The use of Trilucent breast implants in the UK dates back to 1995 and their
introduction coincided with the medium-term effects of the silicone-implan
t controversy. We present a review of 3 years' experience of the Trilucent
implant (1996-1998) during which 29 patients with a mean age of 39.4 years
had a total of 50 implants. The aim of the study was to analyse the results
in these patients in terms of complications, reoperation rate and patient
satisfaction. Using a combination of retrospective chart analysis and posta
l survey, we found an incidence of implant deflation of 10% (5/50). The ove
rall reoperation rate was 20% (10/50). The postal survey yielded a mean sat
isfaction score of 7.1 ton a scale of 0-10) from the 20 respondents out of
the 29 patients (68.9%). In view of the high complication rate, we disconti
nued the use of Trilucent implants in advance of their withdrawal by the Me
dical Devices Agency (MDA) in March 1999. However, these findings may now b
e considered of added interest, particularly with regard to patients who ar
e opting to keep their Trilucent implants despite the recommendation of the
MDA in June 2000 that such implants should be removed. (C) 2001 The Britis
h Association of Plastic Surgeons.