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A simple method to inset and position polyurethane-covered breast implants.

Manuel Francisco Castello1, Sheng Han, Alessandro Silvestri

  • 1Division of Plastic Reconstructive and Aesthetic Surgery, Clinica Villa Salaria, Rome, Italy.

Aesthetic Plastic Surgery
|March 11, 2014
PubMed
Summary

A new technique using a saline and antibiotic solution within a plastic sleeve simplifies polyurethane breast implant insertion. This method ensures easier sleeve removal and avoids complications in augmentation and revision surgeries.

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Area of Science:

  • Plastic Surgery
  • Biomaterials
  • Surgical Techniques

Background:

  • Polyurethane-covered breast implants are increasingly used in cosmetic and revision surgeries.
  • Their textured surface can cause adherence to tissues, complicating insertion.
  • Manufacturer-suggested insertion sleeves aim to reduce friction.

Purpose of the Study:

  • To present a novel method for easier insertion and adjustment of polyurethane breast implants.
  • To address challenges associated with the adherent surface of these implants.

Main Methods:

  • A sterile plastic sleeve containing the implant is placed in the surgical pocket.
  • The sleeve is filled with a saline and antibiotic solution to lubricate the implant's surface.
  • The sleeve is twisted to distribute the solution and then removed.

Main Results:

  • The method was successfully used in 73 cases of primary augmentation and revision breast surgery between 2010 and 2013.
  • No complications were reported during the study period.

Conclusions:

  • This technique facilitates the removal of the plastic insertion sleeve.
  • It allows for easier polyurethane implant placement without complications.
  • No implant migration or rotation was observed during follow-up.