Forum for Science, Industry and Business

Sponsored by:     3M 
Search our Site:

 

System lowers breast augmentation re-operation rate by 17 percent

11.11.2004


Plastic surgeons respond to FDA concerns

Plastic surgeons can reduce breast implant re-operations in augmentation patients to 3 percent by following a new system of decision and management algorithms, according to a study published in Plastic and Reconstructive Surgery® (PRS), the official medical journal of the American Society of Plastic Surgeons (ASPS). At the same time, these algorithms can raise patients’ safety and overall satisfaction, the study also found. During the U.S. Food and Drug Administration (FDA) advisory panel hearings on silicone breast implants in October 2003, panelists expressed concern about the manufacturer’s reported 20 percent re-operation rate for silicone breast implants.

"Although plastic surgeons began to use saline implants after silicone implants were banned by the FDA, the re-operation rates for primary breast augmentation have remained largely unchanged for more than a decade," said John Tebbetts, MD, ASPS member and study author. "We originally created these algorithms to help manage potential problems and educate patients about the benefits and risks of breast augmentation. What we also found was that the algorithms significantly reduced the rate of re-operation, increased patient safety and made patients happier about the results of their procedure."



Directly responding to the FDA’s concerns, a group of board-certified plastic surgeons formed the Breast Augmentation Surgeons for Patients Initiative (BAPSI). They adopted the algorithms from Dr. Tebbetts’ practice and expanded them to address a number of clinical situations, including re-operations to change the size of implant, capsular contracture, infection, implant displacement and silent rupture of silicone implants.

According to the study, using algorithms, step-by-step problem-solving procedures for surgical situations, reduced the overall re-operation rate to 3 percent in 1,662 reported cases over seven years. The algorithms measure five critical characteristics to help determine the right implant and procedure for the patient: base width of the breast tissue, degree of stretch, nipple-to-fold distance, implant dimensions and how the implant will sit within the breast.

"These algorithms have been shown to reduce unnecessary re-operations, such as exchanging implants for larger ones, by providing plastic surgeons with comprehensive guidelines for successful and safe surgeries and providing patients with more definitive information about the risks and benefits," said Dr. Tebbetts. "In addition, rather than reinventing the wheel each time similar problems occur, these algorithms have provided us with a set of standards that are designed to help produce optimal results and ensure patient safety," said Dr. Tebbetts.

More than 254,000 women had breast augmentation in 2003, making it the second most popular cosmetic plastic surgery procedure for women, according to the ASPS. Since 2000, the procedure has grown in popularity by 20 percent.

Denise Snyder | EurekAlert!
Further information:
http://www.plasticsurgery.org

More articles from Studies and Analyses:

nachricht Amputees can learn to control a robotic arm with their minds
28.11.2017 | University of Chicago Medical Center

nachricht The importance of biodiversity in forests could increase due to climate change
17.11.2017 | Deutsches Zentrum für integrative Biodiversitätsforschung (iDiv) Halle-Jena-Leipzig

All articles from Studies and Analyses >>>

The most recent press releases about innovation >>>

Die letzten 5 Focus-News des innovations-reports im Überblick:

Im Focus: Scientists channel graphene to understand filtration and ion transport into cells

Tiny pores at a cell's entryway act as miniature bouncers, letting in some electrically charged atoms--ions--but blocking others. Operating as exquisitely sensitive filters, these "ion channels" play a critical role in biological functions such as muscle contraction and the firing of brain cells.

To rapidly transport the right ions through the cell membrane, the tiny channels rely on a complex interplay between the ions and surrounding molecules,...

Im Focus: Towards data storage at the single molecule level

The miniaturization of the current technology of storage media is hindered by fundamental limits of quantum mechanics. A new approach consists in using so-called spin-crossover molecules as the smallest possible storage unit. Similar to normal hard drives, these special molecules can save information via their magnetic state. A research team from Kiel University has now managed to successfully place a new class of spin-crossover molecules onto a surface and to improve the molecule’s storage capacity. The storage density of conventional hard drives could therefore theoretically be increased by more than one hundred fold. The study has been published in the scientific journal Nano Letters.

Over the past few years, the building blocks of storage media have gotten ever smaller. But further miniaturization of the current technology is hindered by...

Im Focus: Successful Mechanical Testing of Nanowires

With innovative experiments, researchers at the Helmholtz-Zentrums Geesthacht and the Technical University Hamburg unravel why tiny metallic structures are extremely strong

Light-weight and simultaneously strong – porous metallic nanomaterials promise interesting applications as, for instance, for future aeroplanes with enhanced...

Im Focus: Virtual Reality for Bacteria

An interdisciplinary group of researchers interfaced individual bacteria with a computer to build a hybrid bio-digital circuit - Study published in Nature Communications

Scientists at the Institute of Science and Technology Austria (IST Austria) have managed to control the behavior of individual bacteria by connecting them to a...

Im Focus: A space-time sensor for light-matter interactions

Physicists in the Laboratory for Attosecond Physics (run jointly by LMU Munich and the Max Planck Institute for Quantum Optics) have developed an attosecond electron microscope that allows them to visualize the dispersion of light in time and space, and observe the motions of electrons in atoms.

The most basic of all physical interactions in nature is that between light and matter. This interaction takes place in attosecond times (i.e. billionths of a...

All Focus news of the innovation-report >>>

Anzeige

Anzeige

Event News

See, understand and experience the work of the future

11.12.2017 | Event News

Innovative strategies to tackle parasitic worms

08.12.2017 | Event News

AKL’18: The opportunities and challenges of digitalization in the laser industry

07.12.2017 | Event News

 
Latest News

Midwife and signpost for photons

11.12.2017 | Physics and Astronomy

How do megacities impact coastal seas? Searching for evidence in Chinese marginal seas

11.12.2017 | Earth Sciences

PhoxTroT: Optical Interconnect Technologies Revolutionized Data Centers and HPC Systems

11.12.2017 | Information Technology

VideoLinks
B2B-VideoLinks
More VideoLinks >>>