Decreasing Time Intervals in Recurring Capsular Contracture? A Single Center Retrospective Study over 6 Years

Overview

Journal Plast Reconstr Surg Glob Open

Specialty General Surgery

Date 2023 Mar 13

PMID 36910725

Authors

Vivian L Jakob

Maike Keck

Jorn A Lohmeyer

Affiliations

Soon will be listed here.

Abstract

Methods: In the period from 2012 to 2017, all patients with breast implant replacements or removals at our institution were identified. From the medical file, the time of the first implantation and earlier replacements were analyzed for indication and timing of surgery.

Results: A total of 498 operations for implant replacement or removal were analyzed in 323 patients. Including prior operations, 717 procedures could be evaluated. If capsular contracture was the indication, revision surgery was performed on average 14.3 years or 8.4 years in aesthetic or reconstructive cases, respectively. In patients with more than one implant removal or replacement, we saw a reduction in the time interval between the first, second, and third follow-up operation.

Conclusions: The main indication to perform implant replacements or removals was capsular contracture recurring at increasingly shorter intervals. Patients must be informed about this possible progression when changing implants, but also before the first operation. If capsular contracture occurs after a rather short time period in reconstructive cases, the opportunity of an alternative approach (eg, autologous reconstruction) instead of a renewed implant change should be discussed with the patient.

Citing Articles

Breast Implants: Low Rate of Annual Check-Ups Results in Delayed Presentation of Ruptured Implants.

Flores T, Kerschbaumer C, Glisic C, Weber M, Schrogendorfer K, Bergmeister K J Clin Med. 2024; 13(21).

PMID: 39518683 PMC: 11547161. DOI: 10.3390/jcm13216545.

Erratum: Decreasing Time Intervals in Recurring Capsular Contracture? A Single Center Retrospective Study over 6 Years: Erratum.

Plast Reconstr Surg Glob Open. 2023; 11(6):e5111.

PMID: 37377526 PMC: 10292732. DOI: 10.1097/GOX.0000000000005111.

References

Spear S, Murphy D . Natrelle round silicone breast implants: Core Study results at 10 years. Plast Reconstr Surg. 2014; 133(6):1354-1361. PMC: 4819531. DOI: 10.1097/PRS.0000000000000021. View

Ascherman J, Hanasono M, Newman M, Hughes D . Implant reconstruction in breast cancer patients treated with radiation therapy. Plast Reconstr Surg. 2006; 117(2):359-65. DOI: 10.1097/01.prs.0000201478.64877.87. View

Jhaveri J, Rush S, Kostroff K, Derisi D, Farber L, Maurer V . Clinical outcomes of postmastectomy radiation therapy after immediate breast reconstruction. Int J Radiat Oncol Biol Phys. 2008; 72(3):859-65. DOI: 10.1016/j.ijrobp.2008.01.055. View

Stevens W, Nahabedian M, Calobrace M, Harrington J, Capizzi P, Cohen R . Risk factor analysis for capsular contracture: a 5-year Sientra study analysis using round, smooth, and textured implants for breast augmentation. Plast Reconstr Surg. 2013; 132(5):1115-1123. DOI: 10.1097/01.prs.0000435317.76381.68. View

Seigle-Murandi F, Lefebvre F, Bruant-Rodier C, Bodin F . Incidence of breast implant rupture in a 12-year retrospective cohort: Evidence of quality discrepancy depending on the range. J Plast Reconstr Aesthet Surg. 2016; 70(1):42-46. DOI: 10.1016/j.bjps.2016.11.001. View

Maxwell G, Van Natta B, Bengtson B, Murphy D . Ten-year results from the Natrelle 410 anatomical form-stable silicone breast implant core study. Aesthet Surg J. 2015; 35(2):145-55. PMC: 4399443. DOI: 10.1093/asj/sju084. View

Lista F, Ahmad J . Evidence-based medicine: augmentation mammaplasty. Plast Reconstr Surg. 2013; 132(6):1684-1696. DOI: 10.1097/PRS.0b013e3182a80880. View

Kearney A, Brown M, Soltanian H . Timing of radiation and outcomes in implant-based breast reconstruction. J Plast Reconstr Aesthet Surg. 2015; 68(12):1719-26. DOI: 10.1016/j.bjps.2015.08.034. View

Hvilsom G, Holmich L, Steding-Jessen M, Frederiksen K, Henriksen T, Lipworth L . Delayed breast implant reconstruction: is radiation therapy associated with capsular contracture or reoperations?. Ann Plast Surg. 2011; 68(3):246-52. DOI: 10.1097/SAP.0b013e318214e69c. View

10.

Stevens W, Calobrace M, Harrington J, Alizadeh K, Zeidler K, dIncelli R . Nine-Year Core Study Data for Sientra's FDA-Approved Round and Shaped Implants with High-Strength Cohesive Silicone Gel. Aesthet Surg J. 2016; 36(4):404-16. DOI: 10.1093/asj/sjw015. View

11.

Schaub T, Ahmad J, Rohrich R . Capsular contracture with breast implants in the cosmetic patient: saline versus silicone--a systematic review of the literature. Plast Reconstr Surg. 2010; 126(6):2140-2149. DOI: 10.1097/PRS.0b013e3181f2b5a2. View

12.

Kronowitz S, Robb G . Radiation therapy and breast reconstruction: a critical review of the literature. Plast Reconstr Surg. 2009; 124(2):395-408. DOI: 10.1097/PRS.0b013e3181aee987. View

13.

Bachour Y, Bargon C, de Blok C, Ket J, Ritt M, Niessen F . Risk factors for developing capsular contracture in women after breast implant surgery: A systematic review of the literature. J Plast Reconstr Aesthet Surg. 2018; 71(9):e29-e48. DOI: 10.1016/j.bjps.2018.05.022. View

14.

Kuehlmann B, Prantl L . [Need for a German Breast Implant Registry - Pilot Project Breast Implant Template]. Handchir Mikrochir Plast Chir. 2016; 48(4):199-204. DOI: 10.1055/s-0042-111003. View

15.

Gabriel S, Woods J, OFallon W, Beard C, Kurland L, Melton 3rd L . Complications leading to surgery after breast implantation. N Engl J Med. 1997; 336(10):677-82. DOI: 10.1056/NEJM199703063361001. View

16.

Handel N, Cordray T, Gutierrez J, Jensen J . A long-term study of outcomes, complications, and patient satisfaction with breast implants. Plast Reconstr Surg. 2006; 117(3):757-67. DOI: 10.1097/01.prs.0000201457.00772.1d. View

17.

Barry M, Kell M . Radiotherapy and breast reconstruction: a meta-analysis. Breast Cancer Res Treat. 2011; 127(1):15-22. DOI: 10.1007/s10549-011-1401-x. View

18.

Blount A, Martin M, Lineberry K, Kettaneh N, Alfonso D . Capsular contracture rate in a low-risk population after primary augmentation mammaplasty. Aesthet Surg J. 2013; 33(4):516-21. DOI: 10.1177/1090820X13484465. View

19.

Ricci J, Epstein S, Momoh A, Lin S, Singhal D, Lee B . A meta-analysis of implant-based breast reconstruction and timing of adjuvant radiation therapy. J Surg Res. 2017; 218:108-116. DOI: 10.1016/j.jss.2017.05.072. View

20.

Behranwala K, Dua R, Ross G, Ward A, AHern R, Gui G . The influence of radiotherapy on capsule formation and aesthetic outcome after immediate breast reconstruction using biodimensional anatomical expander implants. J Plast Reconstr Aesthet Surg. 2006; 59(10):1043-51. DOI: 10.1016/j.bjps.2006.01.051. View