Implications of transaxillary breast augmentation: lifetime probability of breast cancer development and sentinel node mapping interference.
After the "fifth-generation" breast implants with ultracohesive silicone gel technology are introduced, the Food and Drug Administration (FDA) will sooner or later retire the ban on the use of these devices in the United States. When this happens, the plastic surgery community must be prepared to face a massive demand for reoperations to change saline-filled breast implants because cohesive gel devices have the potential to provide a more natural breast shape, to minimize the risk of postoperative rippling, and to provide a greater degree of safety if the implant loses its integrity. Despite these advantages and extensive use throughout the rest of the world during the ban in the United States, silicone implants also have disadvantages. One drawback is that transaxillary breast augmentation with more "rigid" gel-filled implants may produce trauma to the armpit, may interfere with sentinel node mapping for breast cancer treatment, and may have future medicolegal implications.
Prado
Arturo
A
Division of Plastic Surgery, School of Medicine, Clinical Hospital JJ Aguirre, University of Chile, Chile. pradoplast@yahoo.com
Andrades
Patricio
P
Leniz
Patricio
P
D001365:Axilla / Q000601:surgery; D019928:Breast Implantation / Q000009:adverse effects* / Q000379:methods; D018427:Breast Implants / Q000009:adverse effects*; D001943:Breast Neoplasms / Q000209:etiology* / Q000517:prevention & control; D019317:Evidence-Based Medicine; D005260:Female; D006801:Humans; D008198:Lymph Nodes / Q000601:surgery*; D021701:Sentinel Lymph Node Biopsy / Q000379:methods; D020034:Silicone Gels / Q000009:adverse effects*; D014481:United States; D014486:United States Food and Drug Administration; D016387:Women's Health
D020034:Silicone Gels