Early Experience With an Anatomical Soft Cohesive Silicone Gel Prosthesis in Cosmetic and Reconstructive Breast Implant Surgery

In Brief Recently, an anatomic breast implant filled with soft cohesive silicone gel was introduced by Mentor Medical Systems onto the European market. This study reports the early experience of a single surgeon with this implant. All patients who received a Contour Profile Gel (CPG) implant from March 2001 to October 2002 were studied. Patient satisfaction with breast shape and consistency was assessed using linear analogue scales with a maximum score of 10. Thirty-five patients received CPG implants for cosmetic (10 patients, 20 breasts) and reconstructive (25 patients, 31 breasts) surgery purposes. Patients were satisfied with their breast shape (mean score: 8.3). Eighty-five percent of the breasts were rated as soft (score ≥6). No serious esthetic complications such as implant malposition or significant capsular contracture were observed. Anatomic soft cohesive gel implants provide excellent results in selected cases. They are well accepted by patients and not associated with an increased rate of complications. A newly released soft cohesive silicone gel implant was used for breast augmentation in 10 patients and for reconstruction of 31 breasts in 25 patients. At mean follow-up 23 months, there were no Baker III or IV contractures or malpositions, and most patients in whom the implants were replacements reported that the new implants were subjectively superior to the previous ones.