Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2019 Apr 8;39(Suppl_3):S95-S102.
doi: 10.1093/asj/sjz054.

Expert Consensus on the Use of a New Bioengineered, Cell-Friendly, Smooth Surface Breast Implant

Marcos Sforza  1   2 , Dennis C Hammond  3 , Giovanni Botti  4 , Per Hedén  5 , Manuel Chacón Quirós  6 , Alexandre Mendonça Munhoz  7   8   9 , Brian M Kinney  10 , Niamh Corduff  11
Affiliations

Expert Consensus on the Use of a New Bioengineered, Cell-Friendly, Smooth Surface Breast Implant

Marcos Sforza et al. Aesthet Surg J. .

Erratum in

Abstract

Background: Although general guidelines are available for established silicone gel breast implants, the unique characteristics of the latest Motiva implants warrant specific guidelines.

Objectives: This study aimed to generate consensus recommendations and summarize expert-based advice to better understand current surgical practices and to establish guidelines for surgeons transitioning from other implant devices to the Motiva implants.

Methods: A survey was compiled by 12 plastic surgeon experts in aesthetic and reconstructive breast surgery and 1 biotechnology scientist, and distributed to 36 plastic surgeons to establish a consensus on the use of these devices. Surgical techniques, complication rates, and implant selection were among the topics discussed.

Results: The experts agreed on 3 core principles regarding the use of Motiva Round and Ergonomix implants. Firstly, the dissected pocket needs to be close fitting and steps must be taken to prevent expansion of the pocket. Secondly, implant selection must be individualized. Finally, surgical planning and technique must be carefully considered. When questioned about problems they had ecountered, 84.6% of the experts agreed that they experienced fewer overall complications and 76.9% confirmed reduced capsular contracture rates with these devices. Overall, 84.6% of the experts favored selecting Motiva Ergonomix implants over Round implants to achieve a more natural look. In addition, 92.3% of the experts agreed that Motiva implants, due to their innovative technology, reduce the risk of anaplastic large-cell lymphoma.

Conclusions: This international consensus of leading practitioners will assist plastic surgeons with patient selection, preoperative planning, and surgical technique. These recommendations are designed to optimize surgical outcomes, resulting in lower overall complication rates, more natural-looking breasts, and highly satisfied patients.

PubMed Disclaimer

Figures

Figure 1.
Figure 1.
How many years have you been performing breast augmentations?
Figure 2.
Figure 2.
In your experience, are your capsular contracture rates reduced with the use of Motiva implants?
Figure 3.
Figure 3.
For what indications would an Ergonomix be chosen over a Round implant?
Figure 4.
Figure 4.
Why did you transition to Motiva implants?
Figure 5.
Figure 5.
Do you implement the 14-point plan to reduce biofilm when using these implants?
Figure 6.
Figure 6.
Do you think these implants may reduce the risk of ALCL?
See this image and copyright information in PMC

Comment in

References

    1. Sforza M, Zaccheddu R, Alleruzzo A, et al. . Preliminary 3-year evaluation of experience with SilkSurface and VelvetSurface Motiva silicone breast implants: a single-center experience with 5813 consecutive breast augmentation cases. Aesthet Surg J. 2018;38(suppl_2):S62-S73. - PMC - PubMed
    1. Mendonça Munhoz A, Santanelli di Pompeo F, De Mezerville R. Nanotechnology, nanosurfaces and silicone gel breast implants: current aspects. Case Reports Plast Surg Hand Surg. 2017;4(1):99-113. - PMC - PubMed
    1. Wolfram D, Dolores W, Rainer C, et al. . Cellular and molecular composition of fibrous capsules formed around silicone breast implants with special focus on local immune reactions. J Autoimmun. 2004;23(1):81-91. - PubMed
    1. Maxwell GP, Gabriel A. Breast implant design. Gland Surg. 2017;6(2):148-153. - PMC - PubMed
    1. Kadin ME, Epstein AL, Adams W, et al. . Evidence that some breast implant associated anaplastic large cell lymphomas arise in the context of allergic inflammation. Blood. 2017;130(Suppl 1):4030.

Publication types

LinkOut - more resources