Round Form-Stable Breast Implants: Diagnosis and Management of Complications

Plast Reconstr Surg. 2019 Jul;144(1S Utilizing a Spectrum of Cohesive Implants in Aesthetic and Reconstructive Breast Surgery):73S-81S. doi: 10.1097/PRS.0000000000005953.

Abstract

Silicone gel breast implants have been used for breast augmentation and reconstruction since 1962. Since then, multiple generations of implants have been created in an effort to improve safety and efficacy. Before 1990, silicone gel implants were characterized as having thin shells and non-cohesive gel; however, since then devices are created with cohesive silicone gel and a variety of surfaces. Despite improvements, no implant will last forever; however, these devices are safe and effective based on numerous clinical and epidemiologic studies. As with all medical devices, complications using round form-stable implants for breast reconstruction can occur and will be reviewed in this article.

Publication types

  • Review

MeSH terms

  • Anti-Bacterial Agents / therapeutic use
  • Breast / surgery
  • Breast / transplantation
  • Breast Implantation / adverse effects*
  • Breast Implantation / instrumentation
  • Breast Implants / adverse effects*
  • Device Removal
  • Drainage
  • Female
  • Humans
  • Implant Capsular Contracture / diagnosis
  • Implant Capsular Contracture / epidemiology
  • Implant Capsular Contracture / therapy*
  • Incidence
  • Prosthesis-Related Infections / diagnosis
  • Prosthesis-Related Infections / epidemiology
  • Prosthesis-Related Infections / therapy*
  • Reoperation / methods
  • Seroma / diagnosis
  • Seroma / epidemiology
  • Seroma / therapy*
  • Silicone Gels
  • Transplantation, Autologous

Substances

  • Anti-Bacterial Agents
  • Silicone Gels