PCL Breast Scaffold with Autologous Fat Graft for Breast Implant Revision Safety and Effectiveness
This study aims to evaluate the safety and effectiveness of using a PCL Breast Scaffold with your own fat tissue for breast implant revision surgery.
Implantation of the PCL Breast scaffold with autologous fat grafting
Other Study
Summary
Study start date: January 1, 2026
Actual date on which the first participant was enrolled.This clinical trial focuses on evaluating the safety and effectiveness of a medical-grade polycaprolactone (PCL) breast scaffold used together with autologous fat grafting (AFG) in women who are undergoing a revision surgery for their breast implants. The PCL material has been used clinically for many years and is absorbable by the body. This study aims to provide solid evidence of the clinical performance of this approach, following a successful 2-year evaluation of its safety and feasibility. The main goal is to determine if this method is safe and effective for soft tissue reconstruction after a breast implant revision. Participants in this study will have their existing silicone breast implants removed, if not already done. They will then receive a PCL Breast Scaffold implantation combined with autologous fat grafting. After the procedure, participants will need to attend follow-up visits at 1 week, 3 months, 6 months, and annually for up to 5 years. These visits will include clinical assessments and questionnaires to monitor the safety and effectiveness of the treatment.
Protocol
This section provides details of the study plan, including how the study is designed and what the study is measuring.73 patients to be enrolled
Total number of participants that the clinical trial aims to recruit.Other Study
Eligibility
Researchers look for people who fit a certain description, called eligibility criteria: person's general health condition or prior treatments.Female
Biological sex of participants that are eligible to enroll.Over 18 Years
Range of ages for which participants are eligible to join.Healthy volunteers not allowed
If individuals who are healthy and do not have the condition being studied can participate.Criteria
Inclusion Criteria To be eligible to participate in this clinical investigation, patients must meet ALL of the following criteria: 1. Genetically female 2. Patients, age from 18 years old undergoing surgical revision of bilateral breast implants originally placed for cosmetic augmentation 3. Patients with a target volume that can be treated with the available catalogue of PCL scaffold sizes 4. Eligible to undergo MRI (i.e., no implanted incompatible metal or metal devices, no history of severe claustrophobia) 5. Agree to maintain their weight (i.e., within 5%) by not making any major changes in diet or lifestyle during the study 6. Agree to not undergo any elective cosmetic surgery on her breasts for a minimum of 3 years following implantation of the investigational device Exclusion Criteria Patients may not participate in the clinical investigation if they meet ANY of the following criteria: 1. Based on the judgement of the Investigator, inadequate sites/ volume for harvesting the fat graft 2. Medical history of any malignant condition in the breast or chest wall region 3. Medical history of BRCA 1 or BRCA 2 Mutation 4. Abnormal findings on diagnostic imaging in the breast(s) intended for treatment within one year of study enrolment 5. Prior history of infection in the breast in the preceding 12 months 6. Prior surgery involving the breast in the preceding 12 months (except any previous removal of silicone implant) 7. Breast feeding in the preceding 12 months 8. Any local infection or rash within or close to the surgical fields (harvest site(s) or breasts) 9. Medical history of Breast Implant-Associated Anaplastic Large Cell Lymphoma (BIA ALCL) or Breast Implant Associated Squamous Cell Carcinoma (BIA-SCC) 10. The patient has any disease, that is clinically known to impact wound healing ability 11. Known history of immunodeficiency including HIV, concomitant systemic corticosteroid therapy, chemotherapy, synchronous haematological malignancy or other cause for secondary/primary immunodeficiency 12. Micro or macro angiopathia 13. Uncontrolled endocrine disorders 14. Clotting disorders, including thromboembolism 15. Known severe concurrent or intercurrent illness including cardiovascular, respiratory or immunological illness, psychiatric disorders, alcohol or chemical dependence, possible allergies that would, in the opinion of the Investigator, compromise safety or compliance, or interfere with interpretation of study results 16. Polycaprolactone (PCL) allergy 17. Currently pregnant or breast feeding, or who are planning to become pregnant within 5 years after the breast surgery 18. Actively smoking or have a history of smoking (patient with a history of smoking may still be eligible pending assessment by investigating team and documentation of rationale) 19. Actively using recreational drugs or have a history of use of recreational drugs (patients with a history of use of recreational drugs may still be eligible pending assessment by investigating team and documentation of rationale) 20. Known allergies to MRI contrast agents 21. Unable or unwilling to comply with the treatment protocol 22. Unwilling or unable to provide fully informed consent including but not limited to patients with intellectual or mental impairment 23. Currently enrolled or has plans to enrol in another clinical study that would interfere with this study, unless it is retrospective or observational 24. Any patient condition that, in the Investigator's opinion, would preclude the use of the study device, interfere with the evaluation of the device or breast related outcomes, or would preclude participation in the study
Study Plan
Find out more about all the medication administered in this study, their detailed description and what they involve.One single intervention group is designated in this study
This study does not include a placebo group
Treatment Groups
Group I
ExperimentalStudy Centers
These are the hospitals, clinics, or research facilities where the trial is being conducted. You can find the location closest to you and its status.This study has 6 locations
Westmead Hospital, Lakeview Private Hospital
Sydney, AustraliaRoyal Brisbane and Women's Hospital (RBWH), Herston Biofabrication Institute (HBI)
Brisbane, AustraliaZealand University Hospital
Roskilde, Denmark