Textured or smooth implants for breast augmentation? A prospective controlled trial

Coleman, David; Foo, I. T. H.; Sharpe, David T.

doi:10.1016/0007-1226(91)90204-w

Cited by 155 publications

(52 citation statements)

References 18 publications

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“…It has been suggested that implants with a textured surface have been shown to reduce or delay the rates of capsular contracture formation [2,[58][59][60][61][62][63] and shown to be conclusive certainly for subglandular breast augmentation in the meta-analysis by Wong et al [26]. This study however stated that further investigation might be needed to see if this is maintained long-term, and to exclude only a delay in the capsular contracture.…”

Section: Capsular Contracture: Possible Aetiological Background Theormentioning

confidence: 99%

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

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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.

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Section: Capsular Contracture: Possible Aetiological Background Theormentioning

confidence: 99%

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

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“…Several reports (27)(28)(29)(30)(31) indicate that breasts with such implants are softer than those with smooth surfaced silicone prostheses.…”

Section: Discussionmentioning

confidence: 99%

Absence of capsular contracture in 319 consecutive augmentation mammaplasties: Dependent drains as a possible factor

Fanous¹

2004

J Plast Surg

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N Fanous, I Salem, C Tawilé, AE Bassas. Absence of capsular contracture in 319 consecutive augmentation mammaplasties: Dependent drains as a possible factor. Can J Plast Surg 2004;12(4):193-197. Capsular contracture is one of the major complications of augmentation mammaplasty. A review of 638 augmented breasts in 319 consecutive patients who underwent primary augmentation, with an average follow-up of 17.2 months and without a single case of capsular contracture of any degree to date, is presented, along with a discussion of the surgical technique and complications, and an analysis of measures used to prevent capsular contraction. Each patient received a pair of smooth saline-filled implants (Mentor, USA) placed in the submuscular space through an inframammary incision. In all operated breasts, many of the known measures commonly used for capsular contracture prevention were implemented. As well, a dependent drain was used as the final hemostatic step to prevent blood accumulation in the pocket. Leaving a dependent drain in the dissected pocket overnight, as one of the sequence of measures aimed at eliminating blood accumulation, is believed to be a contributing factor in capsular contracture prevention.Key Words: Augmentation mammaplasty; Drains; Prevention of capsular contractionAbsence de contracture capsulaire dans 319 augmentations mammaires consécutives : Rôle possible des drains chirurgicaux La contracture capsulaire est l'une des importantes complications de l'augmentation mammaire. On présente ici une revue de 638 augmentations mammaires chez 319 patientes consécutives ayant subi une première augmentation, avec suivi moyen de 17,2 mois, sans un seul cas de contracture capsulaire quel qu'il soit à ce jour; la présentation s'accompagne d'une description de la technique chirurgicale, de ses complications et d'une analyse des mesures utilisées pour prévenir la contracture capsulaire. Chaque patiente a reçu une paire d'implants lisses de sérum physiologique (Mentor, U.S.A.), placés dans l'espace sous-musculaire au moyen d'une incision inframammaire. Dans tous les seins opérés, les mesures connues et couramment utilisées pour prévenir la contracture capsulaire ont été appliquées. De même, un drain chirurgical a été installé comme étape hémostatique finale pour prévenir l'accumulation de sang dans la poche. Parmi les mesures visant à éliminer l'accumulation de sang dans la poche disséquée, l'installation d'un drain chirurgical jusqu'au lendemain serait un facteur propice à la prévention de la contracture capsulaire. C apsular contracture is a particularly frustrating problem for everyone concerned with breast augmentation: the surgeon, the patient and the manufacturer. It is virtually the single major complication of prosthetic use, yet has stubbornly resisted solutions despite more than 25 years of persistent clinical and laboratory investigation (1,2).Because sound etiological evidence has been lacking, many different theories have been advanced to explain capsular contracture: blood accumulation in the...

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“…Box 1 summarizes some of the implant and surgical technique options that have been associated with lower capsular contractures. [7][8][9][10][11][12][13][14][15][16][17][18][19][20][21][22][23] PATIENT POSITIONING Patients are placed on the operating room table in the supine position. The arms are secured to the armboard at 45 to stabilize the patient in the upright position (Fig.…”

Section: Preoperative Planningmentioning

confidence: 99%

Teaching Breast Augmentation

Calobrace

2015

Clinics in Plastic Surgery

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Textured or smooth implants for breast augmentation? A prospective controlled trial

Cited by 155 publications

References 18 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

Absence of capsular contracture in 319 consecutive augmentation mammaplasties: Dependent drains as a possible factor

Teaching Breast Augmentation

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