From the Department of Plastic Surgery, VCU College of Medicine-Inova Branch, National Center for Plastic Surgery.
Plast Reconstr Surg. 2019 Jul;144(1S Utilizing a Spectrum of Cohesive Implants in Aesthetic and Reconstructive Breast Surgery):73S-81S. doi: 10.1097/PRS.0000000000005953.
Silicone gel breast implants have been used for breast augmentation and reconstruction since 1962. Since then, multiple generations of implants have been created in an effort to improve safety and efficacy. Before 1990, silicone gel implants were characterized as having thin shells and non-cohesive gel; however, since then devices are created with cohesive silicone gel and a variety of surfaces. Despite improvements, no implant will last forever; however, these devices are safe and effective based on numerous clinical and epidemiologic studies. As with all medical devices, complications using round form-stable implants for breast reconstruction can occur and will be reviewed in this article.
硅凝胶乳房植入物自 1962 年以来一直用于乳房增大和重建。从那时起，已经开发出了多代植入物，以努力提高安全性和有效性。在 1990 年之前，硅凝胶植入物的特点是外壳较薄且凝胶不具有凝聚力；然而，从那时起，装置采用具有粘性硅凝胶和各种表面的设备来制造。尽管有所改进，但没有一种植入物可以永久使用；然而，这些装置是安全有效的，这基于众多临床和流行病学研究。与所有医疗器械一样，用于乳房重建的圆形稳定形状植入物可能会出现并发症，本文将对此进行回顾。
