by Wan, Dinah;
Rohrich, Rod J.
Learning Objectives:
After reading this article, the participant should be able to:
1. Develop a
practical method for preoperative implant size selection.
2. List
characteristics and examples of fourth- and fifth-generation silicone implants.
3. Recognize the differences in “profile” designations across implant
manufacturers.
4. Recall updated statistics on breast implant–associated
anaplastic large cell lymphoma and describe current guidelines on disease
diagnosis and treatment.
5. Apply atraumatic and aseptic surgical techniques in
primary breast augmentation.
Summary: Modern primary breast augmentation
requires an intimate knowledge of the expanding breast implant market,
including characteristics of current generation silicone implants and “profile”
types. Optimal implant size selection requires balancing patient desires with
tissue qualities. Evidence and awareness of breast implant–associated
anaplastic large cell lymphoma continue to grow, and patients and surgeons
alike should be informed on the most updated facts of the disease entity.
Atraumatic surgical technique and aseptic adjuncts are critical in reducing
periprosthetic inflammation and contamination, both of which are known instigators
of capsular contracture and potentially breast implant–associated anaplastic
large cell lymphoma.
