Fw: Future directions in breast implant surgery.

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From: " Ilena Rose " <ilena@...>

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Sent: Wednesday, February 06, 2002 6:42 PM

Subject: Future directions in breast implant surgery.

> EXCERPT: The constant demand and pressure placed on the manufacturers to

> keep developing new fillers are proof that satisfaction with saline

> implants is lacking.

>

>

>

>

http://www.ncbi.nlm.nih.gov:80/entrez/query.fcgi?cmd=Retrieve & db=PubMed & list

_uid

> s=11727854 & dopt=Abstract

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> Clin Plast Surg 2001 Oct;28(4):687-702

>

> Future directions in breast implant surgery.

>

> Goldberg P, Habal MB.

>

> Department of Material Sciences and Engineering Biomaterials Center,

> University of Florida, Gainesville, USA.

> Breast implant surgery will remain a major component of the practice of

> plastic surgery. The future may hold promise for the introduction of new

> implants for the augmentation of the breast and for reconstruction. The

> constant demand and pressure placed on the manufacturers to keep

> developing new fillers are proof that satisfaction with saline implants is

> lacking. Today, however, the saline implant may be believed to be the

> safest breast implant available for clinical application. The demand

> necessitates that implants be used for enhancement of a woman's self image

> and for reconstruction.

>

> The smooth-surface implants are considered more popular and safer for

> patients, perhaps because it has been well documented that the shell may

> have been the cause of the problem. However, the constancy in holding on

> using and reapplying the same principles of a faulty shell may not be as

> scientific an endeavor as we have done in the past, and to keep placing

> different fillers in the faulty shell. Perhaps the lamination process used

> in manufacturing, the air in the shell, or wear and tear produces

> mechanical weakening of the shell that eventually will lead to loss of

> integrity of the silicone-shell breast implant.

>

> The global community is looking to plastic surgeons for a solution. The

> applications and the demand for breast implants are global in nature.

> Meanwhile, as clinicians are waiting for a new implantable breast device,

> they will continue to use what is available and advise patients that the

> implantation of a breast prosthesis is not a life-long endeavor.

>

> There is a need, however, for the implants to be maintained by the process

> of exchange every 8 to 10 years. Breast reaugmentation is to be performed

> as a standard because plastic surgeons will be waiting for further

> clarifications from the regulators or the scientific community. The goal

> is to produce a good outcome and maintain safety for the patients with a

> high standard of care.

>

> PMID: 11727854 [PubMed - in process]

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>