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Evolution and update on current devices for prosthetic breast reconstruction.

Kristina O'Shaughnessy1

  • 1Chief of Plastic Surgery, St. Thomas Midtown Hospital, Nashville, TN, USA.

Gland Surgery
|May 26, 2015
PubMed
Summary

Breast reconstruction now favors implants over tissue due to safety regulations and new options. Achieving optimal results with breast implants requires careful planning, surgical skill, and device selection.

Keywords:
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Area of Science:

  • Plastic Surgery
  • Biomedical Engineering
  • Medical Device Regulation

Background:

  • Breast reconstruction trends have shifted from autologous tissue to implants over the last decade.
  • This shift is driven by factors including increased bilateral mastectomies and enhanced FDA regulatory oversight.
  • Recent FDA approvals since 2012 have expanded implant options, styles, shapes, and textures.

Purpose of the Study:

  • To review the historical evolution of breast reconstruction devices from the 1960s to present.
  • To discuss the safety and efficacy of modern silicone gel breast implants.
  • To describe various implant characteristics, styles, and features, including surgical indications, advantages, and disadvantages.

Main Methods:

  • Historical review of breast reconstruction devices and regulatory approvals.
  • Analysis of factors influencing the shift towards implant-based reconstruction.
  • Description of current implant technologies and patient/surgeon considerations.

Main Results:

  • Predictable and superior aesthetic outcomes in prosthetic breast reconstruction are achievable.
  • Successful outcomes depend on meticulous planning, surgical technique, and patient-specific device selection.
  • Modern implants offer diverse characteristics affecting feel and performance, with established safety and efficacy.

Conclusions:

  • The evolution of breast implants, supported by rigorous FDA regulation, has led to improved patient choices and outcomes.
  • Careful consideration of patient factors and implant features is crucial for successful prosthetic breast reconstruction.
  • Understanding the history and characteristics of breast reconstruction devices informs optimal surgical practice.