Skip to main content
Log in

Polyurethane-Coated Silicone Gel Breast Implants Used for 18 Years

  • Original Article
  • Published:
Aesthetic Plastic Surgery Aims and scope Submit manuscript

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.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1.
Fig. 2.
Fig. 3.
Fig. 4.
Fig. 5.
Fig. 6.
Fig. 7.
Fig. 8.
Fig. 9.
Fig. 10.

Similar content being viewed by others

References

  1. Ashley F: A new type of breast prosthesis. Plast Reconstr Surg 45:421, 1970

    Article  PubMed  CAS  Google Scholar 

  2. Ashley F: Further studies on the Natural-Y breast prosthesis. Plast Reconstr Surg 49:414, 1972

    Article  PubMed  CAS  Google Scholar 

  3. Barbato C, Pena M, Triana C: Augmentation mammoplasty using the retrofascia approach. Aesth Plast Surg 28:148, 2004

    Article  Google Scholar 

  4. 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

    Article  PubMed  CAS  Google Scholar 

  5. Benito-Ruiz J: Subfascial breast implant. Plast Reconstr Surg 113:1088, 2004

    Article  PubMed  Google Scholar 

  6. Brand G: Foam-covered mammary implants. Clin Plast Surg 73:498, 1984

    CAS  Google Scholar 

  7. 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

  8. Capozzi A: Polyurethane-covered gel mammary implants. Plast Reconstr Surg 69:904, 1982

    Article  PubMed  CAS  Google Scholar 

  9. Capozzi A, Pennisi V: Clinical experience with polyurethane-covered gel-filled mammary prosthesis. Plast Reconstr Surg 68:512, 1981

    Article  PubMed  CAS  Google Scholar 

  10. Cocke W, Leathers H, Lynch J: Foreign body reactions to polyurethane covers of some breast prosthesis. Plast Reconstr Surg 56:527, 1975

    Article  PubMed  CAS  Google Scholar 

  11. Cohney B, Cohney T, Hearne V: Nineteen years experience with polyurethane foam-covered mammary prosthesis: A preliminary report. Ann Plast Surg 27:27, 1991

    Article  PubMed  CAS  Google Scholar 

  12. Dolsky RL: Inserting the Méme prosthesis. Plast Reconstr Surg 76:974, 1985

    Article  PubMed  CAS  Google Scholar 

  13. Dolsky RL: Polyurethane-coated implants. Plast Reconstr Surg 76:974, 1985

    Article  PubMed  CAS  Google Scholar 

  14. Eyssen JE, Von Werssowetz AJ, Middlenton GD: Reconstruction of the breast using polyurethane-coated prosthesis. Plast Reconstr Surg 74:415, 1984

    Google Scholar 

  15. Food and Drug Administration (FDA): Update: Study of TDA released from polyurethane foam-covered breast implants, June 27, 1995

  16. Gasperoni C, Salgarello M, Gargani G: Polyurethane-covered mammary implants: A 12-year experience. Ann Plast Surg 29:303, 1992

    Article  PubMed  CAS  Google Scholar 

  17. 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

    Article  PubMed  Google Scholar 

  18. 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

    Article  PubMed  CAS  Google Scholar 

  19. 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

    PubMed  CAS  Google Scholar 

  20. Herman S: The meme implant. Plast Reconstr Surg 73:411, 1984

    Article  PubMed  CAS  Google Scholar 

  21. Hester R, Cukic J: Use of stached polyurethane-covered mammary implants in aesthetic and reconstructive breast surgery. Plast Reconstr Surg 88:503, 1991

    Article  PubMed  Google Scholar 

  22. 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

    PubMed  Google Scholar 

  23. 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

    Google Scholar 

  24. Hoefflin S: Extensive experience with polyurethane breast implants. Plast Reconstr Surg 86:166, 1990

    Article  PubMed  CAS  Google Scholar 

  25. 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

    Article  PubMed  CAS  Google Scholar 

  26. Melmed E: Polyurethane implants: A 6-year review of 416 patients. Plast Reconstr Surg 82:285, 1988

    Article  PubMed  CAS  Google Scholar 

  27. Melmed E: Treatment of breast contracture with open capsulectomy and replacement of gel prosthesis with polyurethane-covered implants. Plast Reconstr Surg 86:270, 1990

    Article  PubMed  CAS  Google Scholar 

  28. Pennisi V: Long-term use the polyurethane breast prosthesis: A 14-year experience. Plast Reconstr Surg 86:368, 1990

    Article  PubMed  CAS  Google Scholar 

  29. Pennisi V: Polyurethane-covered silicone gel mammary prosthesis for successful breast reconstruction. Aesth Plast Surg 9:73, 1985

    Article  CAS  Google Scholar 

  30. Pitanguy I, Brentano J, Castro Ramalho M, et al.: Implante du silicone gel com revestimento du poliuretano. Rev Brasil Cirurgia 80:119, 1990

    Google Scholar 

  31. Rebello C: Mamoplastía du aumento com próteses mamaria du silicone revestidas du poliuretano. Rev Brasil Cirurgia Plast 8:58, 1993

    Google Scholar 

  32. Sampaio Goes IC, Lndecker A: Optimizing outcomes in breast augmentation: Seven years of experience with the subfascial plane. Aesth Plast Surg 27:178, 2003

    Article  Google Scholar 

  33. 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

  34. Schatten W: Reconstruction of breast following mastectomy with polyurethane foam covering gel-filled prosthesis. Ann Plast Surg 12:147, 1984

    Article  PubMed  CAS  Google Scholar 

  35. Sinclair T, Kerrigan C, Buntik R: Biodegradation of the polyurethane foam covering of breast implants. Plast Reconstr Surg 92:1003, 1993

    Article  PubMed  CAS  Google Scholar 

  36. Smahel J: Tissue reactions to breast implants covered with polyurethane. Plast Reconstr Surg 61:80, 1987

    Google Scholar 

  37. Vázquez G: A ten-year experience using polyurethane-covered breast implants. Aesth Plast Surg 23:189–196, 1999

    Article  Google Scholar 

  38. Vázquez G: Modification of the anatomic silicone gel implant with polyurethane cover. Cir Plast Iberolatinamer 31:193–198, 2005

    Google Scholar 

  39. 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

  40. 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

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Guillermo Vázquez M.D..

Rights and permissions

Reprints 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

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00266-006-0207-4

Keywords

Navigation