IMPLANT INFORMATION
about Esthetic / Contour Implants

patient´s checklist for breast implants: deutsch english

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).

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.

breast contour implant

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.

 
examples (breast, chin implant)

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 material

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.
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/Future    n/a

MEDICAL SOCIETIES
see 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 INFORMATION

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 addictionPost-operative recommendations after breast surgery

PATIENT CHECKLISTS

Questions to ask the surgeon about breast augmentation
(deutsch)      (español)        (français)

IMPLANT PATIENT REGISTER (links)

Australian Breast Device Registry (ABDR)
Breast and Cosmetic Implant Registry (BCIR, U.K.)
Bröstimplantatregistret of Sweden (BRIMP)
Danish Registry for Plastic Surgery of the Breast(DPB) start-up
Dutch National Breast Implant Registry (DBIR)
National Breast Implant Registry (NBIR, U.S.A.)
Swiss Plastic Surgery Register
ICOBRA™ (International Collaboration of Breast Registry Activities, no website yet)

In the register of the registries you can check which ones are available.

If your implant is not covered:
The Implant-Register offers registration of implants online and you can download a printable version for your personal use.

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.
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