Abstract
Breast implants have evolved from the original saline-filled, smooth-surfaced silicone rubber bag to silicone gel-filled smooth-walled sacs to a combination of a silicone gel-filled bag within a saline-filled sac, and, most recently, a reversed, double-lumen implant with a saline bag inside of a gel-filled bag. Texture-surfaced implants were first used in 1970 when the standard silicone gelfilled implant was covered with a polyurethane foam. Because of concerns about the degradation products of this foam, they were removed from the market in 1991. In 1975 double-lumen silicone textured implants were developed, followed by silicone gel-filled textured implants. In 1990 a new radiolucent, biocompatible gel was produced that reduced the problem of radioopacity of silicone implants. Because of the gel's sufficiently low coefficient of friction, leakage caused by fold flaw freacture may also be decreased. We present a case where this new biocompatible gel implant was repositioned after four months. The resulting scar capsule in this soft breast was thin [<0.002 cm (0.008 in.)] and evenly textured as a mirror image of the textured silicone surface. Scanning electron microscopy and x-ray defraction spectrophotometry revealed no silicone bleed.
This is a preview of subscription content, log in via an institution to check access.
Similar content being viewed by others
References
Ashley FL: A new type of breast prosthesis. Preliminary report. Plast Reconstr Surg45:421, 1970
Barton FE Jr: Augmentation mammaplasty. Set Read Plast Surg3:1, 1985
Beisang AA, Geise RA, Ersek RA: Radiolucent prosthetic gel. Plast Reconstr Surg87:885, 1991
Brand KG: Polyurethane-coated silicone implants and question of capsular contracture. Plast Reconstr Surg73:498, 1984
Capozzi A: Long-term complications with polyurethane-coated gel-filled mammary implants. Presented at the 37th National Congress of Italian Society of Plastic Surgery, Genoa, Italy, September 1988
Cohney BC, Cohney TB, Hearnes VA: 19 years experience with polyurethane foam-covered mammary prosthesis: a preliminary report. Ann Plast Surg27:27, 1991
Cronin TD, Gerow FJ: Augmentation mammaplasty: a new “natural feel” prosthesis. Trans Third Int Congr Plast Reconstr Surg p 41, 1964
Ellenberg AH, Braun H: A three and a half-year experience with double-lumen implants in breast surgery. Plast Reconstr Surg63:307, 1980
Ersek RA: Prostheses for breast augmentation—progress in materials and the design of these implants continues. Travis County Med Soc J May 1989
Ersek RA: Rate and incidence of capsular contracture: a comparison of smooth and textured silicone double-lumen breast prostheses. Plast Reconstr Surg87:879, 1991
Ersek RA, Beisang AA: Biologically, osmotically, oncotically balanced safety gel for breast implants-one year clinical experience. Presented at the American Society of Aesthetic Plastic Surgery Annual Meeting. New York, NY, April 1991
Ersek RA, Beisang AA: Molecular Impact Surface Textured Implants (M.I.S.T.I.) beneficially alter breast capsule formation at 36 months. J Long-Term Effects Med Implants (in press)
Ersek RA, Navarro JA: Transaxillary subpectoral placement of textured breast prostheses. Ann Plast Surg27:93, 1991
Ersek RA, Burroughs JR, Ersek CL, Navarro JA: Interrelationship of capsule thickness and breast hardness confirmed by a new measurement method. Plast Reconstr Surg87:1069, 1991
Eyssen JE, von Werssowetz AJ, Middleton GD: Reconstruction of the breast using polyurethane-coated prostheses. Plast Reconstr Surg73:415, 1984
Jabaley ME, Das SK: Late breast pain following reconstruction with polyurethane-covered implants. Plast Reconstr Surg78:390, 1986
Massiha H: Eight years experience with polyurethane breast implants. American Society for Aesthetic Plastic Surgery Annual Convention. Chicago, IL, April 1990
McGrath MH, Burkhardt BR: The safety and efficiency of breast implants for augmentation mammaplasty. Plast Reconstr Surg74:550, 1984
McKinney P, Tresley G: Long-term comparison of patients with gel and saline mammary implants. Plast Reconstr Surg72:27, 1983
Rubin LR: Polyurethane in biomedical engineering II—Proceedings of the 2nd International Conference on Polyurethanes in Biomedical Engineering, Fellback/Stuttgart, June 1986. Ann Plast Surg21:89, 1988
Slade CL, Peterson HD: Disappearance of the polyurethane cover of the Ashley natural Y prosthesis. Plast Reconstr Surg70:379, 1982
Taylor SR, Gibbons DF: Effect of surface texture on the soft tissue response to polymer implants. J Biomed Mater Res17:204, 1983
Vistnes LM, Ksander GA:Tissue response to soft silicone prostheses: capsule formation and other sequelae. In: Rubin LR (ed): Biomaterials in recon structive surgery. St. Louis: C.V. Mosby Co., pp 516–528, 1983
Vogt PA, Seider HA, Moufarrege R, et al: Surfacepatterned silicone implants decrease contracture for soft breast prostheses. Contemp Surg37:25, 1990
Williams C, Aston S, Rees TD: The effects of hematoma on the thickness of pseudosheaths around silicone implants. Plast Reconstr Surg56:194, 1975
Worton EW, Seifert LN, Sherwood R: Late leakage of inflatable silicone breast prostheses. Plast Reconstr Surg65:302, 1980
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Ersek, R.A., Navarro, J.A., Nemeth, D.Z. et al. A no bleed implant. Aesth. Plast. Surg. 17, 225–228 (1993). https://doi.org/10.1007/BF00636265
Issue Date:
DOI: https://doi.org/10.1007/BF00636265