Acceleration of textured saline breast implant deflation rate: results and analysis of 645 implants.
BACKGROUND
Although inflatable saline implants have been in use since 1965, few studies have examined their deflation rates over time.


OBJECTIVE
We conducted a retrospective study to analyze the deflation rate for Mentor inflatable Siltex saline implants (Mentor Corp., Santa Barbara, CA) for a period of 5 years following implantation.


METHODS
The study group included 645 Siltex inflatable implants placed in 324 patients for primary breast augmentation between 1992 and 1997. The implants were placed by a single surgeon using the same surgical technique. Implant data were obtained from the operative log and patient charts for a 6-year period from 1992 to 1997. All patients were followed for 5 years.


RESULTS
The deflation rate of the implants was 0.3% within the first year of implantation, 2.2% within the first 3 years, and 5.3% over 5 years. The rate of spontaneous deflation per implant year was 0.3% at 1 year, 0.7% at 3 years, and 1.0% at 5 years. The deflation rate was lower than the expected deflation rate reported in the manufacturer's product insert data sheet.


CONCLUSIONS
The rate of spontaneous implant deflation per year was demonstrated to increase with time. Further studies are needed to ascertain the long-term deflation rates for each type of breast implant.
Stevens
W Grant
WG
Stoker
David A
DA
Fellows
David R
DR
Hirsch
Elliot M
EM