Abstract
Breast augmentation is a common esthetic surgery, and there are two major surgical methods for breast implant delivery: the finger method and the plastic film method. Each method has its advantages and disadvantages, and we have developed a prelubricated polypropylene (PP) injector that might be the most suitable device for delivering breast implants. By covering the interior surface of the injector with a hydrophilic coating, the friction coefficient was significantly reduced when a silicone sled was slid against the prelubricated PP injector. To confirm if the prelubricated PP injector would not damage the breast implant, fatigue testing was performed, and the results showed that the injector did not cause rupture or microleakage of the breast implant. In addition, the cell viability result demonstrated that the prelubricated PP injector was biocompatible. In addition, the prelubricated PP injector provides a small incision site and stability during breast implant delivery. Our results provided evidence that the prelubricated PP injector is a smooth and safe method for breast implant delivery.
Issue Section:
Research Papers
References
1.
de Boniface
,
J.
, and
Schultz
,
I.
, 2018
, “
Breast Implants: Design, Safety and Indications for Use
,” Breast Cancer Management for Surgeons
,
Springer
, Berlin, pp. 355
–364
.10.1007/978-3-319-56673-3_292.
Coombs
,
D. M.
,
Grover
,
R.
,
Prassinos
,
A.
, and
Gurunluoglu
,
R.
, 2019
, “
Breast Augmentation Surgery: Clinical Considerations
,” Cleveland Clinic J. Med.
,
86
(2
), pp. 111
–122
.10.3949/ccjm.86a.180173.
Peters
,
W.
,
Brandon
,
H.
,
Jerina
,
K.
,
Wolf
,
C.
, and
Young
,
V. L.
, 2012
, Biomaterials in Plastic Surgery: Breast Implants
,
Elsevier
, Amsterdam, The Netherlands.4.
Bizjak
,
M.
,
Selmi
,
C.
,
Praprotnik
,
S.
,
Bruck
,
O.
,
Perricone
,
C.
,
Ehrenfeld
,
M.
, and
Shoenfeld
,
Y.
, 2015
, “
Silicone Implants and Lymphoma: The Role of Inflammation
,” J. Autoimmun.
,
65
, pp. 64
–73
.10.1016/j.jaut.2015.08.009.5.
Hillard
,
C.
,
Fowler
,
J. D.
,
Barta
,
R.
, and
Cunningham
,
B.
, 2017
, “
Silicone Breast Implant Rupture: A Review
,” Gland Surg.
,
6
(2
), pp. 163
–168
.10.21037/gs.2016.09.126.
Handel
,
N.
,
Garcia
,
M. E.
, and
Wixtrom
,
R.
, 2013
, “
Breast Implant Rupture: Causes, Incidence, Clinical Impact, and Management
,” Plast. Reconstr. Surg.
,
132
(5
), pp. 1128
–1137
.10.1097/PRS.0b013e3182a4c2437.
Flugstad
,
N. A.
,
Pozner
,
J. N.
,
Baxter
,
R. A.
,
Creasman
,
C.
,
Egrari
,
S.
,
Martin
,
S.
,
Messa
,
C. A.
, III
,
Oliva
,
A.
,
Schlesinger
,
S. L.
, and
Kortesis
,
B. G.
, 2016
, “
Does Implant Insertion With a Funnel Decrease Capsular Contracture? A Preliminary Report
,” Aesthetic Surg. J.
,
36
(5
), pp. 550
–556
.10.1093/asj/sjv2378.
Newman
,
A. N.
, and
Davison
,
S. P.
, 2018
, “
Effect of Keller Funnel on the Rate of Capsular Contracture in Periareolar Breast Augmentation
,” Plast. Reconstr. Surg. Global Open
,
6
(6
), e1834
.10.1097/GOX.00000000000018349.
Zhang
,
S.
, and
Blanchet
,
N. P.
, 2015
, “
An Easy and Cost-Effective Method to Perform the “No-Touch” Technique in Saline Breast Augmentation
,” Aesthetic Surg. J.
,
35
(6
), pp. NP176
–NP178
.10.1093/asj/sjv00910.
Montemurro
,
P.
,
Fischer
,
S.
,
Schyllander
,
S.
,
Mallucci
,
P.
, and
Hedén
,
P.
, 2019
, “
Implant Insertion Time and Incision Length in Breast Augmentation Surgery With the Keller Funnel: Results From a Comparative Study
,” Aesthetic Plast. Surg.
,
43
(4
), pp. 881
–889
.10.1007/s00266-019-01401-w11.
Montemurro
,
P.
,
Fischer
,
S.
,
Hager
,
S.
, and
Hedén
,
P.
, 2019
, “
Secondary Breast Augmentation: Is There a Trend for Bigger Implants?
,” Aesthetic Plast. Surg.
,
43
(1
), pp. 59
–69
.10.1007/s00266-018-1244-512.
Panczel
,
G.
, and
Munhoz
,
A. M.
, 2019
, “
A Simple and Low-Cost Method of Sleeve to Insert Silicone Gel Breast Implants
,” Plast. Reconstr. Surg. Global Open
,
7
(9
), p. e2389
.10.1097/GOX.000000000000238913.
Castello
,
M. F.
,
Silvestri
,
A.
,
Nicoli
,
F.
,
Dashti
,
T.
,
Han
,
S.
,
Grassetti
,
L.
,
Torresetti
,
M.
,
Trisliana Perdanasari
,
A.
,
Zhang
,
Y. X.
,
Di Benedetto
,
G.
, and
Lazzeri
,
D.
, 2014
, “
Augmentation Mammoplasty/Mastopexy: Lessons Learned From 107 Aesthetic Cases
,” Aesthetic Plast. Surg.
,
38
(5
), pp. 896
–907
.10.1007/s00266-014-0388-114.
Smith
,
M. E.
, and
Durrani
,
A. J.
, 2011
, “
Aiding the Insertion of Polyurethane Coated Breast Implants
,” Ann. R. Coll. Surgeons Engl.
,
93
(7
), pp. 556
–556
.10.1308/rcsann.2011.93.7.556a15.
Tsao
,
S. B.
, and
Wu
,
C. C.
, 2021
, “
Silicone Breast Implant Injector: A Retooled Breast Augmentation Device
,” Aesthetic Plast. Surg.
,
45
(1
), pp. 95
–99
.10.1007/s00266-020-01966-x16.
Castello
,
M. F.
,
Han
,
S.
,
Silvestri
,
A.
,
Grassetti
,
L.
,
Torresetti
,
M.
,
Zhang
,
Y. X.
,
Perdanasari
,
A. T.
,
Marcelli
,
C.
,
Gigliotti
,
D.
, and
Lazzeri
,
D.
, 2014
, “
A Simple Method to Inset and Position Polyurethane-Covered Breast Implants
,” Aesthetic Plast. Surg.
,
38
(2
), pp. 365
–368
.10.1007/s00266-014-0285-717.
Jin
,
Z.
, and
Dowson
,
D.
, 2013
, “
Bio-Friction
,” Friction
,
1
(2
), pp. 100
–113
.10.1007/s40544-013-0004-418.
ASTM International
, 2008
, “
Standard Test Method for Static and Kinetic Coefficients of Friction of Plastic Film and Sheeting
,” ASTM International, West Conshohocken, PA, Standard No. ASTM D1894-08.19.
Brandon
,
H.
,
Jerina
,
K.
,
Wolf
,
C.
, and
Young
,
V.
, 2012
, “
Retrieval and Analysis of Breast Implants Emphasizing Strength, Durability, and Failure Mechanisms
,” Biomaterials in Plastic Surgery
,
Elsevier
, Amsterdam, The Netherlands, pp. 154
–217
.https://www.semanticscholar.org/paper/Retrieval-and-analysis-of-breast-implants-strength%2CBrandon-Jerina/4d00bec99c6b04b1669822248b3ead78e15da41a20.
US Department of Health and Human Services, F. D. A., and Center for Devices and Radiological Health
, (2020
), “
Industry and Drug Administration Staff: Saline, Silicone Gel, and Alternative Breast Implants
,”Food and Drug Administration, Silver Spring, MD.21.
Su
,
C. Y.
,
Tseng
,
C. L.
,
Wu
,
S. H.
,
Shih
,
B. W.
,
Chen
,
Y. Z.
, and
Fang
,
H. W.
, 2019
, “
Poly-Gamma-Glutamic Acid Functions as an Effective Lubricant With Antimicrobial Activity in Multipurpose Contact Lens Care Solutions
,” Polymer
,
11
(6
), p. 1050
.10.3390/polym1106105022.
Shiao
,
I. S.
, 1990
, “
Implant Injector and Plastic Tube for Implantation of Silicone Textured Breast Prosthesis
,” Am. J. Cosmet. Surg.
,
7
(3
), pp. 181
–183
.10.1177/07488068900070031123.
Rymuza
,
Z.
, 2007
, “
Tribology of Polymers
,” Arch. Civ. Mech. Eng.
,
7
(4
), pp. 177
–184
.10.1016/S1644-9665(12)60235-024.
Pasumarty
,
S. M.
,
Johnson
,
S. A.
,
Watson
,
S. A.
, and
Adams
,
M. J.
, 2011
, “
Friction of the Human Finger Pad: Influence of Moisture, Occlusion and Velocity
,” Tribol. Lett.
,
44
(2
), pp. 117
–137
.10.1007/s11249-011-9828-025.
Persson
,
B.
, 2016
, “
Silicone Rubber Adhesion and Sliding Friction
,” Tribol. Lett.
,
62
(2
), p. 34
.10.1007/s11249-016-0680-026.
Calobrace
,
M. B.
,
Schwartz
,
M. R.
,
Zeidler
,
K. R.
,
Pittman
,
T. A.
,
Cohen
,
R.
, and
Stevens
,
W. G.
, 2018
, “
Long-Term Safety of Textured and Smooth Breast Implants
,” Aesthetic Surg. J.
,
38
(1
), pp. 38
–48
.10.1093/asj/sjx157Copyright © 2021 by ASME
You do not currently have access to this content.
