From my research, most doctors will use permanent sutures to correct bottomed out Breast implants in order to have a "lasting" result. What kind of permanent sutures do you usually use? Prolene, nylon, or gore-tex? From your experience, have you seen patients reject these sutures when placed internally and have foreign body reactions to them since the body cannot break down the sutures, and therefore lead to the failure of the repair?
June 30, 2009
Answer: Bottoming out corrections Another option for bottoming out has been a piece of acellular tissue matrix designed to suppport tissue regeneration. It is called Strattice. This provides added support to reinforce the bottom of the implant. It is recommended for use in soft tissue repair where weakness or a deficit exists and can help in bottoming out situations.
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June 30, 2009
Answer: Bottoming out corrections Another option for bottoming out has been a piece of acellular tissue matrix designed to suppport tissue regeneration. It is called Strattice. This provides added support to reinforce the bottom of the implant. It is recommended for use in soft tissue repair where weakness or a deficit exists and can help in bottoming out situations.
Helpful
June 30, 2009
Answer: A very rare occurance The reason why surgeons use permanent sutures to correct a bottomed out implant, is to add one more level of long lasting strength to the repair. The sutures that you mentioned in your question are all monofillament sutures, (not braided or multiple fibers like string). This decreases the surface area and lessens the chance for a source of a chronic infection or inflammatory process. All of these sutures are theoretically non reactive so the chance of a rejection is very small. On the other hand a absorbable suture such as Vicryl promotes an inflammatory response as it dissolves and is more likely to be rejected.
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June 30, 2009
Answer: A very rare occurance The reason why surgeons use permanent sutures to correct a bottomed out implant, is to add one more level of long lasting strength to the repair. The sutures that you mentioned in your question are all monofillament sutures, (not braided or multiple fibers like string). This decreases the surface area and lessens the chance for a source of a chronic infection or inflammatory process. All of these sutures are theoretically non reactive so the chance of a rejection is very small. On the other hand a absorbable suture such as Vicryl promotes an inflammatory response as it dissolves and is more likely to be rejected.
Helpful
