OBJECTIVE

To study the positive and negative aspects, technical features and complications after breast augmentation with nanotextured implants.

MATERIAL AND METHODS

We analyzed the results of augmentation mammoplasty and augmentation-mastopexy in 289 women (536 implants) with nanotextured implants (SmoothSilk surface, Motiva) for 5-year follow-up period. Ergonomix dynamically reshaping prostheses filled with Progressive Gel Ultima soft gel were used in 254 cases to give a more natural shape of the breasts. In 15 cases, we used Motiva Round implants with a harder Progressive Gel Plus gel to give a more rounded shape of the breast.

RESULTS

Soft consistency and high elasticity of the implants made it possible to make an incision 2-3 cm shorter compared to correction with cohesive gel. Characteristics of nanotextured implant surface are similar to implants with smooth surface. These implants form a delicate, thin capsule and tend to move down within 6—12 months after surgery. Thus, the prostheses were placed in a higher position. We formed a pocket tightly attached to the implant and fixed inframammary fold. Inframammary access was used in 246 cases. The ferrite core of microtranspoder installed in Motiva implants for their external identification causes MRI artifact that distorts imaging of underlying tissues. There were no capsular contracture, early and late seromas, double capsules and implant ruptures throughout 5-year follow-up period. There are literature data on anaplastic large cell lymphoma arising after breast correction with smooth and nanotextured implants.

CONCLUSION

Nanotextured implants ensure thin delicate capsule with minimal risk of capsular contracture, late seroma and large cell lymphoma. These implants imply certain technical features of implantation.