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Background <p>Breast implants have substantially improved in safety through successive material and surgical innovations. This review outlines how advances in gel cohesivity, viscosity, its cross-linking together with new implant surface technologies have minimized risks such as rupture, biofilm formation, capsular contracture, and implant migration, alongside the rise of surgical techniques (e.g. subfascial and prepectoral placement) that reduce complications and enhance outcomes.</p> Evaluation of the topic <p>A comprehensive analysis of implant generation characteristics collected from articles dating from 1967–2015. The databases used for search included PubMed, publisher platforms (Springer, Elsevier, MDPI), Government health agency sites (FDA, TGA, ANSM, Health Canada) Professional society websites (ISAPS, BAPRAS), Manufacturer websites (Motiva, Mentor, Polytech,…) and device registration databases (FDA PMA, MAUDE, EUDAMED). The article summarizes data from early viscous, low-cohesion silicone implants to modern highly cohesive, biomimetic designs—was conducted. Peer-reviewed studies and registry data were assessed regarding rupture rates, contracture incidence, and migration events. Surgical literature was also reviewed for evidence on technique efficacy and complication rates. Fifth- and sixth-generation implants with high-viscosity, cross-linked silicone gel and multi-layered shells exhibit rupture rates of 1–3% over 5–10&#xa0;years and capsular contracture rates under 2–3%. Compared to earlier devices, modern surfaces such as nanotexture and smooth microtopography show reduced biofilm-mediated inflammation and migration. Adoption of subfascial and prepectoral surgical approaches—combined with "no-touch" insertion protocols and antibiotic pocket irrigation—correlates with decreased postoperative pain, lower contracture incidence, and fewer revisions.</p> Conclusion <p>Ongoing refinements in implant composition and operative technique have transformed breast augmentation and reconstruction into safer, more individualized procedures. Modern breast implants are associated with markedly fewer mechanical and immunologic complications, while newer surgical placements support faster recovery and durable aesthetic results. These trends align with current evidence-based practice and patient-centered surgical care.</p>

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Breast Implants Throughout Time. When Breast Implants Become Safer

  • 期刊论文

  • 出版模式：

    开放获取

  • 发表日期：

    2025年9月30日

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  • Dominika Mitevová,
  • Martina Chotárová,
  • Filip Čaniga,
  • Martin Boháč

摘要

Background

Breast implants have substantially improved in safety through successive material and surgical innovations. This review outlines how advances in gel cohesivity, viscosity, its cross-linking together with new implant surface technologies have minimized risks such as rupture, biofilm formation, capsular contracture, and implant migration, alongside the rise of surgical techniques (e.g. subfascial and prepectoral placement) that reduce complications and enhance outcomes.

Evaluation of the topic

A comprehensive analysis of implant generation characteristics collected from articles dating from 1967–2015. The databases used for search included PubMed, publisher platforms (Springer, Elsevier, MDPI), Government health agency sites (FDA, TGA, ANSM, Health Canada) Professional society websites (ISAPS, BAPRAS), Manufacturer websites (Motiva, Mentor, Polytech,…) and device registration databases (FDA PMA, MAUDE, EUDAMED). The article summarizes data from early viscous, low-cohesion silicone implants to modern highly cohesive, biomimetic designs—was conducted. Peer-reviewed studies and registry data were assessed regarding rupture rates, contracture incidence, and migration events. Surgical literature was also reviewed for evidence on technique efficacy and complication rates. Fifth- and sixth-generation implants with high-viscosity, cross-linked silicone gel and multi-layered shells exhibit rupture rates of 1–3% over 5–10 years and capsular contracture rates under 2–3%. Compared to earlier devices, modern surfaces such as nanotexture and smooth microtopography show reduced biofilm-mediated inflammation and migration. Adoption of subfascial and prepectoral surgical approaches—combined with "no-touch" insertion protocols and antibiotic pocket irrigation—correlates with decreased postoperative pain, lower contracture incidence, and fewer revisions.

Conclusion

Ongoing refinements in implant composition and operative technique have transformed breast augmentation and reconstruction into safer, more individualized procedures. Modern breast implants are associated with markedly fewer mechanical and immunologic complications, while newer surgical placements support faster recovery and durable aesthetic results. These trends align with current evidence-based practice and patient-centered surgical care.