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Multisite analysis of 177 consecutive primary breast augmentations: predictors for reoperation
Leo R McCafferty1, Laurie A Casas, Sandra S Stinnett
1Department of Plastic Surgery, University of Pittsburgh School of Medicine, Pittsburgh, PA 15232, USA. jmenendez@mccaffertymd.com
Aesthetic Surgery Journal
|July 18, 2009
Summary
This study found lower reoperation and capsular contracture rates for primary breast augmentation compared to manufacturer data. Simultaneous mastopexy and preexisting ptosis were identified as predictors for reoperation.
Area of Science:
- Plastic Surgery
- Medical Device Research
- Biostatistics
Background:
- Over 18 years of research into breast implant complication and reoperation rates.
- Manufacturer data reported to the FDA indicated high complication rates, prompting further investigation.
Purpose of the Study:
- To analyze reoperation rates, timing, reasons, and complications in 177 primary breast augmentation patients.
- To statistically compare practice data against 2005 and 2008 manufacturer FDA data.
- To identify predictors for reoperation in primary breast augmentation.
Main Methods:
- Retrospective data collection from 177 primary breast augmentations (2001-2004) across three US practices.
- Minimum 12-month patient follow-up (100% >1 year).
- Independent data collation and biostatistical analysis.
Main Results:
- Three-year Kaplan-Meier reoperation rate was 8%, lower than manufacturer rates (13%-21%).
- Three-year capsular contracture rate was 2%, lower than manufacturer rates (8.2%-9%).
- Simultaneous mastopexy and preexisting ptosis identified as reoperation predictors.
Conclusions:
- Multicenter data demonstrates lower reoperation and complication rates than previously reported manufacturer data.
- Specific patient factors (mastopexy, ptosis) influence reoperation risk.
- Findings provide valuable insights for plastic surgeons and patients regarding primary breast augmentation outcomes.