The Plastic Surgery Channel

No Spin Live IBSA Episode 1- French ANSM Ban of Macrotextured Implants

In this inaugural 1st episode of No Spin Live IBSA,  the International Breast Surgery Alliance (IBSA)  members Dr. Roy de Vita of Rome, Italy, Dr. Michael Atlan of Paris, France, and Dr. Magnus Noah of Frankfurt, Germany discuss the recent restriction of some macrotextured implants in France.

The  IBSA was  formed with  the  world’s most  accomplished plastic surgeons who  have worked together  internationally to  research, and educate on  all matters pertaining to aesthetic and reconstructive breast implant  surgery and to provide an unbiased credible voice on  important breast implant advances and issues.

Dr. de Vita is a  Consultant in Plastic Reconstructive and Aesthetic Surgery, is since 2002 the Chief of the Plastic and Reconstructive Surgery Department of the National Cancer Institute “Regina Elena” of Rome and he is also Coordinator of the Breast Unit of the same Institute.

His main field of clinical and scientific interest are reconstructive and aesthetic breast surgery, an area in which is widely published.

In his Dept. are performed more than 700 breast surgical reconstructive procedures/year including implant base breast reconstruction, both DTI and 2 stage, and autologous tissue, both microsurgical and pedicle flaps.

In private practice he performs more than 200 breast augmentation/year and 40% of these procedures are for revisional surgery Roy de Vita, M.D. is a member of the Italian Society of Plastic, Reconstructive and Aesthetic Surgery (SICPRE); American Society for Plastic Surgery (ASPS) ; Italian Society for Surgery (SIC).

Ernst-Magnus Noah, MD, PhD, is a director at the Department for Plastic, Reconstructive and Aesthetic Surgery at Kassel, Germany.

After studying in Marburg and Lübeck, He did a residency in general surgery and completed his plastic surgery training in Hannover and Aachen university. In 1993-1995 he mastered a microsurgical fellowship in Norfolk, Virginia USA. His PH.D work was about end to side neurorrhaphy which made him a Professor at the University of Aachen Germany in 2002. In 2003 he stared to be head of the newly formed Department of Plastic Surgery in Kassel, Germany.

He is an expert in aesthetic and reconstructive surgery with special emphasis in face and breast surgery. He has published various original papers on topics such as tissue engineering, muscle grafts, and head and neck reconstruction, and has given over 400 lectures.

Prof. Noah is a member of many professional societies including the German Association of Plastic, Reconstructive and Aesthetic Surgeons, ISAPS, GÄCD, In EASAPS he holds the position of the treasurer He is Past- President of the Association of German Aesthetic and Plastic Surgeons VDÄPC.

Michael ATLAN, MD, PhD is an associate Professor, at Pierre et Marie Curie Faculty of Medicine, with a permanent position in Tenon Hospital (Assistance Publique-Hôpitaux de Paris) in an integrated Breast Cancer Center. Former head of department of Pontoise Hospital, he now is the head of Unit of Plastic and Reconstructive surgery, and pursues an academic career within his institution.

Due to the, at first, medical concerns surrounding Breast Implant-Associated Anaplastic Large Cell Lymphoma, now the discussion has turned political. The rare disease has so far centered around macrotextured implants – breast implants that have a more textured surface. Since increased surface area textured implants have a higher incidence of  BIA-ALCL they have recently restricted in France; however,  regulators in other  countries largely  have not followed. While science indicates there is something unique about macrotextured implants within the conversation of BIA-ALCL, medical experts are hesitant about any voluntary bans. For many surgeons, textured implants offer advantages in certain patients that they believe outweigh the risks of BIA-ALCL.

In this inaugural episode of No Spin Live IBSA, international experts discuss this and  more as the global plastic surgery community continues to grapple with this very important topic.