Skip to main content
SpringerLink
Log in

Augmentation Mastoplasty Using Polyurethane-Covered Prostheses

  • Chapter
  • First Online:
Breast Surgery

  • 1632 Accesses

Abstract

The breast augmentation surgeries using silicone implants has a proeminent position in the global statistics. The launching of the polyurethane coated mammary implants by Ashley in 1970, brought a great advancement to these procedures, since its main characteristic is the low rate of capsular contracture, thus providing more stable and lasting results. The purpose of this text is to demonstrate the experience of the author with this kind of implant in the last 20 years. The advantages and disadvantages of its use are analyzed, as well as the complications, intercurrences and results. Some tactic details of the surgical technique, such as the choice of volume and previous demarcation of the extension of the receiving pocket are also presented. The polyurethane foam covered breat implants are an excellent indication on the breast augmentation surgeries, reconstructions and specially for secondary cases, achieving good results.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Log in via an institution

Institutional subscriptions

References

  • Ashley FL (1970) A new type of breast prosthesis: preliminary report. Plast Reconstr Surg 45(5):421–424

    Article  CAS  PubMed  Google Scholar 

  • Ashley FL (1972) Further studies on the natural-Y breast prosthesis. Plast Reconstr Surg 49(4):414–419

    Article  CAS  PubMed  Google Scholar 

  • Baker JL Jr. (1975) Classification of spherical contractures. Presented at the Aesthetic Breast Symposium, Scottdale, Arizona

    Google Scholar 

  • Baker JL Jr, Bartels RJ, Douglas WM (1976) Closed compression technique for rupturing a contracted capsule around a breast implant. Plast Recontr Surg 58(2):137–141

    Article  Google Scholar 

  • Baker DE, Retsky MI, Schultz S (1978) “Bleeding” of silicone from bag-gel breast implants, and clinical relation to fibrous capsule reaction. Plast Reconstr Surg 61(6):836–841

    Article  Google Scholar 

  • Brand KG (1984) Polyurethane-coated silicone implants and the question of capsular contracture. Plast Reconstr Surg 73(3):498

    Article  CAS  PubMed  Google Scholar 

  • Brand KG (1988) Foam-covered mammary implants. Clin Plast Surg 15(4):533–539

    CAS  PubMed  Google Scholar 

  • Cronin TD, Gerow F. (1964) Augmentation mammoplasty: a new (natural feel) prosthesis. In: Transactions of the Third International Congress of Plastic Surgery, Amsterdam, Excerpta Medica, pp 41–9

    Google Scholar 

  • De la Pena-Salcedo JA, Soto-Miranda MA, Lopez-Salguero JF (2012) Back to the future: a 15 years experience with polyurethane foam-covered breast implants using the partial subfascial technique. 36:331-338.

    Google Scholar 

  • FDA (2004) Breast Implant Consumer Handbook. Timeline of breast implant activities

    Google Scholar 

  • Food and Drug Administration (FDA) (1995) Update: Study of TDA released from polyurethane foam-covered breast implants

    Google Scholar 

  • Frame J, Kamel D, Olivan M, Cintra H (2015) The in vivo pericapsular tissue response to modern polyurethane breast implants. Aesth Plast Surg 39:713–723

    Article  Google Scholar 

  • Gasperoni C, Salgarello M, Gargani G (1992) Polyurethane-covered mammary implants: a 12-year experience. Ann Plast Surg 29(4):303–308

    Article  CAS  PubMed  Google Scholar 

  • Goes JCS (2010) Breast implant stability in the subfascial plane, and the new shaped silicone gel breast implants. Aesth Plast Surg 34:23–28

    Article  Google Scholar 

  • Graf RM, Bernanrdes A, Rippel R, Araujo LR, Damasio RC, Auerswald A (2003) Subfascial breast implant: a new procedure. Plast Reconstr Surg 111(2):904–908

    Article  PubMed  Google Scholar 

  • Handel N (2006) Long-term safety and efficacy of polyurethane foam-covered breast implants. Aesthetic Surg J 26:265–274

    Google Scholar 

  • Hester TR Jr, Cukic J (1991) Use of stacked polyurethane-covered mammary implants in aesthetic and reconstructive breast surgery. Plast Reconstr Surg 88(3):503–509

    Article  PubMed  Google Scholar 

  • Hester TR Jr, Nahai F, Bostwick J, Cukic J (1988) A 5-year experience with polyurethane-covered mammary prostheses for treatment of capsular contracture, primary augmentation mammoplasty, and breast reconstruction. Clin Plast Surg 15(4):569–585

    PubMed  Google Scholar 

  • Hester TR Jr, Ford NF, Gale PJ, Hammett JL, Raymond R, Turnbull D et al (1997) Measurement of 2,4-toluenediamine in urine and serum samples from women with meme or replicon breast implants. Plast Reconstr Surg 100(5):1291–1298

    Article  PubMed  Google Scholar 

  • Hunstad J, Webb L (2010) Subfascial breast augmentation: comprehensive experience. Aesth Plast Surg 34:365–373

    Article  Google Scholar 

  • Kerrigan CA (1989) Report on the Meme breast implant. McGill University, Montreal

    Google Scholar 

  • Melmed E (1988) Polyurethane implants: a 6-year review of 416 patients. Plast Reconstr Surg 82(2):285–290

    Article  CAS  PubMed  Google Scholar 

  • Miró AL (2009) Polyurethane-coated silicone breast implants: evaluation of 14 years’ experience. Rev Bras Cir Plast 24(3):296–303

    Google Scholar 

  • National Cancer Institute (1979) Bioassay of 2.4 diaminotoluene for possible carcinogenicity. (DHEW/Pub.NIH-79-1718)

    Google Scholar 

  • Pitanguy I, Brentano J, Castro RM (1990) Implante de silicone gel com revestimento de poliuretano [Silicone gel implant with polyurethane coating]. Rev Bras Cir 80:119

    Google Scholar 

  • Rebello C (1993) Mamoplastia de aumento com próteses mamárias de silicone revestidas de poliuretano [Augmentation mammoplasty with polyurethane coated prostheses]. Rev Bras Cir Plast 8:58

    Google Scholar 

  • Silicon Commission from Brazilian Plastic Surgeons Society (2013)—E-Plastiko’s -official SBCP periodical magazine 19/2013 - News SBCP

    Google Scholar 

  • Sinclair TM, Kerrigan CL, Buntic R (1993) Biodegradation of the polyurethane foam covering of breast implants. Plast Reconstr Surg. Nov;92(6):1003–13; discussion 1014.

    Google Scholar 

  • Smahel J (1978) Tissue reactions to breast implants coated with polyurethane. Plast Reconstr Surg 61(1):80–85

    Article  CAS  PubMed  Google Scholar 

  • Vázquez G (1999) A ten-year experience using polyurethane-covered breast implants. Aesthet Plast Surg 23(3):189–196

    Article  Google Scholar 

  • Vázquez G (2005) Modification of the anatomic silicone gel implant with polyurethane cover. Cir Plast Iberolatinamer 31:193–198

    Google Scholar 

  • Vázquez G, Pellón A (2007) Polyurethane-coated silicone gel breast implants used for 18 years. Aesthet Plast Surg 31(4):330–336

    Article  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Clinica de Cirurgia Plastica e Reparadora Dr. Arnaldo Lobo Miró Ltda, Alameda Dom Pedro II, 80420-060, Curitiba, PR, Brazil

    Arnaldo Miró

Authors
  1. Arnaldo Miró
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Arnaldo Miró .

Editor information

Editors and Affiliations

  1. São Paulo, São Paulo, Brazil

    Juarez M. Avelar

Rights and permissions

Reprints and permissions

Copyright information

© 2018 Springer International Publishing AG

About this chapter

Check for updates. Verify currency and authenticity via CrossMark

Cite this chapter

Miró, A. (2018). Augmentation Mastoplasty Using Polyurethane-Covered Prostheses. In: Avelar, J. (eds) Breast Surgery. Springer, Cham. https://doi.org/10.1007/978-3-319-54115-0_52

Download citation

  • DOI: https://doi.org/10.1007/978-3-319-54115-0_52

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-54114-3

  • Online ISBN: 978-3-319-54115-0

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics

Search

Navigation