Priority 9 from the Post Mastectomy Breast Reconstruction PSP

UNCERTAINTY: What are the pros and cons of the different types (materials) of implants available for breast reconstruction in Canada?  (JLA PSP Priority 9)
Overall ranking 9
JLA question ID 0109/9
Explanatory note Recently, the Biocell texturing surface of breast implants has been banned by both Health Canada and the United State’s FDA due to their association with a rare type of breast implant associated lymphoma. With more availability of the different types of breast implants, implant materials, implant surfaces, and shapes, there is more public confusion over which type of breast implant may be the safest, most durable, and produce the most satisfaction in the long-term. Patients also want to understand the different pros and cons associated with the different types of breast implants. 

Different types of implants for reconstructive breast surgery. Rocco, Nicola. Rispoli, Corrado. Moja, Lorenzo. Amato, Bruno. Iannone, Loredana. Testa, Serena. Spano, Andrea. Catanuto, Giuseppe. Accurso, Antonello. Nava, Maurizio B. Cochrane Database of Systematic Reviews. 5, 2016.

Health Research Classification System category  Cancer
Extra information provided by this PSP
Original uncertainty examples

I didn’t know that they were two types of implants ~ I have an implanted device? If it is smooth walled? If it is textured? ~ types of implants? ~ What advances have there been in saline implant reconstruction?

Submitted by  11 x Patients, 3 x Clinicians
PSP information
PSP unique ID 0109
PSP name Post Mastectomy Breast Reconstruction
Total number of uncertainties identified by this PSP.

86  (To see a full list of all uncertainties identified, please see the detailed spreadsheet held on the JLA website)

Date of priority setting workshop 2 July 2019