0_9.

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Soumian, Soni, and Mihir Chandarana. "Pre-Pectoral Implants." In Oncoplastic Breast Surgery, 153–59. Boca Raton: CRC Press, 2022. http://dx.doi.org/10.1201/9781315115146-34.

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Irvine, Tracey, Noor Obeid, and Carol Norman. "Sub-Pectoral Implants." In Oncoplastic Breast Surgery, 148–52. Boca Raton: CRC Press, 2022. http://dx.doi.org/10.1201/9781315115146-33.

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Conference papers on the topic "Breast implants"

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Rynkevic, R., P. Martins, M. Parente, R. Natal, M. Barroso, and D. Santos. "Implant shape influence on the mechanical behavior of breast implants." In 2013 IEEE 3rd Portuguese Meeting in Bioengineering (ENBENG). IEEE, 2013. http://dx.doi.org/10.1109/enbeng.2013.6518409.

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Pompermaier, Carolina, Willian Ely Pin, Mateus Xavier Schenato, Tales Antunes Franzini, and Guilherme Roloff Cardoso. "BREAST IMPLANT-ASSOCIATED ANAPLASTIC LARGE CELL LYMPHOMA: A LITERATURE REVIEW." In XXIV Congresso Brasileiro de Mastologia. Mastology, 2022. http://dx.doi.org/10.29289/259453942022v32s1012.

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Objective: This review aims to bring updates about the relationship between the silicone implant and the breast implantassociated anaplastic large cell lymphoma (BIA-LCL), in order to have a better knowledge about this disease. Despite the low risk of its development, a better understanding of BIA-ALCL is of interest to women, oncologists, breast specialists, plastic surgeons, regulatory agencies, and the general public, as the number of women with breast implants is increasing worldwide. Methods: This article is based on a review of publications on the topic. A search for articles was carried out through the SciELO databases, at the interface of the U.S. National Library of Medicine and National Center for Biotechnology Information (PubMed) and Latin American and Caribbean Literature on Health Sciences (LILACS). Results: BIA-ALCL is a very rare disease (1 case per 1–3 million women with implants), accounting for 2–3% of these lymphomas in adults and 0.5% of breast cancers and occurs between 8 and 10 years after breast cancer and implantation of a breast prosthesis. Textured implants are the most associated because they have a greater contact surface, so more biofilm is formed, causing bacterial adhesion. Most patients have peri-implant effusion and less often have a mass. Other described symptoms included breast enlargement, skin rash, capsular contracture, and lymphadenopathy. Lymphoma may be located in the seroma cavity or may involve pericapsular fibrous tissue. To make the diagnosis, imaging tests and cytological analysis must be performed. The fluid must be aspirated and is usually cloudy and thick, with large pleomorphic epithelioid lymphocytes, abundant cytoplasm, eccentric reniform nucleus and prominent nucleolus, and anaplastic lymphoma (ALK). Morphological and immunophenotypic features are indistinguishable from those of ALK-negative ALCL. Conclusion: The treatment of BIA-LCL includes implant removal, complete capsulectomy, excision of suspected adenopathy, and excision of lymphoma margins. Surgeons may consider removal of the contralateral implant as approximately 4.6% of cases have demonstrated incidental lymphoma in the contralateral breast. There are no data to recommend a mastectomy, sentinel lymph node biopsy, axillary lymphadenectomy, or breast reconstruction. The best prognosis is with complete capsule elimination surgery. Follow-up is done every 3–6 months for 2 years, in addition to imaging tests and the segment will depend on the patient’s clinical manifestations.

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Letzkus, Jaime, María José del Río, Jorge Gamboa Galté, José Manuel Lagos Bononato, G. Alejandro Belmar, and Andrea Sepúlveda H. "PREPECTORAL BREAST RECONSTRUCTION: A PRELIMINARY REPORT OF A CHILEAN EXPERIENCE IN 46 PATIENTS." In Brazilian Breast Cancer Symposium 2022. Mastology, 2022. http://dx.doi.org/10.29289/259453942022v32s2079.

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Prepectoral total breast reconstruction (PPTBR) has become a popular technique due to the many benefits observed in properly selected patients. Compared with the retropectoral implant position, PPTBR has the advantage of maintaining the pectoral major muscle in its anatomic original position, avoiding acute and chronic pain, maintaining better extremity strength and motion, and avoiding animation deformity and post-radiotherapy pectoral fibrosis. The basic principles of the technique can be used with a tissue expander or permanent implants. We present the preliminary report of 46 patients (51 breasts). In all, 20 out of the 46 patients had an association with radiotherapy; 18 of them received post-mastectomy radiotherapy and 2 received total breast irradiation on previous conservative treatment. The period of follow-up was 2–32 months, beginning in July 2019. The main surgical approach was using a lateral aspect of the inframammary fold incision. Depending on the new subdermal implant pocket width, in 20 patients, a synthetic mesh was placed. We only had two major complications: one who required reintervention due to radionecrosis and conversion to a dorsal flap plus a permanent implant, and the other who required a change into a retropectoral plane reconstruction due to wound dehiscence. No implant infection of grade 3–4 capsular contraction has been reported so far. The aesthetic result was excellent for most patients and the surgeon’s opinion, according to the Harris scale.

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Rocha, Aline Carvalho, Lays Samara da Costa Silva e. Silva, Gina Zully Carhuancho Flores, Cristina Poliana Rolim Saraiva dos Santos, and Gabriela Carvalho Pinheiro. "EVALUATION OF IMMEDIATE AND LATE COMPLICATIONS IN BREAST RECONSTRUCTION WITH IMPLANTS IN PATIENTS WITH BREAST CANCER TREATED IN A TERTIARY SERVICE IN CEARÁ." In Scientifc papers of XXIII Brazilian Breast Congress - 2021. Mastology, 2021. http://dx.doi.org/10.29289/259453942021v31s1071.

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Introduction: The technique of breast reconstruction using silicone implants is the predominant way for breast reconstruction worldwide. Over the last years there has been a growing interest in performing immediate reconstruction with single stage implantation after mastectomy as an attempt to simplify the reconstruction procedure and improve psychosocial morbidity, as well reducing costs. The reconstruction with single stage suggests a slightly higher complication rate related to implant loss. Objectives: To evaluate the immediate complications (up to 30 days after surgery) and late complications (30 days to two years after surgery) resulting from immediate breast reconstruction with implants in patients with breast cancer treated at a tertiary hospital in Ceará. Methods: Analytical observational study of a retrospective cohort, from the review of medical records of patients undergoing immediate breast reconstruction with prosthesis or temporary extensor after mastectomy for breast cancer, at Maternidade Escola Assis de Chateaubriand, from 2015 to 2019. Establishing the prevalence among the common characteristics related both to the surgical procedure to which they were submitted, and to the clinical-epidemiological profile of the patients. Results: The study was made with 63 women who underwent immediate breast reconstruction with a mean age of 47 years. It was observed that immediate and onetime breast reconstruction was the most prevalent, contributing with 77.7% of the cases analyzed. In 19 cases (30.1%), we observed some type of surgical complication, with surgical wound dehiscence being the most frequent (42.1%). Other complications detected were infection and implant loss (21.1%), capsular contracture (15.8%), seroma (10%), cellulitis (5.3%), and rupture of the expander (5.3%). Surgical complications were assessed according to the type of implant (prosthesis or temporary expander), use of radiotherapy and clinical conditions of patients. No statistical significance was found for these variables with surgical complications. Only the type of mastectomy performed was statistically significant, with radical mastectomy associated with half of the complications (p=0.045). Conclusions: Immediate breast reconstruction with single-time implant was the most used technique in our service, with a postoperative complication rate of around 30%. However, the biggest complication was the dehiscence of the surgical wound, but the infection of the implant did not cause the loss of reconstruction. Radiotherapy was not related to complications until two years after surgery.

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Forsberg, F., E. F. Conant, and J. H. ,. Jr Moore. "Ultrasonic properties of silicone breast implants." In 1993 IEEE Ultasonics Symposium. IEEE, 1993. http://dx.doi.org/10.1109/ultsym.1993.339645.

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Tan, Wendy, and Caroline Parkin. "Imaging Breast Implants And Associated Abnormalities." In Radiopaedia 2024 Virtual Conference. Radiopaedia.org, 2024. http://dx.doi.org/10.53347/rposter-2429.

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Caires, Elisana Maria Santos, Régis Resende Paulinelli, Miliana Tostes Lucatto, Eneida Ribeiro Marinho, and Henrique Moura de Paula. "BREAST IMPLANT–ASSOCIATED ANAPLASTIC LARGE CELL LYMPHOMA (BIA-ALCL): A CASE REPORT WITH ATYPICAL SYMPTOMS." In Abstracts from the Brazilian Breast Cancer Symposium - BBCS 2021. Mastology, 2021. http://dx.doi.org/10.29289/259453942021v31s2096.

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The BIA-ALCL is a rare type of T-cell lymphoma CD30+ e AKL−, occurring more common in women with Allergantextured implants. It presents most frequently as a late-onset accumulation of seroma fluid between the implant and less frequently as a palpable tumor mass, with malignant cells infiltrating through the capsule and surrounding tissue with potential lymph node and systemic involvement. This article describes a case report of a 65-year-old female patient with BIA-ALCL complaining of erythema in her right breast for almost 7 months. She agreed no family history of cancer and no fever. The patient was diabetic type 2, dyslipidemic, and postmenopausal taking estrogen therapy. She had undergone a breast augmentation with 215 mL polyurethane-coated implants 15 years ago. Imaging revealed right axillary lymph node enlargement, thickening of the breast parenchyma, and minimal periprosthetic seroma. The initial suspicion was infection wherefore she was submitted removal of the implants, partial capsulectomy on the right side, and total contralateral capsulectomy. Immunochemistry confirmed BIA-ALCL CD30+ e AKL− on the right and no disease on the left. Bacterioscopy was negative. A complementary surgical procedure involving removal of all the right capsules, resection of axillary palpable nodes, and reconstruction was necessary to achieve a bilateral oncoplastic mastopexy. The final diagnosis was BIA-ALCL confined capsule with negative margins and none axillary lymph nodes involvement, staging IB. No adjuvant treatment was necessary. The patient remained symptom free during follow-up examinations, and she desires a new breast augmentation.

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Bax, Maria Luiza de Oliveira Almeida, Clécio Ênio Murta de Lucena, Calliny Cristina Pimentel Alves, and Matheus Assis dos Anjos Bastos Oliveira. "BREAST RECONSTRUCTION WITH AND WITHOUT ADJUVANT RADIOTHERAPY: A CRITICAL REVIEW." In Brazilian Breast Cancer Symposium 2022. Mastology, 2022. http://dx.doi.org/10.29289/259453942022v32s2067.

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Objective: Breast cancer is the most common malignancy in women worldwide. After mastectomy, many women wish to reconstruct the affected breast, and immediate breast reconstruction has proven to be oncologically safe in relation to just mastectomy. In addition, indications for post-mastectomy radiotherapy (PMRT) sessions are becoming more frequent, due to their relationship with reduced mortality and locoregional recurrence. For this reason, many women who opted for immediate reconstruction underwent radiotherapy with implants or expanders. This study aims to compare the outcomes of patients with breast cancer undergoing adjuvant radiotherapy after breast reconstruction surgery with an implant or expander with patients who did not need irradiation. Methods: A literature review was carried out on the CAPES Journal Portal. Results: The studies are unanimous when it comes to the increased risk of complications between the control groups and patients who have undergone PMRT. The reconstructive failure rates are lower, and the aesthetic results are better in surgeries with implants when compared with tissue expanders. Autologous surgeries are apparently safe and should be considered in the context of the PMRT. Conclusion: This review did not find sufficient scientific evidence to determine the best technique and the best period for radiotherapy in PMRT indications. It is concluded that the choice of the operative technique and the time of radiotherapy must be at the discretion of the surgeon and the multidisciplinary team of each service, always in a shared decision with the patient.

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Kuroda, Flávia, Cicero Andrade Urban, Marcelo Paula Loureiro, Mateus Ricardo Ulsan Lourenço, and Bernardo Passos Sobreiro. "A PROSPECTIVE EVALUATION OF BREAST SATISFACTION AND EXPECTATION IN PREOPERATIVE BREAST RECONSTRUCTION PATIENTS." In Scientifc papers of XXIII Brazilian Breast Congress - 2021. Mastology, 2021. http://dx.doi.org/10.29289/259453942021v31s1092.

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Introduction: There is a consensus that breast reconstruction makes an important positive contribution to the quality of life of breast cancer patients. However, a large proportion of breast cancer survivors have unmet expectations surrounding reconstruction after mastectomy, particularly in relation to appearance. Approximately 40% of women who underwent breast reconstruction after mastectomy reported their reconstruction to be worse than expected. There is little consensus about what impact specific factors have on women`s satisfaction with breast reconstruction process and outcomes. Objectives: To delineate factors affecting preoperative native breast satisfaction and expectation with the surgery using the BREAST-Q in patients prior to oncological breast surgery following breast reconstruction. Methods: A prospective cross-sectional trial with breast cancer patients enrolled from November 2019 to December 2020 at Hospital Nossa Senhora das Graças Breast Unit in Curitiba, Brazil. Two independent groups were studied. The first group included patients who underwent mastectomy following immediate breast reconstruction (IBR) with implant. The second group underwent breast-conserving therapy (BCT) following level 2 oncoplastic techniques. This study was approved by the Internal Review Boad of Positivo University, Curitiba, Brazil. All patients were invited to complete a patient-reported outcome (BREAST-Q) Expectations Module and Pre-operative Breast reconstruction module prior to surgery. Results: Overall, seventy-nine patients with breast cancer completed the preoperative BREAST-Q. Patients were divided into BCT following oncoplastic surgery (n=49) and mastectomy following IBR with implant (n=30) groups. The mastectomy with IBR implants group had better satisfaction with their native breast than BCT oncoplastic group. Comparing Breast-Q expectations rate, women in BCT following oncoplastic group had higher expectations for breast appearance when clothed than the group of mastectomy with IBR implant. Previous aesthetic breast surgery and neoadjuvant chemotherapy were significant predictors of preoperative physical well-being. Younger age was significantly correlated with pain expectation in the surgery. Patients who were fifty years old or more and had a university or higher education level expected that the breast appearance would match almost as well as the same ten years after. Conclusions: This study results highlight the need to improve education and informed decision-making about breast reconstruction. Patients demonstrated to have high expectations for breast appearance after reconstruction and expect not to change over time. Understanding which factors affect patient’s satisfaction with native breasts and their expectation with the surgery in the preoperative set could improve preoperative counseling and the management of patient’s expectations of subsequent breast reconstruction.

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Samper-Santamaria, Lina, and Santiago De Francisco Vela. "Des ( · ) Teta: Healing ritual for women in the process of breast implant removal." In ServDes.2023 Entanglements & Flows Conference: Service Encounters and Meanings Proceedings, 11-14th July 2023, Rio de Janeiro, Brazil. Linköping University Electronic Press, 2023. http://dx.doi.org/10.3384/ecp203048.

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In 2011, the Poly Implant Prothese breast implant scandal broke out worldwide. Since then, legal firms have represented affected women, collectively suing TÜV-Rheinland, who certified the quality of PIPs for nearly ten years. However, it is estimated that around 24% of these women cannot remove the implants. On top of this, women have suffered various repercussions. Many have created coping mechanisms to deal with these situations. We introduce Des(·)Teta, a new service that focuses on healing rituals for women during breast implant removal. A non-profit organization delivers the service that offers discounts on the explant surgery and recovery process besides the healing ritual. Des(·)Teta highlights the importance of resignifying a traumatic experience. This resignification is embedded by a stamp of the capsule created by the body to protect it. This stamp is a symbol of a new beginning for women.

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Reports on the topic "Breast implants"

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Saldanha, Ian J., Wangnan Cao, Justin M. Broyles, Gaelen P. Adam, Monika Reddy Bhuma, Shivani Mehta, Laura S. Dominici, Andrea L. Pusic, and Ethan M. Balk. Breast Reconstruction After Mastectomy: A Systematic Review and Meta-Analysis. Agency for Healthcare Research and Quality (AHRQ), July 2021. http://dx.doi.org/10.23970/ahrqepccer245.

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Objectives. This systematic review evaluates breast reconstruction options for women after mastectomy for breast cancer (or breast cancer prophylaxis). We addressed six Key Questions (KQs): (1) implant-based reconstruction (IBR) versus autologous reconstruction (AR), (2) timing of IBR and AR in relation to chemotherapy and radiation therapy, (3) comparisons of implant materials, (4) comparisons of anatomic planes for IBR, (5) use versus nonuse of human acellular dermal matrices (ADMs) during IBR, and (6) comparisons of AR flap types. Data sources and review methods. We searched Medline®, Embase®, Cochrane CENTRAL, CINAHL®, and ClinicalTrials.gov from inception to March 23, 2021, to identify comparative and single group studies. We extracted study data into the Systematic Review Data Repository Plus (SRDR+). We assessed the risk of bias and evaluated the strength of evidence (SoE) using standard methods. The protocol was registered in PROSPERO (registration number CRD42020193183). Results. We found 8 randomized controlled trials, 83 nonrandomized comparative studies, and 69 single group studies. Risk of bias was moderate to high for most studies. KQ1: Compared with IBR, AR is probably associated with clinically better patient satisfaction with breasts and sexual well-being but comparable general quality of life and psychosocial well-being (moderate SoE, all outcomes). AR probably poses a greater risk of deep vein thrombosis or pulmonary embolism (moderate SoE), but IBR probably poses a greater risk of reconstructive failure in the long term (1.5 to 4 years) (moderate SoE) and may pose a greater risk of breast seroma (low SoE). KQ 2: Conducting IBR either before or after radiation therapy may result in comparable physical well-being, psychosocial well-being, sexual well-being, and patient satisfaction with breasts (all low SoE), and probably results in comparable risks of implant failure/loss or need for explant surgery (moderate SoE). We found no evidence addressing timing of IBR or AR in relation to chemotherapy or timing of AR in relation to radiation therapy. KQ 3: Silicone and saline implants may result in clinically comparable patient satisfaction with breasts (low SoE). There is insufficient evidence regarding double lumen implants. KQ 4: Whether the implant is placed in the prepectoral or total submuscular plane may not be associated with risk of infections that are not explicitly implant related (low SoE). There is insufficient evidence addressing the comparisons between prepectoral and partial submuscular and between partial and total submuscular planes. KQ 5: The evidence is inconsistent regarding whether human ADM use during IBR impacts physical well-being, psychosocial well-being, or satisfaction with breasts. However, ADM use probably increases the risk of implant failure/loss or need for explant surgery (moderate SoE) and may increase the risk of infections not explicitly implant related (low SoE). Whether or not ADM is used probably is associated with comparable risks of seroma and unplanned repeat surgeries for revision (moderate SoE for both), and possibly necrosis (low SoE). KQ 6: AR with either transverse rectus abdominis (TRAM) or deep inferior epigastric perforator (DIEP) flaps may result in comparable patient satisfaction with breasts (low SoE), but TRAM flaps probably increase the risk of harms to the area of flap harvest (moderate SoE). AR with either DIEP or latissimus dorsi flaps may result in comparable patient satisfaction with breasts (low SoE), but there is insufficient evidence regarding thromboembolic events and no evidence regarding other surgical complications. Conclusion. Evidence regarding surgical breast reconstruction options is largely insufficient or of only low or moderate SoE. New high-quality research is needed, especially for timing of IBR and AR in relation to chemotherapy and radiation therapy, for comparisons of implant materials, and for comparisons of anatomic planes of implant placement.

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Lacerda, Ana Cristina, Maria Laura Uggioni, George Carvalho, Carla Simon, Mateus Cruz, Fábio Silva, and Maria Inês da Rosa. Accuracy of ultrasonography in breast implants rupture diagnostic: systematic review and meta-analysis. INPLASY - International Platform of Registered Systematic Review and Meta-analysis Protocols, June 2020. http://dx.doi.org/10.37766/inplasy2020.6.0104.

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Guo, Lijuan, Xiaoyi Lin, Xin Lin, and Guochun Zhang. Application of TiLOOP bra decreases complication risk of implant-based breast reconstruction: a meta-analysis. INPLASY - International Platform of Registered Systematic Review and Meta-analysis Protocols, October 2022. http://dx.doi.org/10.37766/inplasy2022.10.0062.

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