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PubMed · 7780924

Breast implants: a gender issue?

L Reid
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Abstract

Breast implants have been in use in Canada for more than 30 years. Between 100,000 and 200,000 Canadian women have them as well as one to two million women in the United States. Oddly, despite those numbers, inadequate data are available on the safety and side effects of these prosthesis.

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Breast ImplantsCanadaFemaleHumansPatient Education as TopicPrejudiceSiliconesUnited StatesWomen's HealthJournal Article

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L Reid. 1995. Breast implants: a gender issue?. https://pubmed.ncbi.nlm.nih.gov/7780924/

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This article reviews immediate and delayed breast reconstruction with prosthetic implants, and the effect of irradiation therapy. Despite widespread use of breast conserving surgery for early breast cancer, many breast cancer patients still undergo mastectomy. Some of these patients choose breast reconstruction. Over the last 30 years, techniques for breast reconstruction have evolved significantly with new alternative techniques and improved surgical devises. Immediate or delayed breast reconstruction with silicone prosthesis can be an excellent option. Implant reconstruction may be single or two stage procedures. Traditionally, small breasts with minimal ptosis are suited for single-stage reconstruction. Large breasts or inadequate skin require expanders followed by implants. Minimal excision mastectomy and biological spacers are allowing larger breast single stage reconstruction and improved aesthetics for two stage procedures. With recent studies suggesting survival advantage of post-mastectomy irradiation, many candidates for breast reconstruction are receiving radiotherapy, which complicates healing after breast reconstruction.

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