Capsular contracture – What are the risk factors? – A 14 year series of 1400 consecutive augmentations

Journal of Plastic, Reconstructive & Aesthetic Surgery, 09/28/2011

Dancey A et al. – The authors' series has given us a unique insight into the frequency of capsular contracture and identified several risk factors. To their knowledge, this is the first report of pregnancy having a significant effect on capsular contracture. They now counsel patients thoroughly into the detrimental effects of pregnancy on the implant.

Methods

  • A retrospective study of 1400 consecutive primary breast augmentations performed between March 1995 and March 2009 by a single surgeon was performed.
  • The incidence of capsular contracture and the possible causative factors was specifically examined.

Results

  • Follow up ranged from 1 to 16 years.
  • The mean age at the time of surgery was 32.8 years and fill volume was between 195 ml and 800 ml.
  • The capsular contracture rate was in the order of 26.9%.
  • BMI >30, fill volumes >350 ml, smoking and alcohol consumption did not significantly increase capsular contracture rate.
  • Implant type, pregnancy, infection and delayed haematoma significantly increased the risk of capsular contracture.

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