PEER-REVIEW | BREAST IMPLANT COMPLICATIONS | USING TIGR® LONG-TERM SYNTHETIC MESH
BREAST IMPLANT COMPLICATIONS
CORRECTING
Jeffrey G. Lind II and Hilton Becker present a case study on the use of the TIGR® Matrix for bilateral breast augmentation revision for a patient with asymmetry, synmastia, and unnatural implant movement
JEFFREY G. LIND II, MD, Cleveland Clinic Florida Department of Plastic and Reconstructive Surgery, Florida, USA; Hilton Becker, MD, FACS, Hilton Becker Clinic of Plastic Surgery, Voluntary Faculty Cleveland Clinic Florida, Department of Plastic and Reconstructive Surgery, Florida, USA
ABSTRACT Objective Breast implants are associated with many potential complications. Some of these complications, such as asymmetry or unnatural movement, require operative intervention for correction. In this article, the authors report on the use of a
I
KEYWORDS reconstructive breast surgery, breast reconstruction, cosmetic breast surgery, long-term synthetic mesh, TIGR® Matrix mesh, acellular dermal matrix, revision breast surgery, breast implant complications
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new long-term synthetic resorbable mesh to correct a representative breast implant complication.
Patient/Method A retrospective look at a case was performed of a 46-year-old patient who presented with asymmetry, synmastia, and unnatural implant movement with muscle
contraction, after having undergone bilateral sub- muscular implant-based breast augmentation and eight additional corrective breast surgeries, including vertical mastopexy, by another surgeon. The patient subsequently underwent bilateral breast augmentation revision incorporating
N 2011, APPROXIMATELY 80 % OF THE 96 277 cases of breast reconstruction were implant-based.1
The same year, breast
augmentations saw a rise of 4% and continue to hold the title of ‘top cosmetic surgical
procedure’, a title it has held since 2006 1
. Given the invasive nature of
surgical fields, no matter how great the technique or the device, complications may occur. Benjamin Franklin once said, ‘in the world nothing can be certain except for death and taxes’. For a surgeon, ‘complications’ should be added to this list. Complications seen in implant-
May/June 2013 |
prime-journal.com
the use of a new long-term resorbable synthetic mesh (TIGR® Matrix) to correct her problem.
Results
The patient experienced no intra/postoperative complications. She enjoyed good aesthetic improvements in both breasts and was pleased with the results. The
authors’ view of the result of the operative revision was in line with the patient’s.
Conclusion This new long-term synthetic resorbable mesh appears to be a very useful tool in the correction of complications resulting from implant-based breast surgery.
When breast implants are placed in a
sub-pectoral position, this can often lead to
unnatural movement of the implant with muscle contraction, loss of ideal position of the implant, and exaggerated upper pole fullness.
based breast surgery include haematoma, seroma, infection, alteration in tactile sensation, breast asymmetry, implant displacement, or capsular contracture. Some of these complications can be managed conservatively. However, sometimes operative intervention is needed to correct the problem. In a Danish study that examined 5373 women who had primary breast augmentations, asymmetry/displacement occurred in 5.2% of patients and capsular contracture in 1.7%. These two complications were found to be the most frequent reason for reoperation2
.
When breast implants are placed in a sub-pectoral position, this can often
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