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Short-term Safety of a Silicone Gel–filled Breast Implant: A Manufacturer-sponsored, Retrospective Study

2020; Wolters Kluwer; Volume: 8; Issue: 5 Linguagem: Inglês

10.1097/gox.0000000000002807

2169-7574

Seanhyuck Yoon, Jae‐Hoon Chang,

Body Image and Dysmorphia Studies

Currently, 8 different brands of a silicone gel-filled breast implant are commercially available in Korea. But the superiority of short-term safety has not been established.A total of 709 patients (1,418 breasts) received an implant-based augmentation mammaplasty. We compared a 1-year incidence of complications and complication-free survival among the breast implants. Moreover, we performed a subgroup analysis of the patient cohorts by excluding cases associated with a periareolar incision, revision or reoperation, and anatomic implants.In our series, 1-year incidences of complications were 0.55% (1/182), 3.14% (5/159), 5.19% (7/135), and 6.58% (10/152) in patients receiving the BellaGel/BellaGel SmoothFine, the Mentor CPG, the Matrix, and the Motiva Ergonomix, respectively. Moreover, the incidence of capsular contracture was 0.55%, 0.63%, 1.32%, and 3.70% in patients receiving the BellaGel/BellaGel SmoothFine, the Mentor CPG, the Motiva Ergonomix, and the Matrix, respectively. Furthermore, a complication-free survival was 24.82 ± 0.18, 22.23 ± 1.09, 22.15 ± 0.77, and 22.12 ± 1.07 months in patients receiving the BellaGel/BellaGel SmoothFine, the Motiva Ergonomix, the Mentor CPG, and the Matrix, respectively, except for the 2 other remaining products used for a smaller number of patients. However, a subgroup analysis showed no significant differences in a 1-year incidence of complication and complication-free survival among the BellaGel SmoothFine, the Motiva Ergonomix, and the Naturgel.It is impossible to draw a definite conclusion about the superiority of the short-term safety among the silicone gel-filled breast implants that are commercially available in Korea.