Risk Factor Analysis for Capsular Contracture

Stevens, W. Grant; Nahabedian, Maurice Y.; Calobrace, M. Bradley; Harrington, Jennifer L.; Capizzi, Peter J.; Cohen, Robert; d'Incelli, Rosalyn C; Beckstrand, Maggi

doi:10.1097/01.prs.0000435317.76381.68

Cited by 205 publications

(68 citation statements)

References 25 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…8,14,15 In the studies by Namnoum et al 14 and Stevens et al, 15 the risk of capsular contracture was also significantly higher ( p < 0.03) with smooth surface devices versus those having a textured surface, consistent with the low rate of capsular contracture associated with Natrelle 410 breast implants. Device age was also identified as a significant risk factor for capsular contracture in the primary augmentation cohort in the current study ( p < 0.0001), reflecting the small increasing rate of this complication over time.…”

Section: Discussionmentioning

confidence: 79%

Risk Factor Analysis for Capsular Contracture, Malposition, and Late Seroma in Subjects Receiving Natrelle 410 Form-Stable Silicone Breast Implants

McGuire

Reisman

Murphy

2017

Plastic &Amp; Reconstructive Surgery

152

View full text Add to dashboard Cite

show abstract

Section: Discussionmentioning

confidence: 79%

Risk Factor Analysis for Capsular Contracture, Malposition, and Late Seroma in Subjects Receiving Natrelle 410 Form-Stable Silicone Breast Implants

McGuire

Reisman

Murphy

2017

Plastic &Amp; Reconstructive Surgery

152

View full text Add to dashboard Cite

show abstract

“…Smaller studies ( n = 183 to 4412) that reported demographic information and surgical characteristics for subjects who underwent breast augmentation show similar baseline characteristics. 14–21 For example, several studies reported that subjects who underwent primary breast augmentation were primarily in their mid-30s, with the majority of subjects receiving implant volumes between 300 and 399 cc and implants inserted mainly through inframammary incisions. 14–21 In those studies, the majority of subjects were white, married, and had attended college.…”

Section: Discussionmentioning

confidence: 99%

“…14–21 For example, several studies reported that subjects who underwent primary breast augmentation were primarily in their mid-30s, with the majority of subjects receiving implant volumes between 300 and 399 cc and implants inserted mainly through inframammary incisions. 14–21 In those studies, the majority of subjects were white, married, and had attended college. 14,17,19–21 However, implant type, surface, and shape varied between these studies, with two describing round silicone gel implants, 14,20 others describing anatomic silicone gel implants or both types, 17,18,21 and one study directly comparing silicone with saline implants.…”

Section: Discussionmentioning

confidence: 99%

“…14–21 In those studies, the majority of subjects were white, married, and had attended college. 14,17,19–21 However, implant type, surface, and shape varied between these studies, with two describing round silicone gel implants, 14,20 others describing anatomic silicone gel implants or both types, 17,18,21 and one study directly comparing silicone with saline implants. 16 Of the studies that solely used silicone implants, nearly all (99 percent) subjects underwent bilateral primary augmentation or revision-augmentation procedures.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Natrelle Silicone Breast Implant Follow-Up Study

Singh

Picha²,

Murphy³

2016

Plastic and Reconstructive Surgery

View full text Add to dashboard Cite

Background:A large, multicenter, 10-year observational study is being conducted to compare the long-term safety and effectiveness of Natrelle silicone breast implants with saline implants or national norms. Study baseline data and surgical characteristics are reported here.Methods:Women seeking primary augmentation, revision-augmentation, primary reconstruction, or revision-reconstruction participated. Eligible subjects had completed surgery and received one implant or matching implants. Baseline demographics, health, lifestyle, and surgical characteristics were recorded. Data are presented here for subjects (≥22 years old) who underwent primary augmentation or revision-augmentation.Results:Of 50,979 subjects who underwent augmentation procedures, 35,756 received silicone implants and 15,223 received saline implants. Of these, 86.3 percent underwent primary augmentation, and 13.7 percent underwent revision-augmentation; nearly all subjects (99.3 percent) received bilateral implants. In the primary augmentation group, 67.6 percent of subjects received silicone implants versus 86.1 percent in the revision-augmentation group. Median age was lower in the primary augmentation group compared with the revision-augmentation group (33 versus 42 years old, respectively). Most subjects were white nonsmokers and had attended college. Hispanic subjects and subjects with a body mass index of 25 kg/m2 or greater were more likely to receive saline versus silicone implants. Across groups, the most common characteristics by procedure or implant type included inframammary incision site (54.6 percent), partial (58.2 percent) or complete (31.9 percent) submuscular placement, smooth surface implants (93.1 percent), and implant size of 300 to 399 cc. Incision size was larger for silicone versus saline implants.Conclusion:These data add to the body of knowledge on women undergoing augmentation procedures by providing an unprecedented look at a large number of subjects.

show abstract

“…Textured devices are less likely to move but may have benefit in reducing the incidence of capsular contracture. 6 The silicone gel in a round implant is less cohesive than the shaped implants; thus, they are softer. A closed suction drain is sometimes used in cases where extensive capsulotomy, capsulectomy, or capsulorrhaphy has been performed.…”

Section: Methodsmentioning

confidence: 99%

Shaped versus Round Implants for Breast Reconstruction

Nahabedian

2014

Plastic and Reconstructive Surgery Global Open

Self Cite

View full text Add to dashboard Cite

Background:With the reintroduction of shaped silicone gel implants in the United States, questions regarding indications and outcomes for each are likely. The purpose of this article is to review the author’s early experience using shaped and round implants for breast reconstruction over a 14-month consecutive interval.Methods:Breast reconstruction using shaped or round implants was performed on 69 women that included shaped silicone gel devices in 49 and round devices in 20. Patients were evaluated based on nipple-sparing vs skin-sparing mastectomy, 1-stage vs 2-stage, radiation therapy, unilateral vs bilateral, occurrence of complications, and follow-up.Results:Of the 49 patients (78 breasts) who had shaped implants, reoperation was necessary in 6 patients (12.2%) and in 7 breasts (9%). This was secondary to infection in 2 breasts, capsular contracture in 2 breasts, incisional dehiscence in 1 breast, asymmetry in 1 breast, and exposure in 1 breast. Of the 20 patients (28 breasts) who had round implants, reoperation was necessary in 2 patients (10%) and 2 breasts (7.1%) and included the removal of the device secondary to a late infection in 1 patient and the correction of a malposition (double bubble deformity) in 1 patient. There were no malpositions involving the shaped silicone gel implants.Conclusions:Both shaped and round silicone gel devices can result in natural aesthetic outcomes. Shaped devices are preferred for contouring the upper pole and for optimizing breast projection. Round devices are preferred when the upper pole is not deficient and the patient desires softer breasts. Longer follow-up studies will be necessary.

show abstract

Risk Factor Analysis for Capsular Contracture

Abstract: This analysis has provided evidence that submuscular placement and textured implants, in addition to other factors, are significant in reducing the incidence of capsular contracture.

Cited by 205 publications

References 25 publications

Risk Factor Analysis for Capsular Contracture, Malposition, and Late Seroma in Subjects Receiving Natrelle 410 Form-Stable Silicone Breast Implants

Risk Factor Analysis for Capsular Contracture, Malposition, and Late Seroma in Subjects Receiving Natrelle 410 Form-Stable Silicone Breast Implants

Natrelle Silicone Breast Implant Follow-Up Study

Shaped versus Round Implants for Breast Reconstruction

Contact Info

Product

Resources

About