Related Experiment Video
Updated: Jul 16, 2025
11:51
An Improved Mechanical Testing Method to Assess Bone-implant Anchorage
Published on: February 10, 2014
15.5K
Intraoperative Evaluation of Textured Anatomical Implant Rotation: A Prospective Study
Cyril S Gary1, Kunal M Kirloskar2, Min Jung Koh2
1From the Department of Plastic and Reconstructive Surgery, MedStar Georgetown University Hospital.
Plastic and Reconstructive Surgery
|September 21, 2023
Summary
Textured breast implants show a high rate of malrotation, challenging previous beliefs about their stability. Revision history and aesthetic dissatisfaction predict implant rotation, impacting outcomes.
Area of Science:
- Plastic Surgery
- Biomaterials Science
Background:
- Textured implants were designed to minimize capsular contracture and malposition.
- Recent data suggests textured implants may be more prone to malrotation than previously assumed.
Purpose of the Study:
- To evaluate the rate of malrotation in explanted anatomical textured breast implants.
- To identify factors associated with malrotation in these implants.
Main Methods:
- Prospective study of women undergoing removal of anatomical textured implants.
- Intraoperative measurement of implant rotation degree.
- Collection of patient demographics, clinical, and operative data.
Main Results:
- 45% of explanted textured implants were malrotated (>30 degrees).
- Median rotation was 30 degrees.
- Multiple previous revisions and aesthetic dissatisfaction predicted higher degrees of rotation.
Conclusions:
- A high incidence of malrotation was observed in explanted anatomical textured breast implants.
- Factors such as revision history and patient-reported dissatisfaction are linked to implant malrotation.
