Breast implant infections
- Tahaniyat Lalani, MBBS, MHS
Tahaniyat Lalani, MBBS, MHS
- Associate Professor
- Uniformed Services University of the Health Sciences
- Michael R Zenn, MD, FACS
Michael R Zenn, MD, FACS
- Associate Professor
- Plastic and Reconstructive Surgery
- Duke University Medical Center
- Daniel J Sexton, MD
Daniel J Sexton, MD
- Editor-in-Chief — Infectious Diseases
- Section Editor — Bacterial Infections
- Professor of Medicine
- Duke University Medical Center
Breast augmentation (also called augmentation mammoplasty) is the most common type of cosmetic surgery procedure in the United States, with almost 286,000 procedures being performed in 2014. This has been stable since 2005 . Breast implants are performed both for breast enlargement and, in women who have undergone mastectomy for breast cancer, for breast reconstruction. (See "Implant based breast reconstruction and augmentation", section on 'Types of implants'.)
Today, silicone implants are the gold standard and used by most surgeons. Saline filled breast implants used to be the main prostheses used for breast augmentation. Although silicone gel implants provide a more natural appearance and feel, unfounded concerns about risk of connective tissue disease associated with silicone implants led to a moratorium on their use in the United States in 1992. This was lifted in November 2006, after further studies led to the conclusion that silicone gel implants expose patients to no demonstrable risk for connective tissue or rheumatologic disease.
Both silicone and saline implants have the disadvantages that additional surgery may be necessary, since the implants do not last a lifetime, and that periodic imaging studies may be needed to determine if implant rupture has occurred. (See "Implant based breast reconstruction and augmentation", section on 'Concerns over breast implants'.)
Breast implants are sometimes placed following the use of a tissue expander. In addition, acellular dermal matrix is often used as an adjunct to tissue expander and breast implant reconstructions. This matrix may assist in the shaping of the reconstructive breast and allow tissue expanders to be filled to higher volumes .
Issues related to breast implant infections will be reviewed here. Breast cellulitis, which is another form of breast infection related to breast cancer surgery, is discussed separately. (See "Breast cellulitis and other skin disorders of the breast".)
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