Background: Breast implants (BI) are widely used in plastic surgery, though they are not lifetime devices. Average life before rupture is reportedto be around 10-15 years. No consensus exists regarding which factors are involved.Objectives: Following FDA recommendations, this study aims at identifying potential risk factors by evaluating their effect on BI rupture cases.Methods: In this observational study, 763 BI patients were operated between 2003 and 2019, with a mean implant indwelling of 12.2 years. Patients that returned for follow-up were administered a questionnaire regarding postoperative lifestyle and habits. Implant rupture rate was 15.1%, while BI lifespan was 10.1 years. We obtained complete data from 191 breast implant patients (288 implants). Twenty-three potential risk factors were evaluated and divided in four categories: patient-related, surgery-related, postoperative complications/symptoms, and postoperative care/lifestyle habits. Odds Ratio (OR) for each factor was calculated. Linear regression analysis was calculated for those with a significant OR.Results: We report 120 patients (195 implants) with intact and 71 (93 implants) with ruptured devices. BIs were macrotextured in 95.1% of cases (86.8% Allergan BIOCELL). OR was significant for underwire bra use (OR: 2.708), car seat belts (OR: 3.066), mammographic imaging (OR: 2.196), weightlifting (OR: 0.407) and carry-on heavy purses and backpacks (OR: 0.347).Conclusion: Wearing underwire bras, seat belts and undergoing mammography increases the risk of rupture. Weightlifting and carry heavy bags do not increase that risk. Implant rupture is directly linked with time of indwelling. Postoperative recommendations in BI patients should consider findings from our study, though larger multicenter studies should be encouraged.

Assessment of Risk Factors for Rupture in Breast Reconstruction Patients with Macrotextured Breast Implants / Paolini, Guido; Firmani, Guido; Briganti, Francesca; Macino, Mattia; Nigrelli, Simone; Sorotos, Michail; Santanelli di Pompeo, Fabio. - In: AESTHETIC PLASTIC SURGERY. - ISSN 0364-216X. - (2022). [10.1007/s00266-022-03118-9]

Assessment of Risk Factors for Rupture in Breast Reconstruction Patients with Macrotextured Breast Implants

Paolini, Guido
;
Firmani, Guido;Briganti, Francesca;Nigrelli, Simone;Sorotos, Michail;Santanelli di Pompeo, Fabio
2022

Abstract

Background: Breast implants (BI) are widely used in plastic surgery, though they are not lifetime devices. Average life before rupture is reportedto be around 10-15 years. No consensus exists regarding which factors are involved.Objectives: Following FDA recommendations, this study aims at identifying potential risk factors by evaluating their effect on BI rupture cases.Methods: In this observational study, 763 BI patients were operated between 2003 and 2019, with a mean implant indwelling of 12.2 years. Patients that returned for follow-up were administered a questionnaire regarding postoperative lifestyle and habits. Implant rupture rate was 15.1%, while BI lifespan was 10.1 years. We obtained complete data from 191 breast implant patients (288 implants). Twenty-three potential risk factors were evaluated and divided in four categories: patient-related, surgery-related, postoperative complications/symptoms, and postoperative care/lifestyle habits. Odds Ratio (OR) for each factor was calculated. Linear regression analysis was calculated for those with a significant OR.Results: We report 120 patients (195 implants) with intact and 71 (93 implants) with ruptured devices. BIs were macrotextured in 95.1% of cases (86.8% Allergan BIOCELL). OR was significant for underwire bra use (OR: 2.708), car seat belts (OR: 3.066), mammographic imaging (OR: 2.196), weightlifting (OR: 0.407) and carry-on heavy purses and backpacks (OR: 0.347).Conclusion: Wearing underwire bras, seat belts and undergoing mammography increases the risk of rupture. Weightlifting and carry heavy bags do not increase that risk. Implant rupture is directly linked with time of indwelling. Postoperative recommendations in BI patients should consider findings from our study, though larger multicenter studies should be encouraged.
2022
Breast implants; Breast reconstruction; Implant rupture; Macrotextured; Rupture risk factors
01 Pubblicazione su rivista::01a Articolo in rivista
Assessment of Risk Factors for Rupture in Breast Reconstruction Patients with Macrotextured Breast Implants / Paolini, Guido; Firmani, Guido; Briganti, Francesca; Macino, Mattia; Nigrelli, Simone; Sorotos, Michail; Santanelli di Pompeo, Fabio. - In: AESTHETIC PLASTIC SURGERY. - ISSN 0364-216X. - (2022). [10.1007/s00266-022-03118-9]
File allegati a questo prodotto
Non ci sono file associati a questo prodotto.

I documenti in IRIS sono protetti da copyright e tutti i diritti sono riservati, salvo diversa indicazione.

Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/11573/1676152
 Attenzione

Attenzione! I dati visualizzati non sono stati sottoposti a validazione da parte dell'ateneo

Citazioni
  • ???jsp.display-item.citation.pmc??? 2
  • Scopus 7
  • ???jsp.display-item.citation.isi??? 8
social impact