The Ministry of Health publishes the second Report on the subject of breast implants on the data collected in the National Register of voluntary feeding breast prosthetic implants until 31 August 2023.
The report
The 2019-2023 Report follows the “Pilot phase report” of 2022 and reports the results of the analyzes conducted on the data collected in the National Registry of breast prosthetic implants established at the ISS from 25 March 2019 to 31 August 2023. The data studied are relative to implant surgery or removal of a breast prosthesis carried out in the field of reconstructive and aesthetic plastic surgery and transmitted on a voluntary basis by surgeons operating in the area.
The Report describes the distribution of interventions carried out on the national territory, the inter-regional mobility of patients, the surgical procedures performed, the main causes of revision, the types of devices implanted, elements of “good practices”, as well as the supervision and surveillance activities carried out by the Ministry of Health on the clinical conditions currently emerging and potentially associated with the implantation of a breast prosthesis.
Here are some elements that emerge from the analysis of the data collected:
53.4% of the registered implant interventions have reconstructive purposeil 46.6% aesthetics
in 74.4% of cases patients have implanted for the first time a breast prosthesis; 25.6% of the interventions recorded are related to implant revision procedures (replacement or removal)
l’middle age of patients undergoing primary operations for reconstructive purposes is 51 years; the average age for aesthetic purposes is 36.7 years; in the reconstructive field, in 77.9% of cases the prostheses were implanted following one diagnosis of breast cancer; in the aesthetic field, in 72.6% of cases for one breast hypoplasia/hypotrophy
the main cause of re-intervention in patients who had implanted prostheses for reconstructive purposes it was capsular contracture (31.7%), dissatisfaction with the result, however for patients who had implanted prostheses for aesthetic purposes (37.1%) the prostheses most used in the reconstructive field had anatomical shape (92%), round in the aesthetic field (63%) the average volume of the prostheses implanted for reconstructive purposes is 368 cm3, a little smaller for aesthetic purposes (326 cm3).
This year the Report is also available in English.
The National Registry of breast prosthetic implants
From 1 August 2023, the new IT platform of the National Registry, established at the Ministry of Health, began collecting data from the autonomous regions and provinces in real time. Starting from that date, healthcare workers who implant or remove breast prostheses on Italian territory, whether for aesthetic or reconstructive purposes, have thelegal obligation to record the interventions carried out in the register of the region or autonomous province where the surgical procedure was carried out.
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