Incidence and Severity of Short-Term Complications After Breast Augmentation

Abstract

The frequency and severity of local complications remain the primary safety issues with silicone breast implants. The Danish Registry for Plastic Surgery of the Breast (DPB), established in 1999, prospectively collects pre-, peri- and postoperative information regarding Danish women undergoing breast augmentation. Through DPB, we conducted a prospective follow-up study of short-term local complications among 1090 women who underwent cosmetic breast implantation from June 1999 through October 2002. Nineteen percent of women who underwent initial implantation developed at least 1 adverse effect. Forty percent of the adverse effects occurred within 3 months of implantation; 79%, within 6 months. Capsular contracture grade II-IV was observed among 4.1% of women in the 2-year follow-up period. Overall, 97 (29%) of the 344 adverse effects among 55 (6%) of the 971 women required surgical intervention. A higher incidence of adverse effects typically occurred after subsequent implantations. According to the DPB experience, we conclude that most short-term postoperative adverse effects following cosmetic implantation are clinically insignificant and do not require treatment and that short-term complications requiring adjuvant treatment are rare.

Mamoplastia en plano dual ¿Es la técnica de elección?

“…Nuestra experiencia con la técnica dual en mamoplastia de aumento primaria, realizada por el autor principal de este artículo (C.L). durante los últi-mos 8 años de forma sistemática con excelentes resultados, llevó a nuestro grupo a utilizar esta técnica en otros casos de resolución más compleja a los largo de los últi-tasa de complicaciones (12), mínima tasa de reoperaciones (13) y una alta tasa de satisfacción por parte de las pacientes. Por todos los motivos expuestos, es a nuestro juicio la técnica de elección para la mamoplastia de aumento primaria, para el tratamiento de la contractura capsular y de las mamas tuberosas.…”

Does the symmetry of the breasts continue after breast augmentation?

“…Each incision site, implant placement area or features of implant have some advantages and disadvantages, so selection of the surgical approach should be made according to each patient's individual characteristics to obtain best results. Most occuring complications after the breast augmentation including hematoma, infection, seroma, capsular contracture, malposition and rupture of the implant, rippling, ptosis and asymmetry have been reported in detail [1][2][3]. In some surgical techniques, occurrence rates of the complications have been claimed to be more common than the another approaches.…”

Influence of patient age on capsular contracture after aesthetic breast augmentation

“…Capsular contraction has been reported to be the most common complication following primary aesthetic breast augmentation (3)(4)(5). Capsular contraction most commonly occurs within the first year postoperatively (6). There is a cumulative risk for developing capsular fibrosis, which increases with time after implant placement (6,7).…”

“…Capsular contraction most commonly occurs within the first year postoperatively (6). There is a cumulative risk for developing capsular fibrosis, which increases with time after implant placement (6,7). Certain risk factors, such as infections, hematoma, seroma, and the composition and texture of the implants, have been implicated in the development and degree of capsular fibrosis (1, [8][9][10].…”