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A Forgotten Entity following Breast Implant Contracture: Does Baker Need a Change?
Andrea Pagani1, Matthias M Aitzetmüller2,3, Lorenz Larcher4
1Clinic and Policlinic of Plastic, Reconstructive and Hand Surgery, Klinikum Rechts der Isar-Technische Universität München, München, Germany.
Archives of Plastic Surgery
|July 14, 2022
Summary
Capsular calcification, a rare complication of breast augmentation, is a radiological sign of capsular contracture. This study presents a case and proposes an updated classification scale to include this finding.
Area of Science:
- Plastic Surgery
- Radiology
- Biomaterials Science
Background:
- Capsular contracture is a significant complication following breast augmentation.
- Capsular calcification is a rare radiological sign associated with capsular contracture, often overlooked.
- The local microenvironment plays a role in capsular contracture and calcification.
Purpose of the Study:
- To present a clinical case of breast implant calcification in an elderly patient.
- To review the literature on capsular calcification following breast augmentation.
- To propose an updated classification scale for capsular contracture that includes calcification.
Main Methods:
- Clinical case presentation.
- Literature review on capsular contracture and calcification.
- Analysis of existing classification systems (Baker score, Wilflingseder classification).
Main Results:
- A rare case of breast implant calcification in an 81-year-old patient was documented.
- Literature review confirmed the rarity of capsular calcification but highlighted its association with capsular contracture.
- Current classification systems do not adequately address capsular calcification.
Conclusions:
- Capsular calcification is a rare but significant radiological sign of capsular contracture after breast augmentation.
- An updated classification system is needed to incorporate capsular calcification.
- Further research into the role of the local microenvironment is warranted.
