24.0: Thursday, March 17, 2005

Outcomes and Patient Satisfaction with the New Generation of Silicone Breast Implants: A Single Surgeon's Experience

Sarah Hagarty, MD, Rene Crepeau, MD, and Mimis N. Cohen, MD.

Introduction: We present a retrospective study of a single surgeon's consecutive experience of 60 low bleed implants in 30 patients for cosmetic augmentation. The purpose of this study was to analyze capsular contracture, complications and patient satisfaction, with the new generation of silicone gel implants.

Methods: All patients had smooth round subglandular implants. Selection criteria included previous implants, thin superior parenchymal volume, or other breast surgery. Each case required approval by the Canadian Federal Government. Data was collected through chart review, and clinical examination, and all completed a satisfaction survey. Contracture was rated according to Baker's classification scale.

Results: The average follow-up was 13 months (4-25 months). There were three minor complications. There were no patients with Baker Class IV contracture, 8% with Class III, and 90% with Class I/II. Patient satisfaction was high, with an overall survey satisfaction score of 4.5 out of 5.

Conclusion: This is a preliminary study. We feel it is important in light of recent FDA scrutiny because it gives information about gel implant outcomes. Our patients were satisfied with their cosmetic result. Significant complication and capsular contracture rates were lower than previously reported. Further studies with larger samples and longer follow up are needed.