A comparison of capsule formation following breast augmentation by saline-filled or gel-filled implants

Reiffel, Robert S.; Rees, Thomas D.; Guy, Cary L.; Aston, Sherrell J.

doi:10.1007/bf01571115

Cited by 24 publications

(6 citation statements)

References 15 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…They described them resulting in a contracture, classed as a Baker grade of III, which is similar to findings since reported by Reiffel et al [72] and Gylbert et al [73].…”

Section: Capsular Contracture: Possible Aetiological Background Theorsupporting

confidence: 73%

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

View full text Add to dashboard Cite

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.

show abstract

“…They described them resulting in a contracture, classed as a Baker grade of III, which is similar to findings since reported by Reiffel et al [72] and Gylbert et al [73].…”

Section: Capsular Contracture: Possible Aetiological Background Theorsupporting

confidence: 73%

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

View full text Add to dashboard Cite

show abstract

“…[3][4][5][6] Two differences in these devices help explain this observation. All gel implants, regardless of type, have surface silicone oil.…”

Section: Discussionmentioning

confidence: 93%

“…33 Although women with saline implants had a lower rate of contracture than those with gel-filled prostheses, contracture was still observed in these patients. [3][4][5][6]26,34 These studies indicate that silicone gel bleed is unlikely to be a primary cause of capsular contracture but may have contributed to contracture through mobilization of foreign particles from the surgical gloves.…”

Section: Discussionmentioning

confidence: 99%

“…1 Studies over the years show development of capsular contracture by as many as 70% of gel-filled breast-implanted patients, with frequent recurrence following secondary procedures. [2][3][4][5][6][7][8][9] With such a common complication following breast implantation, causation analyses were conducted but with no definite conclusion. 10 And so, 30 years after its initial documentation, capsular contracture still remains of unknown etiology.…”

mentioning

confidence: 99%

See 1 more Smart Citation

Talc and Capsular Contracture

Chandler¹

2004

Annals of Plastic Surgery

View full text Add to dashboard Cite

Capsular contracture, constrictive tightening of scar tissue around implants, was historically the primary reason for reoperating breast-implanted women. Yet, capsular contracture remains of unknown etiology. Contamination with foreign material is one of several suspected causes. Talc, a known fibrogenic agent, was recently found in peri-implant scars. A comparison of 192 explanted women was designed to investigate the role of talc in the induction of capsular contracture. This study included women implanted with silicone gel-filled implants for whom tissue samples were available. Patients were evaluated for the occurrence of capsular contracture and the presence of intracellular talc particles in peri-implant tissues. There was a significant association between talc and capsular contracture (odds ratio = 18.0, 95% confidence interval = 5.9-55, P < 1 x 10(-9)). This study indicates that talc was a major risk factor for capsular contracture in women augmented before 1992.

show abstract

“…Because of recent concerns about the health risks of silicone gel, many patients with gel-filled implants request that their prosthesis be replaced with a saline-filled device. Some evidence indicates that the risk of contracture is reduced with saline-filled implants, 18,19 and this may be attractive to a patient who has already developed contracture around a gel implant. Use of gel implants is permitted in secondary procedures when it is impossible to achieve a satisfactory result with a saline implant.…”

Section: Capsular Contracturementioning

confidence: 96%

Managing Complications of Breast Augmentation

Handel¹

2001

Perspectives in Plastic Surgery

View full text Add to dashboard Cite

Augmentation mammaplasty is an extremely popular operation and yields a high degree of patient satisfaction. However, a certain number of individuals develop side effects and complications that require additional treatment. Some complications are events that may occur in association with any surgical procedure, whereas others are specifically related to the breast prosthesis. Because these problems occur relatively frequently, plastic surgeons in clinical practice must be familiar with their diagnosis and treatment. The purpose of this article is to review the diagnosis and management of complications following breast augmentation. Even in the face of a suboptimal result or complication, most augmentation patients wish to undergo corrective surgery and preserve their implants. With appropriate management, a good outcome can be achieved in nearly all cases.

show abstract

A comparison of capsule formation following breast augmentation by saline-filled or gel-filled implants

Cited by 24 publications

References 15 publications

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

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

Talc and Capsular Contracture

Managing Complications of Breast Augmentation

Contact Info

Product

Resources

About