Why Is the Baker Classification Inadequate for Classifying Silicone Implant Fibrous Capsules?

Baker's clinical classification is adopted as the gold standard for grading complications related to silicone implants. Despite being widely used for this purpose, the classification has several limitations, highlighting subjectivity, reproducibility, and interobserver agreement. In this techni...

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Bibliographic Details
Published in:Curēus (Palo Alto, CA) CA), 2024-03, Vol.16 (3), p.e55776-e55776
Main Author: De Faria Castro Fleury, Eduardo
Format: Article
Language:English
Subjects:
Breast implants
Classification
Elastomers
Glycerol
Granulomas
Inflammation
Magnetic resonance imaging
Pathology
Permeability
Plastic Surgery
Radiology
Silicones
Viscosity
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Summary:Baker's clinical classification is adopted as the gold standard for grading complications related to silicone implants. Despite being widely used for this purpose, the classification has several limitations, highlighting subjectivity, reproducibility, and interobserver agreement. In this technical report, we aim to present the reasons for the inadequacy of the Baker classification for breast implants and the main factors contributing to false-negative results using recent theories of surface tension of fluids and gel bleeding. We also present an alternative classification proposal using magnetic resonance imaging of the breasts.
ISSN:2168-8184
2168-8184
DOI:10.7759/cureus.55776