Paulo Renato de Paula
Federal University of Goias - Brazil
Title: Experience of ten year’s with a conically shaped implant: Breaking the paradigm
Biography
Biography: Paulo Renato de Paula
Abstract
Introduction: Breast implants are often used for the reconstructive and cosmetic purpose, for pure augmentation or associated with mastopexy, demonstrating low morbidity and a reduced number of complications. These procedures demonstrated a significant improvement in the quality of life, like individual/social well-being, self-confidence, and favorable psychological consequences. The innumerable options of breast implants and their variants in the market allow us to offer more specific results for each of breast/thorax and patient wish, with a high degree of satisfaction. The most common implants used are the round or anatomical shape.
Objective: The present study aims to demonstrate a conical breast shape implant. A device model with different angle, shape, and projection and can be a great option.
Method: It is a descriptive and retrospective 10 years’ study with the use of breast implants with a conical shape, then use it and a study with patients’ satisfaction’s degree with these models.
Results: A total of 1182 implants (591 patients) were used during the study period, of which 552 implants (276 patients) were the conical shape (46,7%), all with polyurethane coating, in pre-pectoral (retroglandular/retrofascial) location in 92,2%. Inframammary access was used in 84.6%. The mean volume was 250,65 and mean age was 32 years. The follow-up time ranged from 6 to 120 months, with an average of 78.5 months. Small complications occurred in 3% (small dehiscence, asymmetry, aestrias, hypertrophic scar). Only two contractures (unilateral) cases after 5 years and no extrusion happened. A questionnaire was carried out to evaluate the degree of satisfaction. 85.3% responded and of these, 96.5% declared themselves very satisfied and satisfied with the implant profile and 3.5% were not satisfied. There was no case of dissatisfaction.
Conclusion: Cone-shaped implants are an excellent option in the surgical arsenal of breast implants according to the patient's desire and correct indication, with few complications and a high degree of satisfaction.