Correlation between the used polymeric biomaterials, implant design and clinical performance of the mammary implants

摘要

Based on different statistics, we could consider that the most frequent operation in plastic surgery is breast surgery with the support of mammary implants. Some women have from the beginning those aesthetic features to seduce the audience but others need some improvements by using artificial implants and surgical techniques to obtain similar results. In the last time, specialists from medicine and engineering try to find out technical solutions to obtain good quality mammary implants using advanced polymeric biomaterials or surface modifying techniques, in order to assure more time lasting for these implants and less reactivity from the human body. Today, the mammary implants are manufactured currently by a silicone elastomer shell filled with cohesive silicone gel or with saline liquid. In this paper we present aspects from our experience in which we operated more than 500 patients who need aesthetic improvements with mammary implants for different clinical situation like breast augmentation, breast reconstruction after oncologic surgery and breast asymmetry.