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Journal of Long-Term Effects of Medical Implants

ISSN for PRINT: 1050-6934

Institutional price:	$1021.00
Issues per year:	6

Best Paper Award Selection - Editorial Board Site

2003, Volume13

80 pages

DOI: 10.1615/JLongTermEffMedImplants.v13.i1

Issue price - $175.00

Protocol for Retrieval and Analysis of Breast Implants

Harold J. Brandon
Center for Implant Retrieval and Analysis of Plastic Surjery Devices, Department of Plastic Surgery; Department of Mechanical & Aerospace Engineering, Washington University, One Brooking Drive, St. Louis, Missouri, MO 63130-4899, USA

V. Leroy Young, MD
Bodyaesthetic Plastic Surgery Center, St. Louis, Missouri

Marla E. Watson, MA
Center for Implant Retrieval and Analysis, Washington University, St. Louis, Missouri

Clarence J. Wolf, PhD
Center for Implant Retrieval and Analysis, Dept. of Chemical Engineering, Washington University, St. Louis, Missouri, USA

Kenneth L. Jerina, DSc
Center for Implant Retrieval and Analysis, Dept. of Mechanical & Aerospace Engineering, Washington University, St. Louis, Missouri, USA

ABSTRACT

The Center for Implant Retrieval and Analysis has been established at Washington University’s Division of Plastic and Reconstructive Surgery for the purpose of studying implantable devices retrieved after surgery or autopsy and assessing their condition after implantation. Since the early 1990s, significant experience has been gained in testing and analyzing silicone gel breast implants and, to a lesser extent, saline-filled devices. However, there has been no systematic method reported for collecting and evaluating these implants in a way that would permit di. erent laboratories to compare their data. This article offers the plastic and reconstructive surgery community a standardized protocol for analyzing explanted silicone gel and saline-filled breast implants. The protocol gives surgeons a clearly defined approach for removing, handling, documenting, and shipping explanted breast implants. At the same time, biomaterials researchers can use the protocol to acquire implant data with reliable and reproducible methods. Because the study of saline implants has lagged behind the study of silicone gel implants, the article concludes with a demonstration of how this protocol can be applied to obtain mechanical properties data and use scanning electron microscopy to illuminate failure mechanisms of saline devices, including three explants removed after 20+ years in vivo.