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Our Experience Using Round Nano-Surface Ergonomix Implants for Breast Reconstruction: A Single-Center Retrospective
Dana Adelson1, Roei Singolda1, Oriana Haran1
1Department of Plastic and Reconstructive Surgery, Tel Aviv Sourasky Medical Center, Tel Aviv, Israel, affiliated with the Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.
Aesthetic Surgery Journal
|October 18, 2022
Summary
Round nano-surface Ergonomix implants show low complication rates and high patient satisfaction in breast reconstruction. Surgeons should anticipate a learning curve when transitioning from textured to nano-surface implants.
Area of Science:
- Plastic Surgery
- Biomaterials Science
Background:
- Round nano-surface Ergonomix implants were developed to mitigate concerns associated with capsular contracture and textured breast implants.
- This study focuses on breast reconstruction utilizing these novel implants.
Purpose of the Study:
- To evaluate the early clinical outcomes of breast reconstruction using round nano-surface Ergonomix implants.
- To assess complication rates and patient satisfaction following this type of breast reconstruction.
Main Methods:
- A retrospective review of 212 patients (321 breasts) who underwent breast reconstruction with Ergonomix implants between June 2017 and December 2020.
- Follow-up was at least 12 months, with data including demographics, surgical details, outcomes, and patient-reported satisfaction via Breast-Q questionnaires.
Main Results:
- Major complications occurred in 6.5% of breasts, with 0.3% reconstruction failure. Higher complication rates were observed in immediate breast reconstruction, irradiated breasts, and smokers.
- Capsular contracture was 0.9%, exclusively in irradiated breasts. Rippling was more frequent in pre-pectoral placements (9% vs 1.2%).
- Patient satisfaction and physical well-being scores were high, despite a 6.5% rate of implant malposition.
Conclusions:
- Round nano-surface Ergonomix implants are associated with low complication rates and high patient satisfaction in breast reconstruction.
- The shift from macro-textured to nano-surface implants necessitates surgical technique adjustments and involves a learning curve for surgeons.
