Breast Implants

Question 1

What year was the initial attempt for breast implants?

Answer 1

1895

Question 2

What was the first implant made up of?

Answer 2

Pt had an adenoma removed from the breast and a lipoma removed from the back and placed where the adenoma was removed

Question 3

What were the earliest 20th century implants done by?

Answer 3

Injecting paraffin

Question 4

What did Pts start to develop after being injected with paraffin?

Answer 4

Inflammatory granulomatous reactions

Question 5

What were other things they would use for implants after paraffin injections? (3)

Answer 5

1. Glass balls
2. Rubber
3. Sponges

Question 6

What were used for implants in 1940’s-1950’s?

Answer 6

Liquid silicone was injected

Question 7

What were used for implants in 1960’s? What was used shortly after?

Answer 7

1. Silicone breast implants were created
2. Saline implants following shortly after

Question 8

What are 4 types of implants?

Answer 8

1. Saline implants
2. Silicone (round) implants
3. Silicone gel (Gummy Bear) Implants
4. The IDEAL implant

Question 8

How many women in the U.S have breast implants?

Answer 8

6 million women

Question 9

What age are saline implants approved by the FDA?

Answer 9

18 and older
- but any age for reconstruction

Question 10

What are saline implants made up of?

Answer 10

Made of a silicone outer shell filled with sterile saline

Question 11

Is silicon or saline implants more expensive?

Answer 11

Silicon

Question 12

Are saline implants rupture quickly detectable?

Answer 12

Yes

Question 13

What type of implant is less popular? Why?

Answer 13

1. Saline
2. Less natural feel

Question 14

What age are silicone (round) implants approved by the FDA?

Answer 14

22 years of age and older
- any age for reconstruction

Question 15

What are silicone implants made up of?

Answer 15

Consists of a silicone outer shell and is filled with silicone gel

Question 16

Is silicon (round) implants single or double lumen?

Answer 16

Available in both

Question 17

What is a benefit to silicone (round) implants?

Answer 17

More natural feel

Question 18

What shape are silicon gel implants?

Answer 18

Teardrop

Question 19

What are 3 benefits to silicon gel implants?

Answer 19

1. More natural shape
2. Firmer feel
3. Less wrinkling of the implant

Question 20

What is a disadvantage for silicon gel implants?

Answer 20

Possibility of implant rotation
- causes the breast to be misshapen
- higher risk for rupture

Question 21

What implant is always a double lumen?

Answer 21

IDEAL implant

Question 22

What year did the IDEAL implants come out?

Answer 22

2014

Question 23

What are the IDEAL implants filled with?

Answer 23

Both inner and outer compartments are filled with saline
- inner has 2/3rd and the outer has 1/3rd

Question 24

What are 2 benefits IDEAL implants?

Answer 24

1. Ruptures are more easily detectable 2. More safer compared to silicone

Question 25

What is unique about the IDEAL implants? (2)

Answer 25

1. Unattached to the outer chamber is a baffle structure that reduces movement of the saline allowing for a more natural feel 2. Small openings between lumens allow the saline to move between shells

Question 26

What is the internal structure for an IDEAL implant composed of?

Answer 26

3 nested baffle shells

Question 27

What is the most popular type of implant?

Answer 27

Single lumen silicone implants

Question 28

What is an implant typically consist of?

Answer 28

An elastomer shell or envelope (composed of hard silicone) is filled with either saline or silicone gel

Question 29

What is an important role in the structure of the implant?

Answer 29

Body forms a fibrous capsule around the implant

Question 30

Where are the 2 common locations for breast implants?

Answer 30

1. Subglandular 2. Subpectoral

Question 31

Where is the location for subglandular breast implant?

Answer 31

Between the glandular tissue and pectoral muscle - anterior to the pectoral muscle

Question 32

Where is the location for subpectoral breast implant?

Answer 32

Between the pectoralis major and pectoralis minor muscles - posterior to the pectoralis major muscle

Question 33

What kind of angle does in subglandular implant have?

Answer 33

Acute angle to the inferior margin of the pectoralis major muscle on mammo

Question 34

What kind of angle does in subpectoral implants have?

Answer 34

Obtuse angle to the inferior margin of the pectoralis major muscle on mammo

Question 35

What placement of the implant is best visualized on mammo? Why?

Answer 35

1. Non-implant displaced MLO view 2. Both implant and pectorals major muscle are seen in this view