Fashion in Cosmetic Surgery: Comment Regarding Changes to Breast Implants

Aug 9, 2011 by

Combing Al Gore’s internets, I stumbled on the following regarding Polyurethane implants with some nice pictures (not using Polyurethane breast implants) and details about the size of breast implants and the implant shape:

http://drnaomi.blogspot.com/2011/06/fashion-in-cosmetic-surgery-part-3.html

Here was the main point that jumped out at me:

1. Have breast implant fashions changed  in the last 15 or so years?
If so, how?
The trend is moving from round silicone implants towards teardrop silicone implants which can enhance a more natural shape. Most women want a beautiful looking breast regardless of the sizeThere is such a large range of sizes, shapes and projections these days so surgeons’ can offer their patients’ so many more options compared to 15 years ago. Having said that, round implants are still very popular and a good surgeon can make them look very natural also. Up until 2007 , patients only had the choice of textured or smooth silicone breast implants and they can now opt for polyurethane breast implants that have been manufactured in Brazil for several decades. What’s exciting about these implants is that they can significantly reduce the three most common complications associated with breast augmentation surgery. Capsular contracture, the most common complication, is where the scar tissue around the implant compresses on the implant like “shrink wrap” and results in the implant feeling hard and/or looking distorted. Polyurethane breast implants reduce the risk of capsular contracture to around 1-2% compared to around 17% for textured & smooth implants, as indicated by US studies on textured & smooth implants over 9 years. Polyurethane implants also reduce the risk of downward displacement and rotation as the polyurethane helps the surrounding tissue to adhere to the implant like “Velcro”.

The entire page is a good read. What jumps out at me is not just the discussion about Polyurethane implants reducing capsular contracture, but the last comment about Polyurethane implants reducing the risk of rotation and downward displacement. This has been shown to be true in studies and is a very important factor in selecting the ideal implant.

Many times using an anatomical breast implant is necessary to achieve a natural looking breast augmentation. The challenge with anatomical breast implants is rotation- what if the implant rotates after it has been implanted? Now the patient will have an anatomically incorrect breast. Not good.

The last point in that article touched on implant rotation- if using Polyurethane foam implants doctors have not seen the rotation of the implant itself. No risk of rotation means doctors can suggest anatomical implants without worry.

1 Comment

  1. I never thought of it that way, well put!

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