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Published on: July 1, 2013
Conical polyurethane implants: an uplifting augmentation
Garrick A Georgeu1, James D Frame, James D Frame
1Dr Georgeu is a Consultant Plastic Surgeon at Springfield Hospital, Chelmsford, Essex, United Kingdom, and Honorary Senior Lecturer in Plastic Surgery at the Post Graduate Medical Institute, Anglia Ruskin University, Chelmsford, Essex, United Kingdom.
Conical polyurethane breast implants offer a superior alternative to traditional implants, providing natural upper pole fullness and lift without mastopexy scars. Patient satisfaction is exceptionally high with minimal complications.
Area of Science:
- Plastic Surgery
- Aesthetic Surgery
- Breast Augmentation
Background:
- Polyurethane-coated conical implants introduced in 2008 offer an alternative to round or anatomical implants.
- Their design provides central volume and upper pole fullness, potentially avoiding mastopexy for ptotic breasts.
Purpose of the Study:
- To discuss the advantages of conical implants compared to conventional silicone implants for breast ptosis.
- To evaluate the outcomes of using conical polyurethane implants in breast augmentation and revision procedures.
Main Methods:
- A consecutive series of 302 women underwent breast surgery using conical polyurethane devices between December 2010 and December 2012.
- Procedures included primary augmentations, revisions, and mastopexy-augmentations, with implant volumes ranging from 225 to 560 cc.
Main Results:
- No infections or wound dehiscence were reported (0%).
- Only 1.3% of patients required reoperation, and patient satisfaction scores were high (average 9.94/10).
- No capsular contractures were observed during the follow-up period, though follow-up is short.
Conclusions:
- Modern conical polyurethane implants present numerous advantages over conventional implants.
- They offer an optimal balance of volume, natural upper pole aesthetics, and breast lift without requiring mastopexy scars.
