The utilization of breast implants in modern alloplastic breast surgery
The utilization of breast implants in modern alloplastic breast surgery
Breast augmentation and reconstruction are among the most commonly performed procedures worldwide and have been associated with improved patient satisfaction, self-image, and quality of life.
The overall aim of this thesis was to evaluate the contemporary use of breast implants in alloplastic breast surgery. The research was structured around three key themes: patient safety, breast aesthetics, and surgical technique.
Within the domain of patient safety, outcomes of implant-based and autologous breast reconstruction following prophylactic mastectomy were compared. Autologous reconstruction was associated with fewer minor complications, seromas, and infections, while major complication rates were similar. In addition, a unique case of bilateral breast implant-associated chronic lymphocytic leukaemia/small lymphocytic lymphoma (BIA-CLL/SLL) was presented, demonstrating disease remission following implant removal and capsulectomy. Further studies highlighted shortcomings in the readability of Dutch online patient information and revealed fragmented post-market surveillance systems, emphasizing the need for improved patient communication and integrated implant registries.
The aesthetic section examined preferences for breast size and implant shape. Patients generally preferred larger breast volumes than surgeons and laypersons. Furthermore, anatomically shaped implants were consistently perceived as more natural and aesthetically pleasing than round implants.
The surgical technique section demonstrated considerable variation in antiseptic measures used during breast implant surgery despite limited high-quality evidence. Changes in implant selection following the ban on macrotextured implants were documented, showing a shift toward microtextured and smooth devices. Finally, the Omega mastopexy technique and a revised implant selection algorithm were presented as valuable tools for personalized, evidence-based breast surgery.
Collectively, the findings emphasize the importance of balancing safety, aesthetics, surgical innovation, and patient-centred care in modern breast implant practice.