Archives of Plastic Surgery

Korean Society of Plastic and Reconstructive Surgeons (대한성형외과학회)
권호 표지

Clinical Durability and Deflation of Saline-Filled Breast Implant in Breast Reconstruction

유방재건술에 사용된 식염수 보형물의 임상적 내구성과 누출

  • Kim, Il-Kug (Department of Plastic and Reconstructive Surgery, College of Medicine, Yeungnam University) ;
  • Lee, Jun-Ho (Department of Plastic and Reconstructive Surgery, College of Medicine, Yeungnam University) ;
  • Kim, Yong-Ha (Department of Plastic and Reconstructive Surgery, College of Medicine, Yeungnam University) ;
  • Kim, Tae-Gon (Department of Plastic and Reconstructive Surgery, College of Medicine, Yeungnam University) ;
  • Lee, Soo-Jung (Department of General Surgery, College of Medicine, Yeungnam University) ;
  • Kang, Soo-Hwan (Department of General Surgery, College of Medicine, Yeungnam University)
  • 김일국 (영남대학교 의과대학 성형외과학교실) ;
  • 이준호 (영남대학교 의과대학 성형외과학교실) ;
  • 김용하 (영남대학교 의과대학 성형외과학교실) ;
  • 김태곤 (영남대학교 의과대학 성형외과학교실) ;
  • 이수정 (영남대학교 의과대학 외과학교실) ;
  • 강수환 (영남대학교 의과대학 외과학교실)
  • Received : 2011.09.01
  • Accepted : 2011.09.29
  • Published : 2011.11.10
Download PDF
⟨ Previous Next ⟩

Abstract

Purpose: Despite wide clinical use of breast implants, there is continued concern about the lifespan of these devices. The causes of explantation were infection, deflation of implant and patient's want. The deflation of saline-filled breast implant was related to strength and durability of implant shell. The purpose of this study is to evaluate the clinical durability of saline-filled breast implant through the analysis of duration until deflation occurred, causes, incidence and influencing factors. Methods: Retrospective analyses were conducted on clinical records for 19 cases of deflation of saline-filled breast implant from 201 cases of breast reconstruction with saline-filled implant between May 1995 and June 2011. The authors had been analyzed the causes of deflation, survival duration, symptom, sign, nipple excision, volume of implant, saline filling, method of reoperation, breast cancer stage and combined capsular contracture. Results: The causes of deflation were attributed to the cases that cannot be evaluated the causes in 15 cases, fall down in 1 case, mammography in 2 cases, accidental needle injury in 1 case. Mean survival duration was 4 years and 5 months. The duration of survival was less than 1 year for 5 cases, 1 year to 10 years for 10 cases, more than 10 years for 4 cases. The volume between 201 and 250 cc of deflated breast implant was rated as high by 14.0 percent. The deflation rate of underfilled implants was 11.4 percent, adequate filled implants was 9.3 percent. None of overfilled implant was deflated. The deflation of smooth surface implant was 5 of 152 cases. Textured implant was 14 of 49 cases. The capsular contracture of non-deflated breast implant was 28 of 182 cases and that of deflated breast implant was 6 of 19 cases. Conclusion: The patients who underwent saline-filled breast implant implantation should be informed that their implant could deflate. The analysis of clinical durability and causes of deflation in breast implant was important for the prediction and prevention of reopeation. The authors could suppose the causes of deflation of saline-filled breast implant through history, duration of survival, inspection of the shell of implant.

Keywords

References

  1. Lee JH, Kwon KH, Kim YB: Deflation of saline filled breast implant by scar tissue contracture. J Korean Soc Aesth Plast Surg 8: 16, 2002
  2. Gutowski KA, Mesna GT, Cunningham BL: Saline-filled breast implants: a Plastic Surgery Educational Foundation multicenter outcomes study. Plast Reconstr Surg 100: 1019, 1997 https://doi.org/10.1097/00006534-199709001-00028
  3. Brandon HJ, Jerina KL, Savoy TL, Wolf CJ: Scanning electron microscope fractography of induced fatigue-damaged saline breast implants. J Long Term Eff Med Implants 16: 71, 2006 https://doi.org/10.1615/JLongTermEffMedImplants.v16.i1.80
  4. Brandon HJ, Young VL, Jerina KL, Wolf CJ: Scanning electron microscopy characterization of surgical instrument damage to breast implants. Plast Reconstr Surg 108: 52, 2001 https://doi.org/10.1097/00006534-200107000-00009
  5. Rapaport DP, Stadelmann WK, Greenwald DP: Incidence and natural history of saline-filled breast implant deflations: comparison of blunt-tipped versus cutting and tapered needles. Plast Reconstr Surg 100: 1028, 1997 https://doi.org/10.1097/00006534-199709001-00029
  6. Phillips JW, de Camara DL, Lockwood MD, Grebner WC: Strength of silicone breast implants. Plast Reconstr Surg 97: 1215, 1996 https://doi.org/10.1097/00006534-199605000-00017
  7. Cunningham BL, Lokeh A, Gutowski KA: Saline-filled breast implant safety and efficacy: a multicenter retrospective review. Plast Reconstr Surg 105: 2143, 2000 https://doi.org/10.1097/00006534-200005000-00037
  8. Worseg A, Kuzbari R, Tairych G, Korak K, Holle J: Long term results of inflatable mammary implants. Br J Plast Surg 48: 183, 1995
  9. Rheingold LM, Yoo RP, Courtiss EH: Experience with 326 inflatable breast implants. Plast Reconstr Surg 93: 118, 1994 https://doi.org/10.1097/00006534-199401000-00017
  10. Lavine DM: Saline inflatable prostheses: 14 years' experience. Aesthetic Plast Surg 17: 325, 1993 https://doi.org/10.1007/BF00437106
  11. Gylbert L, Asplund O, Jurell G: Plast Reconstr Surg. 1990 Mar;85 (3):373-7. Capsular contracture after breast reconstruction with silicone-gel and saline-filled implants: a 6-year follow-up. Plast Reconstr Surg 85: 373, 1990 https://doi.org/10.1097/00006534-199003000-00006
  12. Yoon DJ, Kang CU, Bae YC, Nam SB, Choi SJ, Lee MW, Chung SH, Song IS, Kim HO: Experience and analysis of managing deflated mammary bags. J Korean Soc Aesth Plast Surg 14: 49, 2008
  13. Handel N, Cordray T, Gutierrez J, Jensen JA: A long-term study of outcomes, complications, and patient satisfaction with breast implants. Plast Reconstr Surg 117: 757, 2006 https://doi.org/10.1097/01.prs.0000201457.00772.1d
  14. McGrath MH, Burkhardt BR: The safety and efficacy of breast implants for augmentation mammaplasty. Plast Reconstr Surg 74: 550, 1984 https://doi.org/10.1097/00006534-198410000-00019
  15. Destouet JM, Monsees BS, Oser RF, Nemecek JR, Young VL, Pilgram TK: Screening mammography in 350 women with breast implants: prevalence and findings of implant complications. AJR Am J Roentgenol 159: 973, 1992 https://doi.org/10.2214/ajr.159.5.1414810