Semin Plast Surg 2022; 36(02): 089-093
DOI: 10.1055/s-0042-1747965
Review Article

Evolving Trends in Breast-Implant-Based Procedures in Israel: A National Survey

Dafna Shilo Yaacobi
1   Department of Plastic Surgery and Burns, Rabin Medical Center – Beilinson Hospital, Petach Tikva; affiliated to Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel
,
Tal Shachar
2   Azrieli Faculty of Medicine, Bar-Ilan University, Safed, Israel
,
Asaf Olshinka
3   Plastic Surgery & Burns Unit, Schneider Children's Medical Center of Israel, Petach Tikva, affiliated to Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel
,
Alex Lvovsky
4   Medical Corps, Israel Defense Forces, Israel
,
Avraham Amir
1   Department of Plastic Surgery and Burns, Rabin Medical Center – Beilinson Hospital, Petach Tikva; affiliated to Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel
,
Dean Ad-El
1   Department of Plastic Surgery and Burns, Rabin Medical Center – Beilinson Hospital, Petach Tikva; affiliated to Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel
,
Andrew E. Grush
5   Michael E. DeBakey Department of Surgery, Division of Plastic Surgery, Baylor College of Medicine, Houston, Texas
6   Department of Surgery, Division of Plastic Surgery, Texas Children's Hospital, Houston, Texas
,
Sagit Meshulam-Derazon
1   Department of Plastic Surgery and Burns, Rabin Medical Center – Beilinson Hospital, Petach Tikva; affiliated to Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel
› Author Affiliations

Abstract

Rare reports linking textured breast implants to anaplastic large-cell lymphoma have generated controversies regarding their relative advantage over smooth implants. To evaluate trends in implant use in Israel, we sent a seven-item questionnaire to all active board-certified breast plastic surgeons in the country. About half responded. Approximately 60% of responders reported a moderate-to-considerable decrease in both the relative number of augmentation mammoplasty procedures and the use of implants during mastopexies in the last year. Nearly 40% had switched from textured to smooth implants to some extent. More than 40% still used textured implants for aesthetic procedures, and reconstructive procedures. Surgeons with more experience demonstrated a greater preference for smooth implants. The uncertainty regarding the safety of textured breast implants has led to a partial transition to the use of smoother implants and, importantly, to a general reduction in all breast-implant-based procedures.



Publication History

Article published online:
08 June 2022

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  • References

  • 1 Zingaretti N, Galvano F, Vittorini P. et al. Smooth prosthesis: our experience and current state of art in the use of smooth sub-muscular silicone gel breast implants. Aesthetic Plast Surg 2019; 43 (06) 1454-1466
  • 2 Handel N, Cordray T, Gutierrez J, Jensen JA. A long-term study of outcomes, complications, and patient satisfaction with breast implants. Plast Reconstr Surg 2006; 117 (03) 757-767 , discussion 768–772
  • 3 Wazir U, Kasem A, Mokbel K. 168. A systematic review of the clinical impact of the PIP breast implants. Eur J Surg Oncol EJSO 2014; 40 (11) S73
  • 4 De Biasio F, Zingaretti N, De Lorenzi F, Riccio M, Vaienti L, Parodi PC. Reduction mammaplasty for breast symmetrisation in implant-based reconstructions. Aesthetic Plast Surg 2017; 41 (04) 773-781
  • 5 Zingaretti N, Guarneri GF, De Biasio F, Shoeib MA, Parodi PC. The use of meshed dermal autograft in breast reconstruction. Aesthetic Plast Surg 2018; 42 (06) 1704-1706
  • 6 Cattin F, Castriotta L, Zumerle G. et al. The breast cancer: a comparison among different diagnostic and therapeutic protocols. Breast J 2013; 19 (05) 560-562
  • 7 Pollock H. Breast capsular contracture: a retrospective study of textured versus smooth silicone implants. Plast Reconstr Surg 1993; 91 (03) 404-407
  • 8 Efanov JI, Giot JP, Fernandez J, Danino MA. Breast-implant texturing associated with delamination of capsular layers: a histological analysis of the double capsule phenomenon. Ann Chir Plast Esthet 2017; 62 (03) 196-201
  • 9 Burkhardt BR, Eades E. The effect of Biocell texturing and povidone-iodine irrigation on capsular contracture around saline-inflatable breast implants. Plast Reconstr Surg 1995; 96 (06) 1317-1325
  • 10 Burkhardt BR, Demas CP. The effect of Siltex texturing and povidone-iodine irrigation on capsular contracture around saline inflatable breast implants. Plast Reconstr Surg 1994; 93 (01) 123-128 , discussion 129–130
  • 11 Collis N, Coleman D, Foo IT, Sharpe DT. Ten-year review of a prospective randomized controlled trial of textured versus smooth subglandular silicone gel breast implants. Plast Reconstr Surg 2000; 106 (04) 786-791
  • 12 Coleman DJ, Foo IT, Sharpe DT. Textured or smooth implants for breast augmentation? A prospective controlled trial. Br J Plast Surg 1991; 44 (06) 444-448
  • 13 Coleman DJ, Sharpe DT, Naylor IL, Chander CL, Cross SE. The role of the contractile fibroblast in the capsules around tissue expanders and implants. Br J Plast Surg 1993; 46 (07) 547-556
  • 14 Hakelius L, Ohlsén L. Tendency to capsular contracture around smooth and textured gel-filled silicone mammary implants: a five-year follow-up. Plast Reconstr Surg 1997; 100 (06) 1566-1569
  • 15 Tarpila E, Ghassemifar R, Fagrell D, Berggren A. Capsular contracture with textured versus smooth saline-filled implants for breast augmentation: a prospective clinical study. Plast Reconstr Surg 1997; 99 (07) 1934-1939
  • 16 Fagrell D, Berggren A, Tarpila E. Capsular contracture around saline-filled fine textured and smooth mammary implants: a prospective 7.5-year follow-up. Plast Reconstr Surg 2001; 108 (07) 2108-2112 , discussion 2113
  • 17 Clemens MW, Nava MB, Rocco N, Miranda RN. Understanding rare adverse sequelae of breast implants: anaplastic large-cell lymphoma, late seromas, and double capsules. Gland Surg 2017; 6 (02) 169-184
  • 18 O'Neill AC, Zhong T, Hofer SOP. Implications of breast implant-associated anaplastic large cell lymphoma (BIA-ALCL) for breast cancer reconstruction: an update for surgical oncologists. Ann Surg Oncol 2017; 24 (11) 3174-3179
  • 19 Administration AGD of HTG. TGA update on rare cancer associated with breast implants. Therapeutic Goods Administration (TGA);
  • 20 Health C for D and R. Allergan Voluntarily Recalls BIOCELL® Textured Breast Implants and Tissue Expanders. U.S. Food and Drug Administration;
  • 21 Information de sécurité - Implants mammaires macrotexturés et i - ANSM.
  • 22 Montemurro P, Cheema M, Hedén P. In search for the 'perfect' breast implant: are textured implants still indicated in today's breast augmentation practice?. J Plast Surg Hand Surg 2021; 55 (05) 302-308
  • 23 Heidekrueger PI, Sinno S, Hidalgo DA, Colombo M, Broer PN. Current trends in breast augmentation: an international analysis. Aesthet Surg J 2018; 38 (02) 133-148
  • 24 Khavanin N, Clemens MW, Pusic AL. et al. Shaped versus round implants in breast reconstruction: a multi-institutional comparison of surgical and patient-reported outcomes. Plast Reconstr Surg 2017; 139 (05) 1063-1070
  • 25 Hidalgo DA, Weinstein AL. Intraoperative comparison of anatomical versus round implants in breast augmentation: a randomized controlled trial. Plast Reconstr Surg 2017; 139 (03) 587-596
  • 26 Cole NM. Consequences of the U.S. Food and Drug Administration-directed moratorium on silicone gel breast implants: 1992 to 2006. Plast Reconstr Surg 2018; 141 (05) 1137-1141
  • 27 Calobrace MB, Schwartz MR, Zeidler KR, Pittman TA, Cohen R, Stevens WG. Long-term safety of textured and smooth breast implants. Aesthet Surg J 2017; 38 (01) 38-48
  • 28 Buonomo OC, Morando L, Materazzo M. et al. Comparison of round smooth and shaped micro-textured implants in terms of quality of life and aesthetic outcomes in women undergoing breast reconstruction: a single-centre prospective study. Updates Surg 2020; 72 (02) 537-546
  • 29 Azzi AJ, Almadani Y, Davison P. A national survey to assess the population's perception of breast implant-associated anaplastic large cell lymphoma and breast implant illness. Plast Reconstr Surg 2021; 147 (04) 795-803
  • 30 Henriksen TF, Fryzek JP, Hölmich LR. et al. Surgical intervention and capsular contracture after breast augmentation: a prospective study of risk factors. Ann Plast Surg 2005; 54 (04) 343-351
  • 31 Handel N, Jensen JA, Black Q, Waisman JR, Silverstein MJ. The fate of breast implants: a critical analysis of complications and outcomes. Plast Reconstr Surg 1995; 96 (07) 1521-1533
  • 32 Doren EL, Miranda RN, Selber JC. et al. U.S. epidemiology of breast implant-associated anaplastic large cell lymphoma. Plast Reconstr Surg 2017; 139 (05) 1042-1050
  • 33 Sancar F. Textured breast implant recall. JAMA 2019; 322 (11) 1036