Ergonomic Implants: A Single Centre Experience in Post-Mastectomy Breast Reconstruction.

Area of Science:

• Plastic Surgery
• Oncologic Reconstruction

Background:

• Implant-based breast reconstruction is a common surgical approach.
• Anatomically shaped implants, while effective, can lead to malrotation and require revision.
• Ergonomic round implants offer adaptability to gravity and patient position for a natural appearance.

Purpose of the Study:

• To evaluate the safety and efficacy of Motiva Ergonomix Round Silksurface™ implants.
• To describe a two-year clinical experience with these implants in breast reconstruction.
• To assess patient satisfaction and complication rates associated with ergonomic round implants.

Main Methods:

• Observational retrospective study of 61 patients undergoing mastectomy and reconstruction.
• Inclusion of patients receiving immediate or delayed reconstruction with Motiva Ergonomix Round Silksurface™ implants.
• Data collection on implant volume, complications, and patient-reported outcomes (BREAST-Q).

Main Results:

• Low complication rates: 1.1% surgical infection, 3.4% seroma, 2.3% rippling, 1.1% Grade IV capsular contraction.
• Average implant volume was 269 ± 105 cc.
• High patient satisfaction reported via BREAST-Q outcomes.

Conclusions:

• Ergonomic round implants with nano-textured surfaces provide a natural breast appearance and reduce rotation complications.
• The study demonstrates low complication rates and high patient satisfaction with these implants.
• These findings support the consideration of ergonomic round implants as a valuable option in breast reconstruction alongside anatomical implants.