Epidemiology and Prevention of Breast Prosthesis Capsular Contracture Recurrence

Introduction Baker grade III and IV breast prosthesis capsular contractures represent a major problem for patients undergoing mammoplasties. The risk factors involved in recurrence are debated, and the best surgical approach for their prevention is not established. The objective was to identify thes...

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Bibliographic Details
Published in:Aesthetic plastic surgery 2021-02, Vol.45 (1), p.15-23
Main Authors: Ganon, Shabtail, Morinet, Sarah, Serror, Kevin, Mimoun, Maurice, Chaouat, Marc, Boccara, David
Format: Article
Language:English
Subjects:
Biofilms
Breast Implantation - adverse effects
Breast Implants - adverse effects
Breast Neoplasms
Breast surgery
Contracture - epidemiology
Contracture - etiology
Contracture - prevention & control
Epidemiology
Follow-Up Studies
Hospitals
Humans
Implant Capsular Contracture - epidemiology
Implant Capsular Contracture - etiology
Implant Capsular Contracture - prevention & control
Mammaplasty - adverse effects
Medicine
Medicine & Public Health
Original Article
Otorhinolaryngology
Patients
Plastic Surgery
Prevention
Prostheses
Radiation therapy
Retrospective Studies
Risk factors
Silicones
Surgery
Transplants & implants
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Summary:Introduction Baker grade III and IV breast prosthesis capsular contractures represent a major problem for patients undergoing mammoplasties. The risk factors involved in recurrence are debated, and the best surgical approach for their prevention is not established. The objective was to identify these. Materials and Methods We carried out a retrospective study of patients operated on for capsular contracture at the Saint-Louis Hospital in Paris from 2012 to 2014. The characteristics at inclusion were compared so as to determine the risk factors of recurrence. The surgical approaches were compared between the patients with recurrence and those without at 5 years. Results Of the 100 patients included, 24 had a recurrence. The minimal follow-up was 5 years. No risk factors of recurrence of capsular contracture were identified. The surgical approach associated with the lowest rate of recurrence was anterior capsulectomy [OR total capsulectomy = 2.36 (0.73; 8.037) OR capsulotomy = 4.33 (1.37; 14.81)] ( p  
ISSN:0364-216X
1432-5241
DOI:10.1007/s00266-020-01876-y