IMPLANT INFORMATION about Esthetic / Contour Implants

 

 
What … for? (Indications)
Esthetic or contouring implants change the outer contour of the body by augmentation. They are used most of the time for esthetic reasons, but they can be helpful for functional disorders too. Most often they are used for face and breast, but also in different body regions (auricle, calf, check, facial, nose, pectoralis, testicular).
contour Silicone_gel-filled_breast_implants source FDA breast implant
contour implant contour gluteal implant implantech thKWH98SA0
contour implantech conf-ext-anat-chin-implant chin implant
Numbers
Breast augmentation surgeries/year: USA 320.000 and 100.000 breast reconstruction after cancer surgery, Germany 20.000, UK 9.000. No reliable numbers in face surgery and different body regions.
Times
Augmentations done by bone correction in the facial skull or other body regions are stable. Modern silicon implants are expected to keep for 15-20 years.
Risks (Contraindications)

 

 

 

short term:

 

Inflammation, repulsion, injury of neighbouring structures
Foreign body reactions, allergic reactions, rejection, asymmetry.
long term:

 

Dislocation, chronic inflammation, chronic pain, nodularity, wrinkling, asymmetry, capsular contracture, reoperation, capsular rupture, scarring, implant removal, anaplastic large cell lymphoma.
Failures n/a, too many varieties
Materials available

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Artificial, synthetic

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Tissue expander (skin, breast) Used to prepare space for a definite implant
Injectable filler

 

 

 

hyaluronic acids, collagens (origin pigs, cows, cadavers), biosynthetic polymers (calcium hydroxylapatite, polycaprolactone, polymethylmethacrylate, polylactic acid)
Saline implants (for breast implants) vulcanized silicone elastomer filled with salt water 0.9%
Silicone gel implants for breast implants vulcanized silicone elastomer filled with silicone gel
Silicone gel implants (5th generation) for breast implants high-strength cohesive Silicone gel
Solid silicone for sizing purposes Silicone
Spacer for fracture repair, management of both cosmetic and post- traumatic facial deformities High-density porous Polyethylene

 

Autologous materials Lipoinjection, Fat transfer
  Contours may be changed by transposition or corrective bone surgery. There are many different types of contour changing surgeries done in medical specialties like leg lengthening, facial esthetic and functional surgeries. Titanium plates, screws, maybe in combination with bone and soft tissue implants of different origin (see there).

 

 

Statistics

 

 

 

 

Brasil 2014: breast augmentation 185.000
China 2011: breast augmentation 56.840
France 2011: breast augmentation 40.400
Germany 2014: breast augmentation 47.900
Italy 2011: breast augmentation 62.060
Japan 2011: breast augmentation 15.200
Mexico 2011: breast augmentation 45.600
USA 2014: total cosmetic surgery 15.600.000, breast augmentation 286.254, total reconstructive surgery 5.800.000
Literature

 

 

 

 

Problems

 

 

 

 

Problems with aesthetics are individually. The most common reason for changes is not medically or because of the material, but is done on request of the patient.

There have been material problems (ruptures) with PIP-implants and Rofil Medical Implants Ltd. These implants had to be removed/replaced and are no longer available.

 

Science/Future n/a
Medical societies see here
Criticism

 

 

  • So far there is no evidence for causal connection between Silicone implants and either type of diseases.
  • 20% of women after cosmetic implantation and 50% after breast reconstruction required explantation after 10 years (2011, FDA)

 

Selected patient informations

 

University of Texas, Dpt. of Otolaryngology about fillers and implants
Facts about Breast Implants D Zuckerman et al.
Wikipedia about breast implants
FDA about breast implants
Register  of patients(links) Swiss Plastic Surgery Register
Disclaimer

 

The information and links and whatsoever shown on this page are compiled with care. However, Implant-Register can´t take any responsibility for the information given, nor their content, nor their up-to-date nature, particularly in interlinked pages. You may help us with your contribution, granting us the decision to publish or not. Be careful with conclusions for yourself, in doubt double-check and consider medical solutions are individual and have to be found with an educated medical person.