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.
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.
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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