Derby Brian M, Codner Mark A
Atlanta, Ga. From Mark Codner MD Plastic Surgery.
Plast Reconstr Surg. 2015 Jan;135(1):113-124. doi: 10.1097/PRS.0000000000000832.
Evolution of silicone breast implant design has focused primarily on advances in implant fill, surface texture, and shape. Fifth-generation, shaped, form-stable, silicone breast implants from all three major implant manufacturers are now approved for use by the U.S. Food and Drug Administration in the United States. As part of this approval, the U.S. Food and Drug Administration mandated Core Study follow-up of silicone implants for 10 years after premarket approval. An updated and comprehensive collection of Core data from all three manufacturers is presented in this review. In addition, cause and rates of capsular contracture, seroma, rippling, and malposition are discussed. New concepts such as tissue friction coefficient are discussed that may influence outcome after primary breast augmentation. The theoretical advantages and disadvantages of the various textured surfaces ranging from microtexturing to macrotexturing are presented in relation to breast tissue incorporation.
硅凝胶乳房植入物设计的演变主要集中在植入物填充物、表面纹理和形状方面的进展。目前，来自所有三大植入物制造商的第五代成型、形状稳定的硅凝胶乳房植入物已获美国食品药品监督管理局批准在美国使用。作为批准的一部分，美国食品药品监督管理局要求在上市前批准后对硅凝胶植入物进行10年的核心研究随访。本综述展示了来自所有三家制造商的更新且全面的核心数据集合。此外，还讨论了包膜挛缩、血清肿、波纹和移位的原因及发生率。文中讨论了诸如组织摩擦系数等可能影响初次隆乳术后效果的新概念。还介绍了从微纹理到宏观纹理的各种纹理表面与乳腺组织整合相关的理论优缺点。
