Customized Silicone Implants of the Breast and Chest

Lavey, Elliott B.; Apfelberg, David B.; Lash, Harvey; Maser, Morton R.; Laub, D R; Gosain, Arun K.

doi:10.1097/00006534-198204000-00013

Cited by 20 publications

(3 citation statements)

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“…Hence it was replaced by solid silicone prosthesis or premolded gelatinous-substance filled bags that were made based on the measures from the defect relief. ( 7 , 8 )…”

Section: Discussionmentioning

confidence: 99%

The use of soft silicone solid implant molded intraoperatively for pectus excavatum surgical repair

Anger

Alcalde

Campos

2014

Einstein (São Paulo)

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Objective:To describe a new surgical technique to treat pectus excavatum utilizing low hardness solid silicone block that can be carved during the intraoperative period promoting a better aesthetic result.Methods:Between May 1994 and February 2013, 34 male patients presenting pectus excavatum were submitted to surgical repair with the use of low hardness solid silicone block, 10 to 30 Shore A. A block-shaped parallelepiped was used with height and base size coinciding with those of the bone defect. The block was carved intraoperatively according to the shape of the dissected space. The patients were followed for a minimum of 120 days postoperatively. The results and the complications were recorded.Results:From the 34 patients operated on, 28 were primary surgeries and 6 were secondary treatment, using other surgical techniques, bone or implant procedures. Postoperative complications included two case of hematomas and eight of seromas. It was necessary to remove the implant in one patient due to pain, and review surgery was performed in another to check prothesis dimensions. Two patients were submitted to fat grafting to improve the chest wall contour. The result was considered satisfactory in 33 patients.Conclusion:The procedure proved to be fast and effective. The results of carved silicone block were more effective for allowing a more refined contour as compared to custom made implants.

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“…Hence it was replaced by solid silicone prosthesis or premolded gelatinous-substance filled bags that were made based on the measures from the defect relief. ( 7 , 8 )…”

Section: Discussionmentioning

confidence: 99%

The use of soft silicone solid implant molded intraoperatively for pectus excavatum surgical repair

Anger

Alcalde

Campos

2014

Einstein (São Paulo)

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“…Thus far, since the introduction of silicone implants in the late 1970s 11,12 few studies have been published regarding the long-term evaluation of custom-made silicone implants for PE patients (Table 1). In 2001, Nordquist, Svensson, and Johnsson were the first to report their experience with PE repair with this treatment modality, presenting a series of 27 patients.…”

Section: Discussionmentioning

confidence: 99%

Pectus Excavatum Reconstruction With Silicone Implants

Snel

Spronk

Werker

et al. 2009

Annals of Plastic Surgery

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Pectus excavatum, or funnel chest, is an anterior chest wall deformity, characterized by a depressed sternum. Frequently used techniques for pectus excavatum repair are extensive thoracic surgical corrections at a young age. At an adult age, custom-made silicone implants can be used as a less extensive surgical option. Thus far, there are only a limited number of reports in the English-language literature concerning this treatment modality. We evaluated our series of 16 patients treated with custom-made silicone implants, assessing complications, patient satisfaction, and aesthetic outcome. Seven patients (44%) had complications, mostly seroma formation (31%). Ten of 12 patients (83%), who were evaluated at the long-term, reported improved patient satisfaction and 9 of 13 patients (69%), in whom aesthetic results were assessed, had a good or excellent aesthetic outcome.Our study, combined with a review of the English-language literature, demonstrates that there is a place for custom-made silicone implants in the treatment of pectus excavatum, especially in less severe cases at an adult age. Preoperative counseling with emphasis on the likelihood of seroma formation is advocated.

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“…The implants can either be customized using a moulage technique or are pre-fabricated, manufactured implants, which can be modified on the operation table to repair the contour deformity [5,7]. A pectoralis implant cannot correct the loss of the lateral sweep of the muscle, but can repair the anterior chest wall skeletal and muscular deformity [6]. Only if there is a sternal rotation and very prominent projection, should costal cartilage be considered for thoracic repair [3].…”

Section: Discussionmentioning

confidence: 99%

Correction of Poland's syndrome in a male with solid chest wall implants

Hönig

1999

European Journal of Plastic Surgery

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In the past, breast implantation for men was limited to transsexuals. Recently, more men have requested an adequate chest wall symmetry and an increase of chest size, particularly in the area of the pectoralis major muscle. This has lead to the development of pectoralis implants. This paper describes the surgical technique and possible complications of the correction of the chest wall deformity in Poland's syndrome with solid silicone implants. These implants can either be custom made, using a moulage technique, or can be obtained as pre-fabricated, manufactured implants, which can be modified on the operating table. This method, with the appropriate indications, gives good predictable long term results.

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Customized Silicone Implants of the Breast and Chest

Cited by 20 publications

References 0 publications

The use of soft silicone solid implant molded intraoperatively for pectus excavatum surgical repair

The use of soft silicone solid implant molded intraoperatively for pectus excavatum surgical repair

Pectus Excavatum Reconstruction With Silicone Implants

Correction of Poland's syndrome in a male with solid chest wall implants

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