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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.

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Summary

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.

Keywords:
breast augmentationconical implantsmastopexypolyurethane implants

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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.