A Doctor Writes: Brazilian Breast Implants Dramatically Reduce The Risk of Capsular Contracture

Nov 27, 2011 by

An old blog entry by a doctor, but a great blog entry. Below I have copied a blog written by Dr. Peter L. Dixon, a Plastic Surgeon from Melbourne Australia. Please note- I do not know Dr. Dixon, I am not promoting Dr. Dixon or being compensated by Dr. Dixon in any way; I found his blog post very good and wanted to share it. Please visit his website to read other blog posts.

The article is below- a few comments:

  • Older blog posts are great, they show how long the furry brazilian implants (Polyurethane foam implants have been used
  • The Furry Brazilian- Polyurethane Foam- implants are very popular in Australia, reading chat rooms it seems women consider them the “gold standard” in terms of the kind of implant used for breast augmentation
  • No reason to comment much on the blog post as the post and data match with the studies and usage data showing Polyurethane Foam are the superior implant.

May 6, 2008

Brazilian breast implants dramatically reduce the risk of capsular contracture

At last there are implants available in Australia which can reduce this problem of capsular contraction. They are manufactured in Brazil by Silimed and they have recently received approval from the Australian Government’s regulatory body, the Therapeutic Goods Administration.

Many years of use overseas has shown that covering silicone gel implants with a polyurethane foam surface reduces the risk of capsular contracture to between 1 and 2%.

Polyurethane breast implants were first used as long ago as 1969. Peter Dixon had exstensive experience with these implants: I used Replicon implants in the 80’s and confirm that the breasts were particularly soft.”

At last there are implants available in Australia which can reduce this problem of capsular contraction. They are manufactured in Brazil by Silimed and they have recently received approval from the Australian Government’s regulatory body, the Therapeutic Goods Administration.

Many years of use overseas has shown that covering silicone gel implants with a polyurethane foam surface reduces the risk of capsular contracture to between 1 and 2%.

Polyurethane breast implants were first used as long ago as 1969. It is also worth noting that polyurethane has been implanted safely in humans for decades for other uses such as pacemakers and blood vessel grafts. Like all silicone gel implants, the foam covered implants have been improved over the years and now contain the same cohesive gel as other implants. Whenever a new implant is introduced it must be rigorously assessed over a long period of time to ensure it is safe.

Significant studies now confirm the safety of polyurethane implants:

Dr Neal Handel
, an Assistant Clinical Professor of Plastic Surgery in Los Angeles reviewed all of the breast implant patients from his practice covering the period 1981-2004. 345 smooth implants, 618 textured and 568 polyurethane foam covered implants were used.

“Based on analysis of our data, we conclude that the contracture rate after all types of breast surgery is dramatically lower with polyurethane foam covered implants than with smooth or textured implants”

“There is nothing…to suggest that polyurethane foam, or its in vivo breakdown products, pose a threat to the health or safety of patients. Polyurethane implants have measurable advantages over smooth and mechanically textured gel-filled prostheses and do not appear to be associated with an increased risk of complications or morbidity.” (Handel, N. Long–term safety and efficacy of polyurethane foam-covered breast implants. Aesthetic Surgery Journal Vol.26 2006)

Guillermo Vasquez, a plastic surgeon from Buenos Aires in Argentina reported his experience using these implants in 407 patients over a ten year period. He concluded

“…this implant reduces capsular contracture to under 1%”

“We believe that the above mentioned percentage and the low incidence of other complications make the use of these implants one of the best options for augmentation”. (Vasquez, G. A ten year experience using polyurethane-covered breast implants. Aesthetic Plastic Surgery Vol.23 1999).

Dr Roderick Hester, Dr John Tebbetts and Dr Patrick Maxwell from Georgia, Dallas and Nashville respectively, reviewed the literature on and their experience with polyurethane covered breast implants. The senior author concluded

“During the span of this author’s practice, he has never been able to match the number and quality of superior results exemplified by these patients when using other devices.” (Hester T.R., Tebbbets, J. Maxwell, G.P. The polyurethane-covered mammary prosthesis: Facts and fiction (II). Clinics in Plastic Surgery Vol.28 2001.

“The Brazilian implants offer definite advantages for many patients. We recommend any patient considering breast implant surgery should ask their doctor about his or her offers polyurethane implants as an alternative to the straight gel implant.

“It has particular relevance when implants become time expired and require replacement.
Additionally for the patient whose implant is firm and suffering capsular contraction the “Brazilian implant is one method of choice.”
that polyurethane has been implanted safely in humans for decades for other uses such as pacemakers and blood vessel grafts. Like all silicone gel implants, the foam covered implants have been improved over the years and now contain the same cohesive gel as other implants. Whenever a new implant is introduced it must be rigorously assessed over a long period of time to ensure it is safe.

Significant studies now confirm the safety of polyurethane implants:

Dr Neal Handel
, an Assistant Clinical Professor of Plastic Surgery in Los Angeles reviewed all of the breast implant patients from his practice covering the period 1981-2004. 345 smooth implants, 618 textured and 568 polyurethane foam covered implants were used.

“Based on analysis of our data, we conclude that the contracture rate after all types of breast surgery is dramatically lower with polyurethane foam covered implants than with smooth or textured implants”

“There is nothing…to suggest that polyurethane foam, or its in vivo breakdown products, pose a threat to the health or safety of patients. Polyurethane implants have measurable advantages over smooth and mechanically textured gel-filled prostheses and do not appear to be associated with an increased risk of complications or morbidity.” (Handel, N. Long–term safety and efficacy of polyurethane foam-covered breast implants. Aesthetic Surgery Journal Vol.26 2006)

Guillermo Vasquez, a plastic surgeon from Buenos Aires in Argentina reported his experience using these implants in 407 patients over a ten year period. He concluded

“…this implant reduces capsular contracture to under 1%”

“We believe that the above mentioned percentage and the low incidence of other complications make the use of these implants one of the best options for augmentation”. (Vasquez, G. A ten year experience using polyurethane-covered breast implants. Aesthetic Plastic Surgery Vol.23 1999).

Dr Roderick Hester, Dr John Tebbetts and Dr Patrick Maxwell from Georgia, Dallas and Nashville respectively, reviewed the literature on and their experience with polyurethane covered breast implants. The senior author concluded

“During the span of this author’s practice, he has never been able to match the number and quality of superior results exemplified by these patients when using other devices.” (Hester T.R., Tebbbets, J. Maxwell, G.P. The polyurethane-covered mammary prosthesis: Facts and fiction (II). Clinics in Plastic Surgery Vol.28 2001.

“The Brazilian implants offer definite advantages for many patients. We recommend any patient considering breast implant surgery should ask their doctor about his or her offers polyuretane implants as an lternative to the straight gel implant.

“It has particular relevance when implants become time expired and require repacement.
Additionally for the patient whose implant is firm and suffering capsular contraction the “Braziulian implant is one method of choice.”

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