Related Experiment Video
Updated: Mar 28, 2026
Construction and Implantation of a Microinfusion System for Sustained Delivery of Neuroactive Agents.
Published on: March 17, 2008
Does Implant Insertion with a Funnel Decrease Capsular Contracture? A Preliminary Report.
Nicholas A Flugstad1, Jason N Pozner1, Richard A Baxter1
1Dr Flugstad is a fellow in private practice in Huntersville, NC. Dr Pozner is a plastic surgeon in private practice in Boca Raton, FL. Dr Baxter is a plastic surgeon in private practice in Mountlake Terrace, WA. Dr Creasman is a plastic surgeon in private practice in San Jose, CA. Dr Egrari is a plastic surgeon in private practice in Bellevue, WA. Dr Martin is a plastic surgeon in private practice in Las Cruces, NM. Dr Messa III is a plastic surgeon in private practice in Weston, FL. Dr Oliva is a plastic surgeon in private practice in Spokane, WA. Dr Schlesinger is a plastic surgeon in private practice in Honolulu, HI. Dr Kortesis is a plastic surgeon in private practice in Huntersville, NC.
Using an insertion funnel during breast augmentation significantly reduced reoperation rates due to capsular contracture by 54%. This surgical tool helps minimize implant contamination, leading to better patient outcomes.
Area of Science:
- Plastic Surgery
- Surgical Innovation
- Patient Safety
Background:
- Capsular contracture is a frequent complication of breast augmentation.
- Biofilm formation from implant contamination is a suspected cause.
- Insertion funnels may reduce contamination during surgery.
Purpose of the Study:
- To evaluate if capsular contracture reoperation rates decreased after adopting insertion funnels.
- To test the hypothesis using multi-practice data.
Main Methods:
- Retrospective review of 2797 primary breast augmentations (2006-2012) across seven centers.
- Silicone gel implants were used in all cases.
- Comparison of reoperation rates for capsular contracture within 12 months between groups with and without funnel use.
Main Results:
- 1177 augmentations without funnel (Group 1) vs. 1620 with funnel (Group 2).
- Reoperation rate for capsular contracture was 1.49% in Group 1 vs. 0.68% in Group 2.
- This represents a 54% reduction in reoperations with funnel use (P = 0.004).
Conclusions:
- Insertion funnel use led to a statistically significant reduction in reoperations for capsular contracture.
- The findings support the use of insertion funnels to improve outcomes in breast augmentation.
More Related Videos
04:59Author Spotlight: Enhancing Visual Outcomes in Cataract Surgery: A Novel Technique to Prevent Posterior Capsular Opacification Through IOL Rotation
Published on: July 7, 2023
04:38A Novel Technique of Rescuing Capsulorhexis Radial Tear-out using a Cystotome
Published on: January 16, 2011