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

Although breast implants of the current generation can, in principle, remain in the body for life, follow-up operations of the augmented or reconstructed breasts are regularly necessary. Capsular contracture is the leading cause for revisional surgery. The aim of this study was to evaluate indicatio...

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Autores principales: Jakob, Vivian L., Keck, Maike, Lohmeyer, Jörn A.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Lippincott Williams & Wilkins 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10005826/
https://www.ncbi.nlm.nih.gov/pubmed/36910725
http://dx.doi.org/10.1097/GOX.0000000000004872
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author Jakob, Vivian L.
Keck, Maike
Lohmeyer, Jörn A.
author_facet Jakob, Vivian L.
Keck, Maike
Lohmeyer, Jörn A.
author_sort Jakob, Vivian L.
collection PubMed
description Although breast implants of the current generation can, in principle, remain in the body for life, follow-up operations of the augmented or reconstructed breasts are regularly necessary. Capsular contracture is the leading cause for revisional surgery. The aim of this study was to evaluate indications and changes in time intervals between consecutive implant replacements with a focus on capsular contracture. 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.
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spelling pubmed-100058262023-03-11 Decreasing Time Intervals in Recurring Capsular Contracture? A Single Center Retrospective Study over 6 Years Jakob, Vivian L. Keck, Maike Lohmeyer, Jörn A. Plast Reconstr Surg Glob Open Breast Although breast implants of the current generation can, in principle, remain in the body for life, follow-up operations of the augmented or reconstructed breasts are regularly necessary. Capsular contracture is the leading cause for revisional surgery. The aim of this study was to evaluate indications and changes in time intervals between consecutive implant replacements with a focus on capsular contracture. 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. Lippincott Williams & Wilkins 2023-03-10 /pmc/articles/PMC10005826/ /pubmed/36910725 http://dx.doi.org/10.1097/GOX.0000000000004872 Text en Copyright © 2023 The Authors. Published by Wolters Kluwer Health, Inc. on behalf of The American Society of Plastic Surgeons. https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution-Non Commercial-No Derivatives License 4.0 (CCBY-NC-ND) (https://creativecommons.org/licenses/by-nc-nd/4.0/) , where it is permissible to download and share the work provided it is properly cited. The work cannot be changed in any way or used commercially without permission from the journal.
spellingShingle Breast
Jakob, Vivian L.
Keck, Maike
Lohmeyer, Jörn A.
Decreasing Time Intervals in Recurring Capsular Contracture? A Single Center Retrospective Study over 6 Years
title Decreasing Time Intervals in Recurring Capsular Contracture? A Single Center Retrospective Study over 6 Years
title_full Decreasing Time Intervals in Recurring Capsular Contracture? A Single Center Retrospective Study over 6 Years
title_fullStr Decreasing Time Intervals in Recurring Capsular Contracture? A Single Center Retrospective Study over 6 Years
title_full_unstemmed Decreasing Time Intervals in Recurring Capsular Contracture? A Single Center Retrospective Study over 6 Years
title_short Decreasing Time Intervals in Recurring Capsular Contracture? A Single Center Retrospective Study over 6 Years
title_sort decreasing time intervals in recurring capsular contracture? a single center retrospective study over 6 years
topic Breast
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10005826/
https://www.ncbi.nlm.nih.gov/pubmed/36910725
http://dx.doi.org/10.1097/GOX.0000000000004872
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