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Malrotation of the McGhan Style 510 Prosthesis

Schots, Jeroen M. P. M.D.; Fechner, Maarten R. M.D.; Hoogbergen, Maarten M. M.D., Ph.D.; van Tits, Herm W. H. J. M.D.

Plastic and Reconstructive Surgery: July 2010 - Volume 126 - Issue 1 - p 261-265
doi: 10.1097/PRS.0b013e3181dab295
Cosmetic: Original Articles

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.

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.

Received for publication February 19, 2009; accepted December 28, 2009.

Presented at the Dutch Society of Plastic Surgery Scientific Meeting, in Utrecht, The Netherlands, October 3, 2007.

Disclosure: The authors have no financial interest to declare in relation to the content of this article.

Jeroen M. P. Schots, M.D., Department of Plastic and Reconstructive Surgery, Maxima Medical Hospital Veldhoven, P.O. Box 7777, 5500 MB Veldhoven, The Netherlands,

©2010American Society of Plastic Surgeons