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. 2018 May 15;38(suppl_2):S62-S73.
doi: 10.1093/asj/sjx150.

Preliminary 3-Year Evaluation of Experience With SilkSurface and VelvetSurface Motiva Silicone Breast Implants: A Single-Center Experience With 5813 Consecutive Breast Augmentation Cases

Marcos Sforza  1   2 , Renato Zaccheddu  3 , Angelo Alleruzzo  3 , Adriano Seno  3 , Domenico Mileto  3 , Arnaldo Paganelli  3 , Hassan Sulaiman  3 , Michael Payne  3 , Lajos Maurovich-Horvat  4
Affiliations

Preliminary 3-Year Evaluation of Experience With SilkSurface and VelvetSurface Motiva Silicone Breast Implants: A Single-Center Experience With 5813 Consecutive Breast Augmentation Cases

Marcos Sforza et al. Aesthet Surg J. .

Erratum in

Abstract

Background: Silicone breast implants have been in use for breast augmentation for more than 50 years, but technological innovation has been lacking in implant design until recently.

Objectives: This study was designed to evaluate the complication and reoperation rates following breast augmentation utilizing the Motiva silicone breast implants.

Methods: This retrospective study evaluated the safety of Motiva implants in 5813 consecutive cases of breast augmentation. Implants with two different textured surfaces were evaluated: SilkSurface (nanotextured) and VelvetSurface (micro-textured).

Results: Implants were placed between April 2013 and April 2016. A total of 44 complications were reported, with an overall complication rate of 0.76%, and the rate of reoperation was 0.76% over an interval of 3 years. There were no late complications and no cases of primary capsular contracture. No differences in complication rates were observed because of the implant date. However, among patients who received implants 300 to 499 cc in volume, complication rates were significantly lower with SilkSurface compared with VelvetSurface implants. Advanced statistical analysis supported the validity of the low complication rate reported in this study.

Conclusions: Overall, these findings suggest that Motiva silicone breast implants are associated with very low rates of complication and reoperation, and that the nano-textured SilkSurface implant is associated with fewer complications than micro-textured implants.

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Figures

Figure 1.
Figure 1.
SilkSurface scanning electron microscopy (SEM) image at 300 µm scale.
Figure 2.
Figure 2.
VelvetSurface scanning electron microscopy (SEM) image at 300 µm scale.
Figure 3.
Figure 3.
Kaplan-Meier cumulative hazard rate of the entire patient sample (N = 5813). The hazard function increases most in the first 10 weeks following implant placement, indicating that most complications occurred during this period. After 25 weeks, a further increase in the complication rate is minimal, indicating that very few complications occurred after this time.
Figure 4.
Figure 4.
Kaplan-Meier hazard complication rates for patients with implant placement performed in 2013-2014 (Group A) and 2015-2016 (Group B).
Figure 5.
Figure 5.
Kaplan-Meier hazard rates for patients implanted with small-sized (0-299 cc) SilkSurface and VelvetSurface Motiva Implants.
Figure 6.
Figure 6.
Kaplan-Meier risk rates for patients implanted with large-sized (500-700 cc) SilkSurface and VelvetSurface Motiva Implants.
Figure 7.
Figure 7.
Kaplan-Meier hazard rates for patients implanted with mid-sized (300-499 cc) SilkSurface and VelvetSurface Motiva Implants.
Figure 8.
Figure 8.
(A, C, E) Preoperative photographs of this 22-year-old woman. (B, D, F) Postoperative photographs taken at 12 months. She underwent bilateral breast augmentation surgery using VelvetSurface 315 cc implants, inserted on a dual-plane type 2.
Figure 9.
Figure 9.
(A, C, E) Preoperative photographs of this 26-year-old woman. (B, D, F) Postoperative photographs taken at 12 months. She underwent bilateral breast augmentation surgery using SilkSurface 335 cc implants, inserted on a dual-plane type 2.
See this image and copyright information in PMC

Comment in

References

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