{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,8]],"date-time":"2026-01-08T01:20:28Z","timestamp":1767835228916,"version":"3.49.0"},"reference-count":36,"publisher":"Oxford University Press (OUP)","issue":"9","license":[{"start":{"date-parts":[[2024,3,28]],"date-time":"2024-03-28T00:00:00Z","timestamp":1711584000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/pages\/standard-publication-reuse-rights"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2024,8,20]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Background<\/jats:title>\n                  <jats:p>Nanotextured breast implants (classified as smooth implants by the latest ISO 14607:2018) have been described as possibly reducing major textured implant-related complications such as capsular contracture and breast implant\u2013associated anaplastic large cell lymphoma. On the other hand, microtextured breast implants benefit from an optimal safety profile based on a much larger body of literature.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Objectives<\/jats:title>\n                  <jats:p>The aim of this study was to directly compare the incidence of complications between Motiva Ergonomix (Establishment Labs Holdings, Inc., Alajuela, Costa Rica) and POLYTECH MESMO (POLYTECH Health &amp; Aesthetics GmbH, Dieburg, Germany) breast implants, especially regarding the displacement issues that might arise after breast augmentation.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods<\/jats:title>\n                  <jats:p>Consecutive patients who previously underwent surgery by the same physician for placement of Motiva Ergonomix and POLYTECH MESMO implants were included in this study. They were divided into 2 groups according to the type of implant. The onset of complications was assessed through survival analysis.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>Data were collected from 329 patients, 185 (56.2%) with POLYTECH MESMO and 144 (43.8%) with Motiva Ergonomix implants. The median follow-up was 8 months for both groups. Of the 42 women (12.8%) who experienced at least one complication, 26 belonged to the Motiva Ergonomix subgroup (P = .013). The most represented complications during this period resulted from displacement issues, with a clear prevalence of bottoming out in the Motiva Ergonomix cohort: 15 cases vs 0 cases in the POLYTECH MESMO cohort (P &amp;lt; .001). For 7 patients, a reoperation was required, more frequently for patients with Motiva Ergonomix implants (4.2% vs 0.5%; P = .046).<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusions<\/jats:title>\n                  <jats:p>POLYTECH MESMO devices provided a more favorable outcome. Motiva Ergonomix devices revealed a concerning incidence of displacement issues during the first postsurgery years, with no advantage over other major complications.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Level of Evidence: 3<\/jats:title>\n                  <jats:p\/>\n               <\/jats:sec>","DOI":"10.1093\/asj\/sjae071","type":"journal-article","created":{"date-parts":[[2024,3,28]],"date-time":"2024-03-28T21:32:29Z","timestamp":1711661549000},"page":"948-956","source":"Crossref","is-referenced-by-count":6,"title":["Comparison of POLYTECH MESMO and Motiva Ergonomix Breast Implants With Focus on Displacement Issues: A Single Surgeon's Experience with 329 Patients"],"prefix":"10.1093","volume":"44","author":[{"given":"Paolo","family":"Montemurro","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2024,3,28]]},"reference":[{"key":"2024082012261178500_sjae071-B1","first-page":"41","volume-title":"Transactions of the Third International Congress of Plastic and Reconstructive Surgery","author":"Cronin","year":"1964"},{"issue":"11","key":"2024082012261178500_sjae071-B2","doi-asserted-by":"publisher","first-page":"1563","DOI":"10.1016\/j.bjps.2018.07.010","article-title":"Silicone breast prostheses: a cohort study of complaints, complications, and explantations between 2003 and 2015","volume":"71","author":"Pool","year":"2018","journal-title":"J Plast Reconstr Aesthetic Surg"},{"issue":"1","key":"2024082012261178500_sjae071-B3","doi-asserted-by":"publisher","first-page":"89","DOI":"10.1007\/s00266-015-0603-8","article-title":"Characterization of breast implant surfaces, shapes, and biomechanics: a comparison of high cohesive anatomically shaped textured silicone, breast implants from three different manufacturers","volume":"40","author":"Atlan","year":"2016","journal-title":"Aesth Plast Surg"},{"issue":"12","key":"2024082012261178500_sjae071-B4","doi-asserted-by":"publisher","first-page":"1161","DOI":"10.1001\/jamasurg.2017.4026","article-title":"Breast implant-associated anaplastic large cell lymphoma: a systematic review","volume":"152","author":"Leberfinger","year":"2017","journal-title":"JAMA Surg"},{"issue":"1","key":"2024082012261178500_sjae071-B5","doi-asserted-by":"publisher","first-page":"71","DOI":"10.1016\/j.cps.2020.08.002","article-title":"Is breast implant-associated anaplastic large cell lymphoma better classified as a lymphoproliferative disorder and how surgeons reduce risk?","volume":"48","author":"Lukavsky","year":"2021","journal-title":"Clin Plastic Surg"},{"issue":"10","key":"2024082012261178500_sjae071-B6","doi-asserted-by":"publisher","first-page":"1115","DOI":"10.1038\/s41551-021-00739-4","article-title":"The surface topography of silicone breast implants mediates the foreign body response in mice, rabbits and humans","volume":"5","author":"Doloff","year":"2021","journal-title":"Nat Biomed Eng"},{"issue":"3","key":"2024082012261178500_sjae071-B7","doi-asserted-by":"publisher","first-page":"388e","DOI":"10.1097\/PRS.0000000000010317","article-title":"Histological and immunohistochemical evaluation of human breast capsules formed around five different expander surfaces","volume":"152","author":"Cagli","year":"2023","journal-title":"Plast Reconstr Surg"},{"issue":"3","key":"2024082012261178500_sjae071-B8","doi-asserted-by":"publisher","first-page":"757","DOI":"10.1097\/01.prs.0000201457.00772.1d","article-title":"A long-term study of outcomes, complications, and patient satisfaction with breast implants","volume":"117","author":"Handel","year":"2006","journal-title":"Plast Reconstr Surg"},{"issue":"1","key":"2024082012261178500_sjae071-B9","doi-asserted-by":"publisher","first-page":"119","DOI":"10.1016\/j.cps.2008.08.007","article-title":"Capsular contracture: what is it? 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