Risk factors for developing capsular contracture in women after breast implant surgery: A systematic review of the literature

Bachour, Yara; Bargon, Claudia A.; Blok, Christel J.M. de; Ket, Hans; Ritt, Marco J.P.F.; Niessen, Frank B.

doi:10.1016/j.bjps.2018.05.022

Cited by 85 publications

(85 citation statements)

References 106 publications

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“…A metanalysis with 15 published studies between 2000 and 2016 about radiotherapy after mastectomy with immediate reconstruction demonstrated a capsular contracture (RR of 5.26; CI, 95% 2.73‐10.13; P < .0001; I 2 : 77%), showing that women submitted to RT had a higher risk of developing capsular contracture level III/IV than those who were submitted to surgery only, however, Baker classification was the main method used in the studies, this review included prospective and retrospective studies . In addition, Bachour et al, assessing the risk factors for developing capsular contracture, describe as a limitation the inconsistency for comparing results because the lack of standardization in this classification. The incidence of capsular contracture will probably continue to increase as long as breast reconstructions use silicone prostheses and patients submitted to nipple or skin‐sparing mastectomy continue to have increasing use or postmastectomy RT …”

Section: Discussionmentioning

confidence: 99%

“…In addition, Bachour et al, assessing the risk factors for developing capsular contracture, describe as a limitation the inconsistency for comparing results because the lack of standardization in this classification. The incidence of capsular contracture will probably continue to increase as long as breast reconstructions use silicone prostheses and patients submitted to nipple or skin‐sparing mastectomy continue to have increasing use or postmastectomy RT …”

Section: Discussionmentioning

confidence: 99%

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Late locoregional complications associated with adjuvant radiotherapy in the treatment of breast cancer: Systematic review and meta‐analysis

Kanda

Vieira

Lima

et al. 2019

Journal of Surgical Oncology

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This systematic review with meta‐analysis addressed late locoregional complications associated with adjuvant radiotherapy (RT) in breast cancer. Among 2120 titles, ten comparative studies in patients undergoing surgery vs surgery and radiotherapy reporting complications were evaluated. RT was associated with an increased risk of capsular contracture and decreased the mobility of the upper limb. A borderline association of lymphedema risk using RT was noted in the random‐effects model but was significant in the fixed‐effects model.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Late locoregional complications associated with adjuvant radiotherapy in the treatment of breast cancer: Systematic review and meta‐analysis

Kanda

Vieira

Lima

et al. 2019

Journal of Surgical Oncology

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“…Of the most common complications of augmentation mammaplasty, CC is a pathologic hardening and tightening of the capsule around the implant. Still, little is known about its exact etiologic and pathophysiologic mechanisms, for which various hypotheses have been proposed [26][27][28].…”

Section: Discussionmentioning

confidence: 99%

A multi-center, retrospective, preliminary observational study to assess the safety of BellaGel® after augmentation mammaplasty

2020

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Background BellaGel® is the only cohesive silicone gel-filled breast implant from a Korean manufacturer, and it was first developed in 2005. It was approved by the CE in 2008, thus becoming the first Asian breast implant available in the EU. We conducted this study to assess the safety of BellaGel® in patients receiving augmentation mammaplasty. Methods We evaluated a consecutive series of 239 patients (478 breasts) who received esthetic augmentation mammaplasty using the BellaGel® (round smooth, round textured, round nanotextured, and anatomical textured types of implant) (HansBiomed Co. Ltd., Seoul, Korea) at three clinics in Korea (JW Plastic Surgery Center, BS The Body Plastic Surgery Clinic and Grace Plastic Surgery Clinic) during a period from December 1, 2015 to January 31, 2018. Results A total of 239 patients with a mean age of 33.1 ± 8.5 years old were followed up during a mean period of 399.58 ± 232.71 days, where there were no cases of capsular contracture in our clinical series of the patients. Other complications include one case (0.4%) of seroma, three cases (1.3%) of hematoma, and one case (0.4%) of infection. Moreover, there were no significant differences in the cumulative incidences of complications between the four types of the BellaGel® (χ 2 = 2.322, df = 3, P = 0.508). Furthermore, the cumulative Kaplan-Meier survival rate was estimated at 0.979 (95% CI 0.961-0.997).Conclusions Our results indicate that the BellaGel® is such a safe breast implant that surgeons might consider using it for esthetic augmentation mammaplasty. Level of evidence: Level III, risk/prognostic study.

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“…Second, several studies have shown that capsular contracture occurs more often in smooth implants in comparison with textured implants [1]. Since it is suggested that bacteria might cause capsular contracture, one would expect more bacterial growth on (more) smooth surfaces.…”

Section: To the Editormentioning

confidence: 99%

Risk factors for developing capsular contracture in women after breast implant surgery: A systematic review of the literature

Cited by 85 publications

References 106 publications

Late locoregional complications associated with adjuvant radiotherapy in the treatment of breast cancer: Systematic review and meta‐analysis

Late locoregional complications associated with adjuvant radiotherapy in the treatment of breast cancer: Systematic review and meta‐analysis

A multi-center, retrospective, preliminary observational study to assess the safety of BellaGel® after augmentation mammaplasty

Response to “Bacterial Adhesion and Biofilm Formation on Textured Breast Implant Shell Materials”

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