Strength of Silicone Breast Implants

Phillips, James W.; Camara, Donna L. de; Lockwood, M.; Grebner, Wendy C.C.

doi:10.1097/00006534-199605000-00017

Cited by 52 publications

(25 citation statements)

References 3 publications

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“…A correlation between prosthesis aging, rupture, and infiltration of human body components into the prosthesis’ shell and silicone gel has been described in the past [3,4,5,6,7]. Some studies on long-term implantation confirmed lipids absorption with consequent polymer swelling and consequential prosthesis rupture [8,9,10,11]. The Scientific Committee on Emerging and Newly Identified Health Risks (SCENIHR) has recently published an upgrade to its guidelines on the safety of PIP silicone breast implants [12].…”

Section: Introductionmentioning

confidence: 99%

Chemical and Structural Characterization of Several Mid-Term Explanted Breast Prostheses

et al. 2016

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The recent scandal of poly implant prostheses (PIP), which were found in some cases to be made of non-medical grade silicone (as reported by the European Scientific Committee on Emerging and Newly Identified Health Risks), had a great social impact. Thousands of patients asked for implant removal with significant costs for public health care systems. We analysed, by a multidisciplinary approach, sixteen different breast implants after explantation by using several analytical and structural techniques, such as Fourier Transform infrared spectroscopy (FT-IR), mass spectrometry equipped by ion coupled plasma (ICP-MS), gas-chromatography (GC-MS), and tensile testing. Traces of organic (fatty acid) and inorganic (Fe, Cr, Pt, Na, and other metals) substances were found in all samples, and, even if these values are under danger threshold levels, our study results highlight the possibility of bioaccumulation and tissue contamination, implying the need for continuous medical surveillance and monitoring of material aging.

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Section: Introductionmentioning

confidence: 99%

Chemical and Structural Characterization of Several Mid-Term Explanted Breast Prostheses

et al. 2016

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“…9,15 Fold-flaw cracking of the shell may be due to loss of strength of the silicone shell in a time-dependent manner. 16,17 Leakage caused by fold-flaw fracture is decreased in silicon gel-filled prostheses due to silicon's low coefficient of friction.…”

Section: Resultsmentioning

confidence: 99%

Saline Implants-Where Are We?

Menke¹,

Germann²

2000

Perspectives in Plastic Surgery

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Saline-filled implants have been used for more than 30 years, until 1992 not very often, but after the U.S. Food and Drug Administration moratorium nearly exclusively in the United States. Experiences with these implants increased considerably with about 70,000 implants per year. Based on the actual literature the results available about saline implants were analyzed. The incidence of implant failure by deflation is about 5 to 15%, significantly reduced compared with former results, and depending mostly on the length of follow-up. Up to now there is no clear standard for the ideal fill volume to avoid the complication of wrinkling or unnatural firmness. The discussion about the best way to avoid the high incidence of capsular contractures, optimal implant position, and texture and structure of the shell is also still going on controversially.

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“…Studies have strongly implicated implant age as the prime factor in rupture [24][25][26]. Disruption is directly related to time since implantation.…”

Section: Discussionmentioning

confidence: 99%

A Prospective Study on Silicone Breast Implants and the Silicone-Related Symptom Complex

et al. 2002

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This cohort study prospectively evaluated the prevalence of the silicone-related symptom complex (SRSC) in relation to antinuclear antibodies (ANA) and magnetic resonance imaging (MRI) of silicone breast implants (SBI) 1 year after implantation. A total of 57 women undergoing mastectomy followed by immediate breast reconstruction (IBR) and SBI between March 1995 and March 1997 at the University Hospital Rotterdam/Daniel den Hoed Cancer Centre, were prospectively evaluated. Just before and 1 year after IBR the sera of these women were tested for the presence of ANA and they were screened for the prevalence of SRSC-related symptoms by questionnaire. All prostheses were evaluated by MRI 1 month and 1 year after IBR. Just before operation 11% of the women had a Sjögren score of more than 2, whereas 30% had such a score 1 year after IBR ( P = 0.01). One year postoperatively women had significantly more RA/Raynaud-related complaints: 21% preoperatively versus 40% 1 year after IBR ( P = 0.03). Within the undefined complaints-related group 19% had a score of 2 or more preoperatively and 33% 1 year after IBR ( P = 0.09). There were no new cases of ANA positivity 1 year after IBR. The linguine sign was seen by MRI in three implants: one 1 month after IBR and two 1 year after IBR. There was no relation to changes in SRSC expression and these MRI findings. In conclusion, 1 year after SBI implantation women had more SRSC-related complaints, especially Sjögren's and RA/Raynaud's. Moreover there was no correlation between elevated SRSC expression and changes in the presence of ANA or changes in MRI of the SBI 1 year after IBR.

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Strength of Silicone Breast Implants

Cited by 52 publications

References 3 publications

Chemical and Structural Characterization of Several Mid-Term Explanted Breast Prostheses

Chemical and Structural Characterization of Several Mid-Term Explanted Breast Prostheses

Saline Implants-Where Are We?

A Prospective Study on Silicone Breast Implants and the Silicone-Related Symptom Complex

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