|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).
breast contour implant
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.
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 (BIA-ALCL) with certain breast implants.|
|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
UK 2017: plastic surgery 36.482, boob jobs 8.537 ⇒
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.
Certain textured breast implants caused problems called breast implant-associated anaplastic large cell lymphoma (BIA-ALCL).
|Medical societies||see here
(as a patient you may watch for the patient information button in your regions language or the doctor finder button )
|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
Simply Breast Implants
The UK’s Plastic Surgery Addiction – Infographic about plastic surgery addiction
|Implant Patient Register (links)||Australian Breast Device Registry
Breast and Cosmetic Implant Registry (UK)
Dutch National Breast Implant Registry
National Breast Implant Registry (NBIR, U.S.A.)
Swiss Plastic Surgery Register
ICOBRA™ (International Collaboration of Breast Registry Activities, no website yet)
|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.|