Biomaterials in Plastic Surgery

Walter Peters is Professor of Plastic Surgery at the University of Toronto, Canada. Harold Brandon is a Professor of Practice in the Department of Mechanical Engineering and Materials Science at Washington University in St Louis, USA. Kenneth Jerina is the Earl E. And Myrtle E. Walker Professor of Engineering in the Department of Mechanical Engineering and Materials Science at Washington University in St Louis. Clarence Wolf is a former Professor (now retired) in the Department of Chemical Engineering at Washington University at St Louis. V. L. Young is former Chief of Surgical Services at Barnes-Jewish West County Hospital, Missouri, USA, and is a founding partner of the BodyAesthetic Plastic Surgery and Skincare Center.

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Woodhead Publishing Series in Biomaterials

Introduction

Chapter 1: The history of biomaterials used for breast augmentation

Abstract:

1.1 Introduction

1.2 Injectable materials

1.3 Sponges

1.4 Breast implants

1.5 Other forms of texturing

1.6 Inflatable implants

1.7 Trilucent (LipoMatrix) implants – 1995 to 2000

1.8 Acknowledgements

Chapter 2: The development of breast implants

Abstract:

2.1 Introduction

2.2 Breast implant evolution

2.3 Alternative types of implant and safety aspects

2.4 Future trends

Chapter 3: The chemistry and physical properties of biomedical silicones

Abstract:

3.1 Introduction

3.2 Properties of silicones

3.3 The main forms of silicones/siloxanes

3.3.3 Silicone gels

3.3.4 Formulation of silicones

3.4 Silicones in breast implants

Chapter 4: Cohesive gel breast implants

Abstract:

4.1 Introduction

4.2 Available form stable breast implants

4.3 Selection of the appropriate form stable breast implant

4.4 Preoperative planning

4.5 Incisions and surgical technique

4.6 Problems and complications

Chapter 5: Polyurethane foam covered breast implants

Abstract:

5.1 Introduction

5.2 Capsular contracture and the role of polyurethane foam in its prevention

5.3 Comparison of polyurethane foam covered implants with smooth and textured surfaced implants

5.4 Safety when using polyurethane foam breast implants

5.5 Use in secondary procedures

5.6 Disadvantages of polyurethane foam breast implants

5.7 Conclusions

Chapter 6: The safety of breast implants: epidemiologic studies

Abstract:

6.1 Introduction

6.2 Connective tissue disease

6.3 Offspring effects

6.4 Neurological disease

6.5 Implant rupture

6.6 Local complications

6.7 Incidence of cancer

6.8 Occurrence of suicide

6.9 Conclusion

Chapter 7: Retrieval and analysis of breast implants emphasizing strength, durability, and failure mechanisms

Abstract:

7.1 Introduction

7.2 Silicone gel explants with longest implantation times

7.3 Shell properties of silicone gel implants as a function of implantation time

7.4 Lot-matched control study

7.5 Effect of implantation time on shell properties of saline implants

7.6 Breast implant rupture

7.7 Rupture rates and reoperation rates

Index