Rate and Incidence of Capsular Contracture: A Comparison of Smooth and Textured Silicone Double-Lumen Breast Prostheses

Ersek, Robert A.

doi:10.1097/00006534-199105000-00012

Cited by 82 publications

(26 citation statements)

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“…Two studies (1,4) have assessed the efficacy of local antibacterial agents (e.g., povidone-iodine, cephalothin, bacitracin, cephalexin, and gentamicin) in patients undergoing breast implant procedures. Such intervention was associated with a lower incidence of capsular contracture than those in other published reports not using antimicrobial irrigation (9,10), indirectly suggesting that bacteria may be involved in the pathogenesis of capsular contracture.…”

Section: Vol 47 2009 Biofilms and Breast Implant Capsular Contractumentioning

confidence: 60%

“…Women who have undergone breast implantation may experience local complications during the ensuing years. Capsular contracture is the most common and frustrating complication (1,3), with a reported incidence as high as 50 to 74% according to some studies (4,9). Capsular contracture is classified according to the Baker classification system (14), as follows: grade I, breast absolutely natural; grade II, minimum contracture; grade III, moderate contracture; and grade IV, severe contracture.…”

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confidence: 99%

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Pilot Study of Association of Bacteria on Breast Implants with Capsular Contracture

Pozo

Tran²,

Petty³

et al. 2009

J Clin Microbiol

111

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Capsular contracture is the most common and frustrating complication in women who have undergone breast implantation. Its cause and, accordingly, treatment and prevention remain to be elucidated fully. The aim of this prospective observational pilot study was to test the hypothesis that the presence of bacteria on breast implants is associated with capsular contracture. We prospectively studied consecutive patients who underwent breast implant removal for reasons other than overt infection at the Mayo Clinic from February through September 2008. Removed breast implants were processed using a vortexing/sonication procedure and then subjected to semiquantitative culture. Twenty-seven of the 45 implants collected were removed due to significant capsular contracture, among which 9 (33%) had >20 CFU bacteria/10 ml sonicate fluid; 18 were removed for reasons other than significant capsular contracture, among which 1 (5%) had >20 CFU/10 ml sonicate fluid (P ‫؍‬ 0.034). Propionibacterium species, coagulase-negative staphylococci, and Corynebacterium species were the microorganisms isolated. The results of this study demonstrate that there is a significant association between capsular contracture and the presence of bacteria on the implant. The role of these bacteria in the pathogenesis of capsular contracture deserves further study.

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Section: Vol 47 2009 Biofilms and Breast Implant Capsular Contractumentioning

confidence: 60%

mentioning

confidence: 99%

Pilot Study of Association of Bacteria on Breast Implants with Capsular Contracture

Pozo

Tran²,

Petty³

et al. 2009

J Clin Microbiol

111

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“…The investigators found no long-term benefit of a textured implant surface in preventing CC, as opposed to other authors. [13][14][15] Also, Handel et al found no difference in subpectoral implant placement, while many other authors reported the opposite. 2,3,[16][17][18][19] Furthermore, the Handel study included a significant proportion of patients who received polyurethane-coated implants, which have since fallen out of favor due to toluenediamine breakdown products.…”

Section: Discussionmentioning

confidence: 99%

Capsular Contracture Rate in a Low-Risk Population After Primary Augmentation Mammaplasty

Blount¹,

Martin²,

Lineberry³

et al. 2013

Aesthetic Surgery Journal

111

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Background: The safety of augmentation mammaplasty has increased dramatically in the past 20 years. Capsular contracture (CC) is the most commonly reported complication of augmentation mammaplasty. Objectives: The authors report the incidence of CC in a low-risk patient population after primary augmentation. Methods: The authors retrospectively reviewed the charts of 856 consecutive patients who underwent primary augmentation mammaplasty between 1999 and 2009. This series did not include patients who underwent breast augmentation-mastopexy, secondary augmentation, revision, and/or reconstruction. Data points included demographics, functional and aesthetic outcomes, complications, and revision rate/type. Results: The overall incidence of CC in 856 patients was 2.8%. Average follow-up time was 14.9 months. Antibiotic irrigation decreased CC rates from 3.9% to 0.4% (P = .004). Tobacco users had higher rates of contracture than nonsmokers (5.5% vs 1.9%; P = .036). Saline implants had a higher CC rate than silicone gel (4.3% vs 1.3%; P = .032). Using multivariate logistic regression, CC was 7.89 times more likely in saline implants than in silicone gel (P = .027, 95% confidence interval, 1.26-49.00). Conclusions: Based on our findings, it is apparent that the early CC rate in primary augmentation can be less than 1%. To avoid CC, we advocate an inframmamary approach, submuscular implant placement, and antibiotic irrigation of the breast pocket. Level of Evidence: 3

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“…The difference between the findings in rats and those in humans reported here may be due to dissimilarities between species in the siliconetissue interaction and the materials implanted. Of the 13 women, 12 had silicone gel implants, including one with a textured shell purported to reduce capsular contracture (25). One woman had double-lumen implants where a silicone gel-filled compartment is surrounded by another containing saline.…”

Section: Nmr Experimentsmentioning

confidence: 99%

Analysis of periprosthetic capsular tissue from women with silicone breast implants by magic-angle spinning NMR

Garrido

Young

1999

Magn. Reson. Med.

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Rate and Incidence of Capsular Contracture: A Comparison of Smooth and Textured Silicone Double-Lumen Breast Prostheses

Cited by 82 publications

References 0 publications

Pilot Study of Association of Bacteria on Breast Implants with Capsular Contracture

Pilot Study of Association of Bacteria on Breast Implants with Capsular Contracture

Capsular Contracture Rate in a Low-Risk Population After Primary Augmentation Mammaplasty

Analysis of periprosthetic capsular tissue from women with silicone breast implants by magic-angle spinning NMR

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