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, Stefano Pompei, MD 1 Dr Pompei is Unit Head and Dr Arelli is a Plastic Surgeon, San Camillo Plastic and Reconstructive Surgery Unit, Rome, Italy. Dr Evangelidou is a Plastic Surgeon, Emirates Hospital Group Plastic and Reconstructive Surgery Department, Dubai, United Arab Emirates. Dr Ferrante is a Researcher, National Center of Disease Prevention and Health Promotion, Italian National Institute of Health, Rome, Italy Search for other works by this author on: Oxford Academic Dora Evangelidou, MD, MRM 1 Dr Pompei is Unit Head and Dr Arelli is a Plastic Surgeon, San Camillo Plastic and Reconstructive Surgery Unit, Rome, Italy. Dr Evangelidou is a Plastic Surgeon, Emirates Hospital Group Plastic and Reconstructive Surgery Department, Dubai, United Arab Emirates. Dr Ferrante is a Researcher, National Center of Disease Prevention and Health Promotion, Italian National Institute of Health, Rome, Italy Search for other works by this author on: Oxford Academic Floriana Arelli, MD 1 Dr Pompei is Unit Head and Dr Arelli is a Plastic Surgeon, San Camillo Plastic and Reconstructive Surgery Unit, Rome, Italy. Dr Evangelidou is a Plastic Surgeon, Emirates Hospital Group Plastic and Reconstructive Surgery Department, Dubai, United Arab Emirates. Dr Ferrante is a Researcher, National Center of Disease Prevention and Health Promotion, Italian National Institute of Health, Rome, Italy Search for other works by this author on: Oxford Academic Gianluigi Ferrante, MD, MSc 1 Dr Pompei is Unit Head and Dr Arelli is a Plastic Surgeon, San Camillo Plastic and Reconstructive Surgery Unit, Rome, Italy. Dr Evangelidou is a Plastic Surgeon, Emirates Hospital Group Plastic and Reconstructive Surgery Department, Dubai, United Arab Emirates. Dr Ferrante is a Researcher, National Center of Disease Prevention and Health Promotion, Italian National Institute of Health, Rome, Italy Search for other works by this author on: Oxford Academic
Aesthetic Surgery Journal, Volume 36, Issue 10, November/December 2016, Pages 1124–1129, https://doi.org/10.1093/asj/sjw171
Published:
18 October 2016
Article history
Accepted:
18 August 2016
Published:
18 October 2016
A correction has been published: Aesthetic Surgery Journal, Volume 37, Issue 7, July-August 2017, Page 854, https://doi.org/10.1093/asj/sjw237
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Stefano Pompei, Dora Evangelidou, Floriana Arelli, Gianluigi Ferrante, The Modern Polyurethane-Coated Implant in Breast Augmentation: Long-Term Clinical Experience, Aesthetic Surgery Journal, Volume 36, Issue 10, November/December 2016, Pages 1124–1129, https://doi.org/10.1093/asj/sjw171
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Abstract
Background
First-generation polyurethane foam-coated breast implants were associated with a low risk of capsular contracture (CC), but the risk of CC with modern polyurethane-coated silicone implants has not been established.
Objectives
The authors sought to determine the long-term rates of CC after primary breast augmentation with Microthane, a polyurethane-coated silicone gel implant.
Methods
A total of 131 patients (255 breasts) were evaluated in a retrospective study. Data were compiled from postoperative follow-up sessions at 2 weeks; 1, 3, 6, and 12 months; and annually thereafter. Rates of various complications, including CC, were determined.
Results
CC developed in 3 of the 255 implanted breasts (1.2%; Baker grade III or IV), and postoperative hematoma occurred in 2 implanted breasts (0.8%). Spontaneous CC that was not associated with other complications was observed in 1 implanted breast (0.4%). All instances of CC occurred before the 31st postoperative month.
Conclusions
For patients who undergo primary breast augmentation with modern polyurethane-coated implants, the long-term risk of CC is low.
Level of Evidence:
3
© 2016 The American Society for Aesthetic Plastic Surgery, Inc. Reprints and permission: journals.permissions@oup.com
Topic:
- hematoma
- follow-up
- polyurethanes
- silicone gels
- silicones
- breast
- augmentation mammoplasty
- implants
- chief complaint
- capsular contracture
Subject
Breast Surgery
Issue Section:
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