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).

breast contour 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 (BIA-ALCL) with certain breast implants.
Failuresn/a, too many varieties
Materials availableArtificial, syntheticTissue expander (skin, breast)Used to prepare space for a definite implant
Injectable fillerhyaluronic 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 implantsvulcanized silicone elastomer filled with silicone gel
Silicone gel implants (5th generation) for breast implantshigh-strength cohesive Silicone gel
Solid silicone for sizing purposesSilicone
Spacer for fracture repair, management of both cosmetic and post- traumatic facial deformitiesHigh-density porous Polyethylene
Autologous materialsLipoinjection, 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).
StatisticsBrasil 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
LiteratureProblemsProblems 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.

Certain textured breast implants caused problems called breast implant-associated anaplastic large cell lymphoma (BIA-ALCL).

Science/Futuren/a
Medical societiessee here
(as a patient you may watch for the patient information button in your regions language or the doctor finder button )
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 informationsUniversity 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
DisclaimerThe 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.