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Augmentation mammaplasty--a further review of 20 years using the polyurethane-covered prosthesis.

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St. John of God Hospital, Subiaco, Western Australia.


Augmentation mammaplasty continues to attract much attention. So far, it seems to be an operation with an indefinite endpoint regarding the longevity of results. It is also a procedure that has wide monetary implications and would often seem to be inappropriately used. With the advent of the latest polyurethane-covered prostheses, marketed under various trade names such as Meme, Replicon, and Optimam, a more predictable result can be obtained, at least for the first 6 years. Much controversy still exists, and in view of this, the authors have revised their long-term results and comments on important current aspects.

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