I began using the implants in May of 2012, and they have since become the device I use most frequently. I was initially hesitant to switch from a device which I felt comfortable had a very well-established safety record, but then had an opportunity to review the published data for the Sientra devices. While I was previously satisfied with the results I achieved with smooth round implants after skin-sparing mastectomy, as we started doing more nipple-sparing mastectomies, the aesthetic bar rose, and the problems of bottoming out, rippling, and lateral implant malposition became increasingly troublesome, prompting high revision rates. What Prompted You to Start Using the Sientra Shaped Implant? 6 This panel was convened to discuss their experience and the techniques, benefits, challenges, and surgical pearls for integrating the Sientra HSC+ implants in their practices. These HSC+ implants are filled with fifth generation gel and feature Silimed's True Texture™ (Rio de Janeiro, Brazil) technology, a proprietary texturing method designed to promote tissue ingrowth that does not use sodium chloride, sugar, soak, scrub, or pressure-stamping methods. The panelists were selected given their extensive knowledge and experience of Sientra textured shaped implants. 2–4 In 2012, the Food and Drug Administration approved the Sientra portfolio of High-Strength Cohesive silicone gel implants including HSC+ shaped implants 5, and ushered in a new and exciting time of breast implant options for patients and surgeons in the United States. Although other countries have had access to shaped cohesive implants for the last 20 years, the United States had been limited to round implants until recently. ![]() BACKGROUNDīreast augmentation is one of the most common cosmetic procedures in the United States, 1 and a demand by patients and surgeons to have more choices available to them has increased. She uses Sientra shaped and textured round implants in the majority of her surgeries. Her practice focuses on reconstructive breast surgery and she performs over 200 device-based reconstructions per year. PANELĭr Talmor is an Associate Professor of Plastic and Reconstructive Surgery at Weill Cornell Medical Center and has been an Attending Surgeon at New York Presbyterian Hospital for 14 years. ![]() Dr Schwartz has been in practice in Westlake Village, CA for 16 years and selects Sientra shaped implants for the majority of his augmentation and revision cases, totaling over 200 patients. Michael Schwartz, MD: Dr Schwartz has extensive experience with Sientra implants and trained in Sweden under Dr Charles Randquist in a surgical preceptorship. ![]() ![]() The surgeons share their expertise with the Sientra HSC+ implant and review their breakthrough cases. The panel consists of surgeons who have substantial knowledge and familiarity with the Sientra shaped implant with a combined total of over 700 patients within the three years that Sientra received its Food and Drug Administration (FDA) approval. This panel was chaired by Dr Michael Schwartz, one of the earliest adopters of Sientra shaped implants, who trains surgeons through his surgical preceptorships for Sientra. An expert panel of plastic surgeons convened via electronic and telephone communication in November and December 2014 to discuss their experience with Sientra's textured shaped High-Strength Cohesive Silicone Gel breast implants (HSC+).
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