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Clinical Durability and Deflation of Saline-Filled Breast Implant in Breast Reconstruction  

Kim, Il-Kug (Department of Plastic and Reconstructive Surgery, College of Medicine, Yeungnam University)
Lee, Jun-Ho (Department of Plastic and Reconstructive Surgery, College of Medicine, Yeungnam University)
Kim, Yong-Ha (Department of Plastic and Reconstructive Surgery, College of Medicine, Yeungnam University)
Kim, Tae-Gon (Department of Plastic and Reconstructive Surgery, College of Medicine, Yeungnam University)
Lee, Soo-Jung (Department of General Surgery, College of Medicine, Yeungnam University)
Kang, Soo-Hwan (Department of General Surgery, College of Medicine, Yeungnam University)
Publication Information
Archives of Plastic Surgery / v.38, no.6, 2011 , pp. 808-814 More about this Journal
Abstract
Purpose: Despite wide clinical use of breast implants, there is continued concern about the lifespan of these devices. The causes of explantation were infection, deflation of implant and patient's want. The deflation of saline-filled breast implant was related to strength and durability of implant shell. The purpose of this study is to evaluate the clinical durability of saline-filled breast implant through the analysis of duration until deflation occurred, causes, incidence and influencing factors. Methods: Retrospective analyses were conducted on clinical records for 19 cases of deflation of saline-filled breast implant from 201 cases of breast reconstruction with saline-filled implant between May 1995 and June 2011. The authors had been analyzed the causes of deflation, survival duration, symptom, sign, nipple excision, volume of implant, saline filling, method of reoperation, breast cancer stage and combined capsular contracture. Results: The causes of deflation were attributed to the cases that cannot be evaluated the causes in 15 cases, fall down in 1 case, mammography in 2 cases, accidental needle injury in 1 case. Mean survival duration was 4 years and 5 months. The duration of survival was less than 1 year for 5 cases, 1 year to 10 years for 10 cases, more than 10 years for 4 cases. The volume between 201 and 250 cc of deflated breast implant was rated as high by 14.0 percent. The deflation rate of underfilled implants was 11.4 percent, adequate filled implants was 9.3 percent. None of overfilled implant was deflated. The deflation of smooth surface implant was 5 of 152 cases. Textured implant was 14 of 49 cases. The capsular contracture of non-deflated breast implant was 28 of 182 cases and that of deflated breast implant was 6 of 19 cases. Conclusion: The patients who underwent saline-filled breast implant implantation should be informed that their implant could deflate. The analysis of clinical durability and causes of deflation in breast implant was important for the prediction and prevention of reopeation. The authors could suppose the causes of deflation of saline-filled breast implant through history, duration of survival, inspection of the shell of implant.
Keywords
Saline-filled breast implant; Breast reconstruction; Durability; Deflation;
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1 Worseg A, Kuzbari R, Tairych G, Korak K, Holle J: Long term results of inflatable mammary implants. Br J Plast Surg 48: 183, 1995
2 Rheingold LM, Yoo RP, Courtiss EH: Experience with 326 inflatable breast implants. Plast Reconstr Surg 93: 118, 1994   DOI   ScienceOn
3 Lavine DM: Saline inflatable prostheses: 14 years' experience. Aesthetic Plast Surg 17: 325, 1993   DOI   ScienceOn
4 Brandon HJ, Jerina KL, Savoy TL, Wolf CJ: Scanning electron microscope fractography of induced fatigue-damaged saline breast implants. J Long Term Eff Med Implants 16: 71, 2006   DOI   ScienceOn
5 Brandon HJ, Young VL, Jerina KL, Wolf CJ: Scanning electron microscopy characterization of surgical instrument damage to breast implants. Plast Reconstr Surg 108: 52, 2001   DOI   ScienceOn
6 Rapaport DP, Stadelmann WK, Greenwald DP: Incidence and natural history of saline-filled breast implant deflations: comparison of blunt-tipped versus cutting and tapered needles. Plast Reconstr Surg 100: 1028, 1997   DOI   ScienceOn
7 Phillips JW, de Camara DL, Lockwood MD, Grebner WC: Strength of silicone breast implants. Plast Reconstr Surg 97: 1215, 1996   DOI   ScienceOn
8 Yoon DJ, Kang CU, Bae YC, Nam SB, Choi SJ, Lee MW, Chung SH, Song IS, Kim HO: Experience and analysis of managing deflated mammary bags. J Korean Soc Aesth Plast Surg 14: 49, 2008
9 Cunningham BL, Lokeh A, Gutowski KA: Saline-filled breast implant safety and efficacy: a multicenter retrospective review. Plast Reconstr Surg 105: 2143, 2000   DOI   ScienceOn
10 Gylbert L, Asplund O, Jurell G: Plast Reconstr Surg. 1990 Mar;85 (3):373-7. Capsular contracture after breast reconstruction with silicone-gel and saline-filled implants: a 6-year follow-up. Plast Reconstr Surg 85: 373, 1990   DOI   ScienceOn
11 Handel N, Cordray T, Gutierrez J, Jensen JA: A long-term study of outcomes, complications, and patient satisfaction with breast implants. Plast Reconstr Surg 117: 757, 2006   DOI   ScienceOn
12 McGrath MH, Burkhardt BR: The safety and efficacy of breast implants for augmentation mammaplasty. Plast Reconstr Surg 74: 550, 1984   DOI   ScienceOn
13 Destouet JM, Monsees BS, Oser RF, Nemecek JR, Young VL, Pilgram TK: Screening mammography in 350 women with breast implants: prevalence and findings of implant complications. AJR Am J Roentgenol 159: 973, 1992   DOI   ScienceOn
14 Gutowski KA, Mesna GT, Cunningham BL: Saline-filled breast implants: a Plastic Surgery Educational Foundation multicenter outcomes study. Plast Reconstr Surg 100: 1019, 1997   DOI   ScienceOn
15 Lee JH, Kwon KH, Kim YB: Deflation of saline filled breast implant by scar tissue contracture. J Korean Soc Aesth Plast Surg 8: 16, 2002