Abstract
Background
The task of promoting patient safety and aesthetically pleasing results, without exceeding anatomical limitations or compromising surgical outcomes, is one of the biggest challenges plastic surgeons face today.
Methods
This is a multicenter, single-surgeon retrospective study evaluating the long-term safety and aesthetic results of Motiva Ergonomix® implants in 325 consecutive female recipients undergoing bilateral primary breast augmentation procedures, predominantly performed with a minimal incision approach between 2 and 3.5 cm. As a secondary benefit of the study, we aim to provide insight into modern patient needs and desires expressed during the pre-operative implant selection process, and data collected evaluating patient satisfaction rates using a pre-operative and post-operative Breast-Q questionnaire and a Patient and Observer Scar Assessment Scale (POSAS).
Results
Between 2015 and 2019, six hundred and fifty Ergonomix® implants were implanted into 325 consecutive patients undergoing primary breast augmentation with a mean minimal incision length of 2.9 cm (range 2–3.5 cm). The mean follow-up time was 14 months with a range of 6 to 48 months. Over the 5 years, a total of 7 complications were reported among 325 patients with an overall complication rate of 2.15% and an overall reoperation rate of 1.23% (N = 2).
Conclusions
Ergonomix® implants can provide a favorable choice for balancing both safety and aesthetics in primary breast augmentation procedures.
Level of evidence: III, Risk/Prognostic Study
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References
National Databank Aesthetic Plastic Surgery. Statistics 2020. Published 2020. Accessed July 22, 2021. https://cdn.surgery.org/media/statistics/aestheticplasticsurgerynationaldatabank-2020stats.pdf
Plastic Surgery Statistics | Global Plastic Surgery Statistics. Accessed November 1, 2021. https://www.isaps.org/medical-professionals/isaps-global-statistics/
Beekman WH, Hage JJ, Jorna LB, Mulder JW (1999) Augmentation mammaplasty: the story before the silicone bag prosthesis. Ann plast surg 43(4):446–451. https://doi.org/10.1097/00000637-199910000-00019
Coombs DM, Grover R, Prassinos A, Gurunluoglu R (2019) Breast augmentation surgery: Clinical considerations. Cleve Clin J Med 86(2):111–122
Breast Augmentation - StatPearls - NCBI Bookshelf. Accessed December 17, 2021. https://www.ncbi.nlm.nih.gov/books/NBK482206/
Montemurro P, Cheema M, Hedén P (2018) Patients’ and surgeons’ perceptions of social media’s role in the decision making for primary aesthetic breast augmentation. Aesthet Surg J 38(10):1078–1084. https://doi.org/10.1093/ASJ/SJY021
Stillaert FBJL, Lannau B, van Landuyt K, Blondeel PN (2020) The prepectoral, hybrid breast reconstruction: the synergy of lipofilling and breast implants. Plast Reconstr Surg Glob Open 8(7):e2966. https://doi.org/10.1097/GOX.0000000000002966
Yesantharao PS, Lee E, Khavanin N et al (2021) Thinking outside the black box: current perceptions on breast implant safety and utility. Plast Reconstr Surg 147(3):593–603. https://doi.org/10.1097/PRS.0000000000007626
Brown T (2013) Patient expectations after breast augmentation: the imperative to audit your sizing system. Aesth Plast Surg 37:1134–1139. https://doi.org/10.1007/s00266-013-0214-1
Sforza M, Hammond DC, Botti G et al (2019) Expert consensus on the use of a new bioengineered, cell-friendly, smooth surface breast implant. Aesthet Surg J 39(Suppl 2):S95–S102. https://doi.org/10.1093/asj/sjz054
Rigo MH, Piccinini PS, Sartori LDP, de Carvalho LAR, Uebel CO (2020) SMS—split muscle support: a reproducible approach for breast implant stabilization. Aesthetic Plast Surg 44(3):698–705. https://doi.org/10.1007/S00266-019-01565-5
Huemer GM, Wenny R, Aitzetmüller MM, Duscher D (2018) Motiva ergonomix round silksurface silicone breast implants: outcome analysis of 100 primary breast augmentations over 3 years and technical considerations. Plast Reconstr Surg 141(6):831e–842e. https://doi.org/10.1097/PRS.0000000000004367
Sforza M, Zaccheddu R, Alleruzzo A et al (2018) Preliminary 3-year evaluation of experience with silksurface and velvetsurface motiva silicone breast implants: a single-center experience with 5813 consecutive breast augmentation cases. Aesthet Surg J 38(suppl_2):S62–S73. https://doi.org/10.1093/ASJ/SJX150
Quirós MC, Bolaños MC, Fassero JJ (2019) Six-year prospective outcomes of primary breast augmentation with nano surface implants. Aesthet Surg J. 39(5):495–508. https://doi.org/10.1093/asj/sjy196
Montemurro P, Tay VKS (2021) Transitioning from conventional textured to nanotextured breast implants: our early experience and modifications for optimal breast augmentation outcomes. Aesthet Surg J 41(2):189–195. https://doi.org/10.1093/ASJ/SJAA169
D’Onofrio C (2020) Subfascial breast augmentation with crossed fascial sling, under tumescent anaesthesia with or without sedation and lower periareolar access. Aesthetic Plast Surg 44(5):1508–1513. https://doi.org/10.1007/S00266-020-01723-0
Jh K (2021) Association of the BellaGel® breast implant scandal with the poly implant prothèse fraud: a review of literatures. JSUR Open Access 7(1):1–10. https://doi.org/10.16966/2470-0991.230
Ma S (2016) The 21st century silicone breast implant. JSUR Open Access 2(4):1–2. https://doi.org/10.16966/2470-0991.E107
Zeplin PH (2021) Minimal scar breast augmentation: experience with over 500 implants. Handchir Mikrochir Plast Chir 53(2):144–148. https://doi.org/10.1055/A-1307-3917
Ma S (2016) The 21st century silicone breast implant. JSUR Open Access. 2(4):1–2. https://doi.org/10.16966/2470-0991.E107
MendonçaMunhoz A, Santanelli F, Pompeo D, De R (2017) Nanotechnology, nanosurfaces, and silicone gel breast implants: current aspects. Case Reports Plast Surg Hand Surg 4(1):99–113. https://doi.org/10.1080/23320885.2017.1407658
Doloff JC, Veiseh O, de Mezerville R, et al. (2021) The surface topography of silicone breast implants mediates the foreign body response in mice, rabbits, and humans. Nat Biomed Eng 2021, 1–16. https://doi.org/10.1038/s41551-021-00739-4
Quirós MC, Bolaños MC, Fassero JJ (2019) Six-year prospective outcomes of primary breast augmentation with nano surface implants. Aesthet Surg J 39(5):495–508. https://doi.org/10.1093/ASJ/SJY196
Cappellano G, Ploner C, Lobenwein S et al (2018) Immunophenotypic characterization of human T cells after in vitro exposure to different silicone breast implant surfaces. PLoS ONE. 13(2):e0192108. https://doi.org/10.1371/JOURNAL.PONE.0192108
Pontes GH, CarneiroFilho FSM, Vargas Guerrero LA et al (2021) reduced remodeling biomarkers tissue expression in nanotextured compared with polyurethane implants capsules: a study in rats. Aesthet Surg J. 41(6):NP64–NP683. https://doi.org/10.1093/ASJ/SJAA315
Nam SY, Lee M, Shin BH et al (2019) Characterization of BellaGel smooth implant surfaces and correlation with capsular contracture. JBNB 10(04):196–211. https://doi.org/10.4236/JBNB.2019.104012
Sforza M, Zaccheddu R, Alleruzzo A et al (2018) Preliminary 3-year evaluation of experience with silksurface and velvetsurface motiva silicone breast implants: a single-center experience with 5813 consecutive breast augmentation cases. Aesthet Surg J 38:S62–S73. https://doi.org/10.1093/ASJ/SJX150
Hallab NJ, Samelko L, Hammond D (2019) The inflammatory effects of breast implant particulate shedding: comparison with orthopedic implants. Aest Surg J 39(Supplement_1):S36–S48. https://doi.org/10.1093/asj/sjy335
Jewell ML, Bengtson BP, Smither K, Nuti G, Perry T (2019) Physical properties of silicone gel breast implants. Aesthet Surg J 39(3):264–275. https://doi.org/10.1093/ASJ/SJY103
Draaijers LJ, Tempelman FRH, Botman YAM et al (2004) The patient and observer scar assessment scale: a reliable and feasible tool for scar evaluation. Plast reconstr surg 113(7):1960–1965. https://doi.org/10.1097/01.PRS.0000122207.28773.56
Schwart's Principles of Surgery - McGraw Hill 11th edition
Fanous N, Tawile C, Brousseau VJ (2008) Minimal inframammary incision for breast augmentation. Can J Plast Surg 16(1):14–17. https://doi.org/10.1177/229255030801600109
Mohiuddin K, Swanson SJ (2013) Maximizing the benefit of minimally invasive surgery. J surg oncol 108(5):315–319. https://doi.org/10.1002/JSO.23398
Siddaiah-Subramanya M, Tiang KW, Nyandowe M (2017) A new era of minimally invasive surgery: progress and development of major technical innovations in general surgery over the last decade. Surg J ( N Y ) 3(4). https://doi.org/10.1055/S-0037-1608651
Campbell CF, Small KH Jr, Adams WPA (2015) The inframammary fold ( IMF ) fixation suture : proactive control of the IMF in primary breast augmentation. Aesthet Surg J 2016(36):619–623. https://doi.org/10.1093/asj/sjv178
Kelly JD, Comstock B, Shauly O, Smartt JM Jr, Gould DJ (2022) Validation of ideal breast characteristics with breast augmentation patients. Aesthet Surg J Open Forum 4:ojac010. https://doi.org/10.1093/asjof/ojac010
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Informed consent was obtained from all individual participants included in the study also to share and publish their photos.
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This study was performed in line with the principles of the Declaration of Helsinki.
According to the Italian Law and due to the retrospective nature of this observational study, approval from the ethics committee was not required.
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Mariagrazia Moio has been a KOL for Establishment Labs. Gisella Nele declares no conflict of interest to declare.
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Moio, M., Nele, G. A 5-year multicenter retrospective study on Motiva Ergonomix® breast implants: Minimizing complications and maximizing results. Eur J Plast Surg 46, 1099–1111 (2023). https://doi.org/10.1007/s00238-023-02098-6
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DOI: https://doi.org/10.1007/s00238-023-02098-6