Subscribe to RSS

DOI: 10.1055/s-0045-1812331
Hybrid Implant: Initial Study with 279 Units of an Innovative Breast Implant
Article in several languages: português | EnglishAuthors
Financial Support The author declares that he did not receive financial support from agencies in the public, private, or non-profit sectors to conduct the present study. Clinical Trials U1111-1224-5251
Abstract
Introduction
Breast augmentation remains one of the most performed surgical procedures in the world, with wide use of implants for aesthetic and reconstructive purposes. However, current implants still present limitations, including the risk of displacement and restricted mobility.
Objective
To evaluate the safety and efficacy of a new hybrid breast implant, developed by the author, that combines two coating surfaces (cohesive silicone gel with a microtextured or smooth base and polyurethane).
Materials and Methods
The implant is patented and, after authorization from the Brazilian National Health Surveillance Agency (ANVISA, from the Portuguese Agência Nacional de Vigilância Sanitária), we conducted a pilot single-group interventional clinical trial from April 2020 to June 2022 at a private institution. In total, 135 women received 279 units of the implant and underwent follow-up for 2 years.
Results
The results showed a favorable safety profile, with low rates of postoperative complications. The most common occurrences were mastalgia (4.3%) and skin rash (2.1%). There were no reports of complications such as capsular contracture, implant rupture, or gel migration throughout the follow-up period. Moreover, the satisfaction rate was high among patients and the surgeon. The cases of dissatisfaction referred to the volume of the implant, leading some patients to opt for an exchange for larger sizes.
Conclusion
These findings show that the hybrid implant is an innovative and safe alternative in breast surgery, providing a more efficient technique and potentially reducing long-term complications.
Keywords
breast - breast implants - clinical trial, phase III - mammaplasty - prostheses and implantsEthics Committee number
71569416.0.0000.5440
Publication History
Received: 08 January 2025
Accepted: 14 July 2025
Article published online:
07 February 2026
© 2026. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution 4.0 International License, permitting copying and reproduction so long as the original work is given appropriate credit (https://creativecommons.org/licenses/by/4.0/)
Thieme Revinter Publicações Ltda.
Rua Rego Freitas, 175, loja 1, República, São Paulo, SP, CEP 01220-010, Brazil
Estefano Luiz Favaretto. Implante híbrido: Estudo inicial com 279 unidades de um implante mamário inovador. Revista Brasileira de Cirurgia Plástica (RBCP) – Brazilian Journal of Plastic Surgery 2026; 41: s00451812331.
DOI: 10.1055/s-0045-1812331
-
Referências
- 1 International Society of Aesthetic Plastic Surgery (ISAPS). 2023 ISAPS International Survey on Aesthetic/Cosmetic Procedures Performed in 2022. West Lebanon, NH: ISAPS; 2023. . Available from: https://www.isaps.org/media/a0qfm4h3/isaps-global-survey_2022.pdf
- 2 Di Pompeo FS, Paolini G, Firmani G, Sorotos M. History of breast implants: Back to the future. JPRAS Open 2022; 32: 166-177
- 3 International Organization for Standardization (ISO). ISO 14607:2024–Non-active surgical implants – Mammary implants – Specific requirements. 4th ed.. Geneva: ISO; 2024. . Available from: https://www.iso.org/standard/82020.html
- 4 Liu X, Zhou L, Pan F, Gao Y, Yuan X, Fan D. Comparison of the postoperative incidence rate of capsular contracture among different breast implants: a cumulative meta-analysis. PLoS One 2015; 10 (02) e0116071
- 5 Duxbury PJ, Harvey JR. Systematic review of the effectiveness of polyurethane-coated compared with textured silicone implants in breast surgery. J Plast Reconstr Aesthet Surg 2016; 69 (04) 452-460
- 6 Ministério da Saúde. Agência Nacional de Vigilância Sanitária (ANVISA). RDC n° 9, de 20 de fevereiro de 2015. Dispõe sobre o Regulamento para a realização de ensaios clínicos com medicamentos no Brasil. Brasília, DF: ANVISA; 2015. . Available from: https://bvsms.saude.gov.br/bvs/saudelegis/anvisa/2015/rdc0009_20_02_2015.pdf
- 7 World Medical Association (WMA). WMA Declaration of Helsinki – Ethical Principles for Medical Research Involving Human Participants. In: Helsinki: WMA; 2024. . Available from: https://www.wma.net/policies-post/wma-declaration-of-helsinki/
- 8 Daronch OT, Palhares Neto AA, Viterbo F. Tratamento não cirúrgico e prevenção da contratura capsular por implantes mamários: uma revisão sistemática da literatura. In: 60° Congresso Brasileiro de Cirurgia Plástica; 2024; João Pessoa. São Paulo: Sociedade Brasileira de Cirurgia Plástica; 2024
- 9 Fleury EdFC, Rêgo MM, Ramalho LC, Ayres VJ, Seleti RO, Ferreira CAP, Roveda Jr D. Silicone-induced granuloma of breast implant capsule (SIGBIC): similarities and differences with anaplastic large cell lymphoma (ALCL) and their differential diagnosis. Breast Cancer (Dove Medical Press) 2017; 9: 133-140
- 10 Jones P, Mempin M, Hu H, Chowdhury D, Foley M, Cooter R. et al. The Functional Influence of Breast Implant Outer Shell Morphology on Bacterial Attachment and Growth. Plast Reconstr Surg 2018; 142 (04) 837-849
- 11 Munhoz AM, Clemens MW, Nahabedian MY. Breast Implant Surfaces and Their Impact on Current Practices: Where We Are Now and Where Are We Going?. Plast Reconstr Surg Glob Open 2019; 7 (10) e2466
- 12 Favaretto EL. Abordagem vertical do peitoral maior nas inclusões mamárias. Rev Bras Cir Plást 2017; 32 (03) 353-360
- 13 Miró AL. Polyurethane-coated silicone breast implants: evaluation of 14 years experience. Rev Bras Cir Plást 2009; 24 (03) 296-303 . Available from: https://www.rbcp.org.br/Content/imagebank/pdf/24-03-09.pdf
- 14 Sforza M, Spear S. Hybrid Implant and Grafted Fat Breast Augmentation: Designing the Pathway to a Future With Breasts Free of Silicone Breast Implants. Aesthet Surg J 2021; 41 (11) NP1473-NP1485