Difficulties with Subpectoral Augmentation Mammaplasty and Its Correction: The Role of Subglandular Site Change in Revision Aesthetic Breast Surgery

Lesavoy, Malcolm A.; Trussler, Andrew P.; Dickinson, Brian P.

doi:10.1097/prs.0b013e3181c2a4b0

Cited by 61 publications

(35 citation statements)

References 18 publications

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“…For example, subglandular placement may result in a higher incidence of capsular contracture but less postoperative pain and discomfort 26 and less unwanted implant movement with pectoralis contraction. 27 Submuscular placement may reduce the risk of capsular contracture but may increase the risk of developing a hematoma. 9,16 Inframammary incisions have been demonstrated to result in less capsular contracture but may not be advised when preoperative breast volume is less than 200 g, when the breast shape is tubular or ptotic (grades I to II), or when the inframammary crease is nonexistent or high.…”

Section: Discussionmentioning

confidence: 99%

Risk Factor Analysis for Capsular Contracture

Stevens

Nahabedian

Calobrace

et al. 2013

Plastic and Reconstructive Surgery

201

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Section: Discussionmentioning

confidence: 99%

Risk Factor Analysis for Capsular Contracture

Stevens

Nahabedian

Calobrace

et al. 2013

Plastic and Reconstructive Surgery

201

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“…They then underwent re-implantation in the subglandular position for re-augmentation. This has been successfully performed on patients with capsular contracture [105].…”

Section: Surgerymentioning

confidence: 98%

A literature review and summary of capsular contracture: An ongoing challenge to breast surgeons and their patients

Malahias

Jordan

Hughes

et al. 2016

International Journal of Surgery Open

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A B S T R A C TCapsular contracture is a significant difficulty where implants are used in both breast augmentation and breast reconstruction surgery. This report reviews the published literature focusing on factors and techniques that reduce the incidence of this complication, as well as evaluating the available treatment options for patients who have developed a contracture.A search of the MEDLINE database for clinical studies involving the understanding, diagnosis and management of capsular contracture was performed, with 106 articles deemed relevant for this review. Our search criteria included observational studies as we wish to discuss and highlight the areas of this condition that have been investigated, and unfortunately there is limited clinical evidence in regard to high quality trials in this field.Risk factors for capsular contracture are multi-factorial, and all surgeons should aim to minimise these as much as possible both intra-and peri-operatively. However, in high risk patients it is not achievable to completely remove these elements. When capsular contracture does develop, there are currently only a limited number of surgical options including capsulotomy, capsulectomy with or without reimplantation, or reconstruction with autologous tissue. These procedures, as well as the original implant surgery, ought to be discussed with patients on an individual basis, taking into account their personal needs and expectations.The future of this complication may lie in the development of pharmaceutical interventions, and recent studies have shown promising results. Although this field requires more research, the effectiveness of some new pharmaceutical approaches, to provide alternative non-surgical options for patients with capsular contracture, can only aid both patients and the breast surgeon.

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“…Although expansion is facilitated with the release of the muscle inferiorly [34], pectoral muscle retraction and bottoming out of the implant became problems [22]. Therefore, the inferior edge of the muscle was sutured to the fascia.…”

Section: Introductionmentioning

confidence: 99%

The Use of Synthetic Mesh in Reconstructive, Revision, and Cosmetic Breast Surgery

Becker

Lind

2013

Aesth Plast Surg

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BackgroundRecent evidence suggests that the use of acellular dermal matrices in prosthetic breast reconstruction, revision, or augmentation may be associated with an increased risk of complications. In this article we report our results of a potential alternative, using a new long-term resorbable synthetic matrix in these cases.MethodsA retrospective study was performed evaluating 11 primary breast reconstructions (19 breasts), 43 secondary reconstructions (77 breasts), 3 augmentation/augmentation mastopexys (6 breasts), and 5 mastopexys (10 breasts) in 62 patients using TIGR® Matrix Surgical Mesh.ResultsFollow-up ranged from 9.4 to 26.1 months with an average follow-up of 16.5 months. Average age was 54 years. The number of patients who had prior radiation was 9 (14.5 %). Four patients (6.5 %) were smokers. Postoperative breast complications included necrosis of two flaps (1.8 %), two seromas requiring drainage (1.8 %), four infection/extrusions (3.6 %), two relapses of inframammary fold/malposition (1.8 %), and two with rippling (1.8 %). Other complications included six cases of asymmetry that required a corrective procedure. In a variety of breast surgery cases very good aesthetic results were achieved.ConclusionThe long-term absorbable synthetic matrix, TIGR® Matrix Surgical Mesh, shows potential when used as temporary reinforcement in patients undergoing breast reconstruction or breast surgery revisions and in primary aesthetic procedures, and it appears to be a viable alternative to the use of acellular dermal matrices.Level of Evidence IVThis journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors http://www.springer.com/00266.

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Difficulties with Subpectoral Augmentation Mammaplasty and Its Correction: The Role of Subglandular Site Change in Revision Aesthetic Breast Surgery

Cited by 61 publications

References 18 publications

Risk Factor Analysis for Capsular Contracture

Risk Factor Analysis for Capsular Contracture

A literature review and summary of capsular contracture: An ongoing challenge to breast surgeons and their patients

The Use of Synthetic Mesh in Reconstructive, Revision, and Cosmetic Breast Surgery

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