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Expert Consensus on the Use of a New Bioengineered, Cell-Friendly, Smooth Surface Breast Implant

BACKGROUND: Although general guidelines are available for established silicone gel breast implants, the unique characteristics of the latest Motiva implants warrant specific guidelines. OBJECTIVES: This study aimed to generate consensus recommendations and summarize expert-based advice to better und...

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Autores principales: Sforza, Marcos, Hammond, Dennis C, Botti, Giovanni, Hedén, Per, Chacón Quirós, Manuel, Munhoz, Alexandre Mendonça, Kinney, Brian M, Corduff, Niamh
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Oxford University Press 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6460429/
https://www.ncbi.nlm.nih.gov/pubmed/30958549
http://dx.doi.org/10.1093/asj/sjz054
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author Sforza, Marcos
Hammond, Dennis C
Botti, Giovanni
Hedén, Per
Chacón Quirós, Manuel
Munhoz, Alexandre Mendonça
Kinney, Brian M
Corduff, Niamh
author_facet Sforza, Marcos
Hammond, Dennis C
Botti, Giovanni
Hedén, Per
Chacón Quirós, Manuel
Munhoz, Alexandre Mendonça
Kinney, Brian M
Corduff, Niamh
author_sort Sforza, Marcos
collection PubMed
description BACKGROUND: Although general guidelines are available for established silicone gel breast implants, the unique characteristics of the latest Motiva implants warrant specific guidelines. OBJECTIVES: This study aimed to generate consensus recommendations and summarize expert-based advice to better understand current surgical practices and to establish guidelines for surgeons transitioning from other implant devices to the Motiva implants. METHODS: A survey was compiled by 12 plastic surgeon experts in aesthetic and reconstructive breast surgery and 1 biotechnology scientist, and distributed to 36 plastic surgeons to establish a consensus on the use of these devices. Surgical techniques, complication rates, and implant selection were among the topics discussed. RESULTS: The experts agreed on 3 core principles regarding the use of Motiva Round and Ergonomix implants. Firstly, the dissected pocket needs to be close fitting and steps must be taken to prevent expansion of the pocket. Secondly, implant selection must be individualized. Finally, surgical planning and technique must be carefully considered. When questioned about problems they had ecountered, 84.6% of the experts agreed that they experienced fewer overall complications and 76.9% confirmed reduced capsular contracture rates with these devices. Overall, 84.6% of the experts favored selecting Motiva Ergonomix implants over Round implants to achieve a more natural look. In addition, 92.3% of the experts agreed that Motiva implants, due to their innovative technology, reduce the risk of anaplastic large-cell lymphoma. CONCLUSIONS: This international consensus of leading practitioners will assist plastic surgeons with patient selection, preoperative planning, and surgical technique. These recommendations are designed to optimize surgical outcomes, resulting in lower overall complication rates, more natural-looking breasts, and highly satisfied patients.
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spelling pubmed-64604292019-04-17 Expert Consensus on the Use of a New Bioengineered, Cell-Friendly, Smooth Surface Breast Implant Sforza, Marcos Hammond, Dennis C Botti, Giovanni Hedén, Per Chacón Quirós, Manuel Munhoz, Alexandre Mendonça Kinney, Brian M Corduff, Niamh Aesthet Surg J Supplement Articles BACKGROUND: Although general guidelines are available for established silicone gel breast implants, the unique characteristics of the latest Motiva implants warrant specific guidelines. OBJECTIVES: This study aimed to generate consensus recommendations and summarize expert-based advice to better understand current surgical practices and to establish guidelines for surgeons transitioning from other implant devices to the Motiva implants. METHODS: A survey was compiled by 12 plastic surgeon experts in aesthetic and reconstructive breast surgery and 1 biotechnology scientist, and distributed to 36 plastic surgeons to establish a consensus on the use of these devices. Surgical techniques, complication rates, and implant selection were among the topics discussed. RESULTS: The experts agreed on 3 core principles regarding the use of Motiva Round and Ergonomix implants. Firstly, the dissected pocket needs to be close fitting and steps must be taken to prevent expansion of the pocket. Secondly, implant selection must be individualized. Finally, surgical planning and technique must be carefully considered. When questioned about problems they had ecountered, 84.6% of the experts agreed that they experienced fewer overall complications and 76.9% confirmed reduced capsular contracture rates with these devices. Overall, 84.6% of the experts favored selecting Motiva Ergonomix implants over Round implants to achieve a more natural look. In addition, 92.3% of the experts agreed that Motiva implants, due to their innovative technology, reduce the risk of anaplastic large-cell lymphoma. CONCLUSIONS: This international consensus of leading practitioners will assist plastic surgeons with patient selection, preoperative planning, and surgical technique. These recommendations are designed to optimize surgical outcomes, resulting in lower overall complication rates, more natural-looking breasts, and highly satisfied patients. Oxford University Press 2019-04 2019-04-08 /pmc/articles/PMC6460429/ /pubmed/30958549 http://dx.doi.org/10.1093/asj/sjz054 Text en © 2019 The American Society for Aesthetic Plastic Surgery, Inc. http://creativecommons.org/licenses/by-nc/4.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/), which permits non-commercial re-use, distribution, and reproduction in any medium, provided the original work is properly cited. For commercial re-use, please contact journals.permissions@oup.com
spellingShingle Supplement Articles
Sforza, Marcos
Hammond, Dennis C
Botti, Giovanni
Hedén, Per
Chacón Quirós, Manuel
Munhoz, Alexandre Mendonça
Kinney, Brian M
Corduff, Niamh
Expert Consensus on the Use of a New Bioengineered, Cell-Friendly, Smooth Surface Breast Implant
title Expert Consensus on the Use of a New Bioengineered, Cell-Friendly, Smooth Surface Breast Implant
title_full Expert Consensus on the Use of a New Bioengineered, Cell-Friendly, Smooth Surface Breast Implant
title_fullStr Expert Consensus on the Use of a New Bioengineered, Cell-Friendly, Smooth Surface Breast Implant
title_full_unstemmed Expert Consensus on the Use of a New Bioengineered, Cell-Friendly, Smooth Surface Breast Implant
title_short Expert Consensus on the Use of a New Bioengineered, Cell-Friendly, Smooth Surface Breast Implant
title_sort expert consensus on the use of a new bioengineered, cell-friendly, smooth surface breast implant
topic Supplement Articles
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6460429/
https://www.ncbi.nlm.nih.gov/pubmed/30958549
http://dx.doi.org/10.1093/asj/sjz054
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