Abstract
This study aimed to present an update on the use of polyurethane-coated silicone gel breast implants. After 18 years of experience using these implants and 1,257 surgically treated patients, the authors can draw some new conclusions. Their postoperative follow-up evaluation of 300 patients for 5 years, 250 patients for 10 years, and 180 patients for 15 years has shown the lowest incidence of fibrous capsular contraction (1%) with these implants.
Similar content being viewed by others
References
Ashley F: A new type of breast prosthesis. Plast Reconstr Surg 45:421, 1970
Ashley F: Further studies on the Natural-Y breast prosthesis. Plast Reconstr Surg 49:414, 1972
Barbato C, Pena M, Triana C: Augmentation mammoplasty using the retrofascia approach. Aesth Plast Surg 28:148, 2004
Barone F, Perry L, Keller T, et al.: The biomechanical and histopathology effects of surface texturing with silicone and polyurethane in tissue implantation and expansion. Plast Reconstr Surg 90:77, 1992
Benito-Ruiz J: Subfascial breast implant. Plast Reconstr Surg 113:1088, 2004
Brand G: Foam-covered mammary implants. Clin Plast Surg 73:498, 1984
Bucky L, Ehrlich P, Sohoni, et al.: The capsular quality of the saline-filled smooth silicone, textured silicone, and polyurethane implants in rabbits: A long-term study. Plast Reconstr Surg 93:1123, 1994
Capozzi A: Polyurethane-covered gel mammary implants. Plast Reconstr Surg 69:904, 1982
Capozzi A, Pennisi V: Clinical experience with polyurethane-covered gel-filled mammary prosthesis. Plast Reconstr Surg 68:512, 1981
Cocke W, Leathers H, Lynch J: Foreign body reactions to polyurethane covers of some breast prosthesis. Plast Reconstr Surg 56:527, 1975
Cohney B, Cohney T, Hearne V: Nineteen years experience with polyurethane foam-covered mammary prosthesis: A preliminary report. Ann Plast Surg 27:27, 1991
Dolsky RL: Inserting the Méme prosthesis. Plast Reconstr Surg 76:974, 1985
Dolsky RL: Polyurethane-coated implants. Plast Reconstr Surg 76:974, 1985
Eyssen JE, Von Werssowetz AJ, Middlenton GD: Reconstruction of the breast using polyurethane-coated prosthesis. Plast Reconstr Surg 74:415, 1984
Food and Drug Administration (FDA): Update: Study of TDA released from polyurethane foam-covered breast implants, June 27, 1995
Gasperoni C, Salgarello M, Gargani G: Polyurethane-covered mammary implants: A 12-year experience. Ann Plast Surg 29:303, 1992
Graf RM, Bernardes A, Rippel R, Araujo LR, Costa Damio MD, Auersvald A: Subfascial breast implant: A new procedure. Plast Reconstr Surg 111:904, 2003
Handel N, Cordray T, Gutierrez J, et al.: A long-term study of outcomes, complications, and patient satisfaction with breast implants. Plast Reconstr Surg 117: 757–767, 2006
Handel N, et al.: Comparative experience with smooth and polyurethane breast implants using the Kaplan–Meier method survival analysis. Plast Reconstr Surg 88:475, 1991
Herman S: The meme implant. Plast Reconstr Surg 73:411, 1984
Hester R, Cukic J: Use of stached polyurethane-covered mammary implants in aesthetic and reconstructive breast surgery. Plast Reconstr Surg 88:503, 1991
Hester R, Nahai F, Bostwick J, et al.: A 5-year experience with polyurethane-covered mammary prosthesis for treatment of capsular contracture, primary augmentation mammoplasty, and the breast reconstruction. Clin Plast Surg 15:569, 1988
Hester R, et al.: Measurement of 2,4-toluenediamine in urine and serum samples from women with meme or replicon breast implants. Plast Reconstr Surg 100:1291–1298, 1997
Hoefflin S: Extensive experience with polyurethane breast implants. Plast Reconstr Surg 86:166, 1990
Luu HM, Hutter JC, Bushar HF: A physiologically based pharmacokinetic model for 2,4-toluenediamine leached from polyurethane foam-covered breast implants. Environ Health Perspect 106:393–400, 1998
Melmed E: Polyurethane implants: A 6-year review of 416 patients. Plast Reconstr Surg 82:285, 1988
Melmed E: Treatment of breast contracture with open capsulectomy and replacement of gel prosthesis with polyurethane-covered implants. Plast Reconstr Surg 86:270, 1990
Pennisi V: Long-term use the polyurethane breast prosthesis: A 14-year experience. Plast Reconstr Surg 86:368, 1990
Pennisi V: Polyurethane-covered silicone gel mammary prosthesis for successful breast reconstruction. Aesth Plast Surg 9:73, 1985
Pitanguy I, Brentano J, Castro Ramalho M, et al.: Implante du silicone gel com revestimento du poliuretano. Rev Brasil Cirurgia 80:119, 1990
Rebello C: Mamoplastía du aumento com próteses mamaria du silicone revestidas du poliuretano. Rev Brasil Cirurgia Plast 8:58, 1993
Sampaio Goes IC, Lndecker A: Optimizing outcomes in breast augmentation: Seven years of experience with the subfascial plane. Aesth Plast Surg 27:178, 2003
Santerre JP, Wang FGB, Labor RS: Biodegradation of the microthane polyester polyurethane by the lissome enzyme cholesterol esterase and identification of degradation products. 24th Annual Meeting of the Society for Biomaterials, San Diego, CA, April 1998
Schatten W: Reconstruction of breast following mastectomy with polyurethane foam covering gel-filled prosthesis. Ann Plast Surg 12:147, 1984
Sinclair T, Kerrigan C, Buntik R: Biodegradation of the polyurethane foam covering of breast implants. Plast Reconstr Surg 92:1003, 1993
Smahel J: Tissue reactions to breast implants covered with polyurethane. Plast Reconstr Surg 61:80, 1987
Vázquez G: A ten-year experience using polyurethane-covered breast implants. Aesth Plast Surg 23:189–196, 1999
Vázquez G: Modification of the anatomic silicone gel implant with polyurethane cover. Cir Plast Iberolatinamer 31:193–198, 2005
Ventura OD: Implantes mamarios subfasciales: Un nuevo concepto. Libro de Comunicaciones del XV Congreso de la FILACP, XXXV Congreso de la SECPRE. Sevilla (España), p. 308, 2004
Ventura OD, Marcello G, Gamboa C, et al.: Implantes mamarios en el plano subfascial en reemplazo del bolsillo subglandular: Un cambio lógico. Cir Plást Iberlatinamer 32:11–16, 2006
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Vázquez, G., Pellón, A. Polyurethane-Coated Silicone Gel Breast Implants Used for 18 Years. Aesth Plast Surg 31, 330–336 (2007). https://doi.org/10.1007/s00266-006-0207-4
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00266-006-0207-4