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Breast Implants: Far Beyond Just Aesthetic Surgery

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Women's Health and Biomechanics

Part of the book series: Lecture Notes in Computational Vision and Biomechanics ((LNCVB,volume 29))

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Abstract

For decades, women have undergone breast implant surgery either for health or aesthetic reasons. Some adverse effects have made their history full of events, showing the complex factors involved in the interaction of the device with the human body. Understanding the adverse outcomes is a key factor to improve the breast implants. This will help to increase the safety of the procedure. It is also important to stress some new concerns as well as the lack of evidence of involvement on specific long-term health outcomes in women with silicone gel breast implants, such as cancer; connective tissue, rheumatologic, and autoimmune diseases; neurologic diseases; reproductive issues, including lactation; offspring issues; and mental health issues. The development of the National Breast Implant Registry (NBIR), since 2012 by the American Society of Plastic Surgeons in collaboration with the FDA was a huge step to understand these issues. In this database, it is possible to collect and tracks important information on patients and devices, maximizing data extraction from clinical cohorts and directing more meaningful analyses. Researchers could finally obtain clarification of the long-term health outcomes of silicone gel breast implants.

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References

  1. ISAPS (2014) International survey on aesthetic. Global Statistic. http://www.isaps.org/news/isaps-global-statistics. Accessed 11 Feb 2016

  2. Maxwell GP, Gabriel A (2009) The evolution of breast implants. Clin Plast Surg 36(1):1–13. https://doi.org/10.1016/j.cps.2008.08.001

    Article  Google Scholar 

  3. Bondurant S, Ernster V, Herdman R (2005) Safety of silicone breast implants. National Academies, Washington, pp 1–559

    Google Scholar 

  4. Food and Drug Administration (1992) (FDA), Special report. The basis of the FDA´s decision on breast implants. The New England Journal of Medicine-. New Engl J Med 326(25):1713–1715

    Article  Google Scholar 

  5. Yu LT, La Torre G, Marotta J et al (1996) In vitro measurement of silicone bleed from breast implants. Plast Reconstr Surg 97:756–764

    Article  Google Scholar 

  6. Siemionow MZ, Marita ME (2010) Plastic and Reconstructive Surgery. Springer, London. ISBN 978-1-84882-512-3

    Google Scholar 

  7. Phillips JW, de Camara DL, Lockwood MD et al (1996) Strength of silicone breast implants. Plast Reconstr Surg 97(6):1215–1225

    Article  Google Scholar 

  8. Goldberg EP, Widenhouse C, Marotta J et al (1997) Failure of silicone gel breast implants: analysis of literature data for 1652 explanted prostheses. Plast Reconstr Surg 100:281–284

    Article  Google Scholar 

  9. Brandon HJ, Jerina KL, Wolf CJ (2012) Retrieval and analysis of breast implants emphasizing strength, durability, and failure mechanisms. Woodhead Publishing Limited. https://doi.org/10.1016/B978-1-84569-799-0.50007-4

  10. Cunningham B, (2007) The mentor core study on silicone memory gel breast implants. Plast Reconstr Surg 120(9S–29S):30–32. https://doi.org/10.1097/01.prs.0000286574.88752.04

  11. Spear SL, Murphy DK, Slicton A et al (2007) Inamed silicone breast implant core study results at 6 years. Plast Reconstr Surg 120(8S–16S):17–18. https://doi.org/10.1097/01.prs.0000286580.93214

  12. Barr S, Bayat A (2011) Breast implant surface development: perspectives on development and manufacture. Aesthet Surg J 31:56–67. https://doi.org/10.1177/1090820X10390921

    Article  Google Scholar 

  13. Rohrich RJ, Adams WP, Beran SJ et al (1998) An analysis of silicone gel-filled breast implants: diagnosis and failure rates. Plast Reconstr Surg 102(7):2304–2308

    Article  Google Scholar 

  14. Scientific Committee on Emerging and Newly Identified Health Risks (2013) The safety of PIP silicone breast implants. http://ec.europa.eu/health/scientific_committees/emerging/docs/scenihr_o_043.pdf. Accessed 10 Mar 2013

  15. Wazir U, Kasem A, Mokbel K (2015) The clinical implications of poly implant prothèse breast implants: an overview. Arch Plast Surg 42:4–10. https://doi.org/10.5999/aps.2015.42.1.4

    Article  Google Scholar 

  16. Santos DC, Barroso ML, Gomes N et al (2015) PIP breast implant rupture—A retrospective study from Portugal. Eur J Plast Surg 38(4):301–308

    Article  Google Scholar 

  17. Swarts E, Kop AM, Nilasaroya A et al (2013) Rupture of poly implant prothèse silicone breast implants: an implant retrieval study. Plast Reconstr Surg 131(4):480e–489e. https://doi.org/10.1097/PRS.0b013e3182818a00

    Article  Google Scholar 

  18. Grigg M, Bondurant S, Ernster VL et al (2000) Information for women about the safety of silicone breast implants. National Academy Press, Washington D.C. ISBN 0-309-52021-5

    Google Scholar 

  19. Grewal NS, Fisher J (2013) Why do patients seek revisionary breast surgery? Aesthet Surg J 33(2):237–244. https://doi.org/10.1177/1090820X12472693

    Article  Google Scholar 

  20. Minami E, Koh IH, Ferreira JC et al (2006) The composition and behavior of capsules around smooth and textured breast implants in pigs. Plast Reconstr Surg 118(4):874–884. https://doi.org/10.1097/01.prs.0000240878.24213.b7

    Article  Google Scholar 

  21. Liu X, Zhou L, Pan F et al (2015) Comparison of the post-operative incidence rate of capsular contracture among different breast implants: a cumulative meta-analysis. PLOS ONE 10(2):e0116071. https://doi.org/10.1371/journal.pone.0116071

  22. Brody GS, Long JN, Talavera F (2016) Silicone Breast Implant Safety and Efficacy. Medscape. http://emedicine.medscape.com/article/1275451-overview#showall. Accessed 9 Feb 2016

  23. Fisher J, Handel N (2014) Problems in breast surgery a repair manual. CRS Press, Taylor and Fraqncis Group. ISBN 13:978-1-4822-6093

    Google Scholar 

  24. Headon H, Kasem A, Mokbel K (2015) Capsular contracture after breast augmentation: an update for clinical practice. Arch Plast Surg 42(5):453–532. https://doi.org/10.5999/aps.2015.42.5.532

    Article  Google Scholar 

  25. Arquero PS, Zanata FC, Ferreira LM et al (2015) Capsular weakness around breast implant: a non-recognized complication. World J Plast Surg 4(2):168–174

    Google Scholar 

  26. Roxo AC, Nahas FX, Salin R et al (2016) Volumetric evaluation of the mammary gland and pectoralis major muscle following subglandular and submuscular breast augmentation. Plast Reconstr Surg 137(1):62–69. https://doi.org/10.1097/PRS.0000000000001874

    Article  Google Scholar 

  27. Potter EH, Rohrich R, Bolden K (2013) The role of silicone granulomas in recurrent capsular contracture: a review of the literature and an approach to management. Plast Reconstr Surg 131(6):888e–895e. https://doi.org/10.1097/PRS.0b013e31828bd642

    Article  Google Scholar 

  28. Austad ED (2002) Breast implant-related silicone granulomas: the literature and the litigation. Plast Reconstr Surg 109:1724–1732

    Article  Google Scholar 

  29. Food and Drug Administration (FDA) (2006) Guidance for industry and FDA Staff. Saline, Silicone Gel, and Alternative Breast Implants. U.S. Department of Health and Human Services.

    Google Scholar 

  30. Balk EM, Earley A, Avendano EA, Raman G (2016) Long-term health outcomes in women with silicone gel breast implants: a systematic review. Ann Intern Med 164(3):164–175. https://doi.org/10.7326/M15-1169

    Article  Google Scholar 

  31. TGA (2013) PIP breast implants: Update on TGA testing of PIP breast implants. http://www.tga.gov.au/alert/pip-breast-implants-update-tga-testing-pip-breast-implants. Accessed 10 Mar 2013

  32. Ramião NG, Martins PS, Rynkevic R et al (2016) Biomechanical properties of breast tissue, a state-of-the-art review. Biomech Model Mechanobiol 15(5):1307–1323. https://doi.org/10.1007/s10237-016-0763-8

    Article  Google Scholar 

  33. Daniels AU (2012) Silicone breast implant materials. Swiss Med Wkly 142:w136

    Google Scholar 

  34. Keogh SB (2012) Poly Implant Prothese (PIP) breast implants: final report of the working group. Leeds, UK: Department of Health, NHS Medical Directorate; 2012. Report No. 17744

    Google Scholar 

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Author information

Authors and Affiliations

  1. INEGI, Faculty of Engineering of University of Porto, Porto, Portugal

    Nilza Ramião, Pedro Martins & Antonio Augusto Fernandes

  2. Division of Plastic Surgery, Federal University of São Paulo, São Paulo, Brazil

    Fabiana Zanata & Fabio X. Nahas

  3. Plastic Surgery Unit, Centro Médico Docente La Trinidad, Caracas, Venezuela

    Tomas Fortoul

  4. Chairwoman of the Division of Plastic Surgery, Federal University of São Paulo, São Paulo, Brazil

    Lydia M. Ferreira

  5. Department of Plastic Surgery, Centro Hospitalar de Gaia-Espinho—EPE, Vila Nova de Gaia, Portugal

    Maria da Luz Barroso & Diana Costa Santos

Authors
  1. Nilza Ramião
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  2. Fabiana Zanata
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  3. Tomas Fortoul
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  4. Fabio X. Nahas
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  5. Lydia M. Ferreira
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  6. Pedro Martins
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  7. Antonio Augusto Fernandes
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  8. Maria da Luz Barroso
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  9. Diana Costa Santos
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Corresponding author

Correspondence to Nilza Ramião .

Editor information

Editors and Affiliations

  1. Department of Radiology, CHSJ-EPE, Faculty of Medicine, University of Porto, Porto, Portugal

    Sofia Brandão

  2. Department of Biomechanics, College of Health and Sport Science (CEFID), Santa Catarina State University (UDESC), Florianópolis, Brazil

    Thuane Da Roza

  3. Department of Radiology, CHSJ-EPE, Faculty of Medicine, University of Porto, Porto, Portugal

    Isabel Ramos

  4. Department of Obstetrics and Gynecology, CHSJ-EPE, Faculty of Medicine, University of Porto, Porto, Portugal

    Teresa Mascarenhas

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Ramião, N. et al. (2018). Breast Implants: Far Beyond Just Aesthetic Surgery. In: Brandão, S., Da Roza, T., Ramos, I., Mascarenhas, T. (eds) Women's Health and Biomechanics. Lecture Notes in Computational Vision and Biomechanics, vol 29. Springer, Cham. https://doi.org/10.1007/978-3-319-71574-2_7

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  • DOI: https://doi.org/10.1007/978-3-319-71574-2_7

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-71573-5

  • Online ISBN: 978-3-319-71574-2

  • eBook Packages: EngineeringEngineering (R0)

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