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Study finds new type of silicone implant offers more natural looking breasts, low complication rate

is the availability of a wide variety of shapes and sizes to more closely match breast shapes and chest dimensions. For example, plastic surgeons can use a patient's breast measurements to custom select an implant specific to each breast.

Beyond the cosmetic advantages of the more cohesive implants, these implants have a low complication rate. In the study, only 3.4 percent of the 118 breast augmentation patients experienced complications, including hematoma, capsular contracture, and asymmetry. Nineteen percent of the 32 breast reconstruction patients experienced complications most were minor with only one patient requiring re-operation. According to Dr. Brown, this rate of re-operation for breast reconstruction patients is remarkably low considering the inherent challenges of breast reconstruction. He also noted that with an average follow-up of 21 months (ranging from 16 to 36 months), longer term data will be needed to further substantiate the promising short-term results.

"The more cohesive gel implants are going to play a major role in aesthetic and reconstructive breast surgery if they are approved for sale in North America," said Dr. Brown. "We have already seen their potential through studies in Europe. Now, through our own research, we are finding with these implants, re-operation is rare, the complication rate is low and patients are extremely pleased with their outcome."

According to the ASPS, more than 264,000 breast augmentations and nearly 63,000 breast reconstructions were performed in 2004.

The FDA is currently considering the reintroduction of silicone implants for sale in the United States, 13 year after it restricted access to them due to safety concerns. In 1992, the FDA imposed a moratorium on the sale of silicone implants and saline implants have dominated the North American market. In the second half of 2005, after the manufacturers presented data at a panel hearing, the FDA issued "approval with condi
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Contact: LaSandra Cooper
lpc@plasticsurgery.org
847-981-5414
American Society of Plastic Surgeons
17-Oct-2005


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