Avaliação de implantes de polimetilmetacrilato (PMMA) para procedimentos de bioplastia.

Abstract

The cult of beauty is in evidence in Brazil and in the world, leading to increasing techniques and procedures to correct aesthetic defects and minimize the effects of aging. Several dermal fillers with high viscosity or polymer particles in suspension fluids have been used in large scale in cosmetic procedures and lipodystrophy correction of HIV-positive patients undergoing HAART activity. The use of polymethylmethacrylate (PMMA) as dermal filler substance has grown dramatically, and the number of adverse reactions arising from its use. PMMA has been used widely as a raw material in manufacturing various medical devices and products since the 40s, especially due to its biocompatibility, however, there is still a lack of information and studies on migration and inflammatory response of substances marketed in Brazil dermal filler purposes. This study aimed to evaluate the physical and chemical characteristics of PMMA implants sold in Brazil for bioplasty procedures in three commercial presentations of the product with different concentrations, in order to delimit acceptable limits for registration of these products at ANVISA, with focus on security health. The samples were characterized by X-ray Diffraction (XRD), Fourier transform infrared spectroscopy (FTIR), Scanning Electron Microscopy (SEM), Spectroscopy Energy Dispersive X-ray (EDS) analysis of Differential Scanning Calorimetry (DSC), characterized by Optical Microscopy (OM). The XRD technique showed semi-crystalline behavior of PMMA. FTIR technique found the functional groups present on the implants. Through OM and SEM techniques we saw the inhomogeneity relative to the size of the PMMA microspheres. One can conclude from the results of the DSC endothermic peak increased in accordance with changes in the concentration of PMMA. From the data obtained in this study it appears that the consumer is subject to risks as uneven surfaces and variations in size of the microspheres can cause adverse reactions, depending on the phagocytosis of microspheres with size less than 20 microns. The increasing use of technical fill with PMMA implants, as well as indications for use in other specialties of medicine, places it as material to be still widely studied in various product applications in the medical field.