Malrotation of the McGhan Style 510 prosthesis.
BACKGROUND
Anatomically shaped cohesive silicone breast implants are frequently used in aesthetic and reconstructive surgery. After successful results with the Style 410 prosthesis, McGhan (Natrelle, Allergan) introduced the Style 510 prosthesis. After using this novel prosthesis, the authors encountered a high number of prosthesis malrotations on self-reported follow-up. Therefore, a retrospective medical record review was performed to determine the prevalence of malrotation of the Style 510 prosthesis.


METHODS
From January of 2005 to December of 2006, 73 (146 prostheses) aesthetic augmentation mammaplasty procedures were performed using Style 510 prostheses. All prostheses were placed subglandularly through an inframammary incision. The postsurgical protocol for the first 3 weeks involved wearing a nonwired compression bra, abstinence from sports activities, and abstinence from heavy labor. Standard follow-up was at 1 week, 3 months, and if necessary.


RESULTS
On self-reported follow-up, 8.2 percent of all prostheses were rotated. These rotations all occurred unilaterally after a mean period of 10 months (range, 3 to 19 months). No relation to an inciting incident or prosthesis volume could be found.


CONCLUSIONS
The number of rotations of the Style 510 prosthesis seen after primary aesthetic breast augmentation is high. An obvious cause of this major problem has not been found. This led the authors to discontinue using the Style 510 prosthesis for primary aesthetic mammary augmentations in their practice.
Schots
Jeroen M P
JMP
Veldhoven and Eindhoven, The Netherlands From the Department of Plastic and Reconstructive Surgery, Maxima Medical Hospital Veldhoven, and the Department of Plastic and Reconstructive Surgery, Catharina Hospital Eindhoven.
Fechner
Maarten R
MR
Hoogbergen
Maarten M
MM
van Tits
Herm W H J
HWHJ
D000328:Adult; D019928:Breast Implantation / Q000009:adverse effects* / Q000379:methods; D018427:Breast Implants; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008875:Middle Aged; D011183:Postoperative Complications / Q000175:diagnosis / Q000453:epidemiology*; D015995:Prevalence; D011474:Prosthesis Design; D011475:Prosthesis Failure; D012189:Retrospective Studies; D020034:Silicone Gels; D055815:Young Adult
D020034:Silicone Gels