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Related Experiment Videos

Textured or smooth implants for submuscular breast augmentation: a controlled study

O Asplund1, L Gylbert, G Jurell

  • 1Department of Plastic and Reconstructive Surgery, Charing Cross University Hospital, London, England.

Plastic and Reconstructive Surgery
|May 1, 1996
PubMed
Summary
This summary is machine-generated.

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Textured breast implants may reduce capsular contracture rates following submuscular breast augmentation compared to smooth implants. This prospective study found lower complication rates with textured implants, though physician evaluations were not significant.

Area of Science:

  • Plastic Surgery
  • Biomaterials Science

Background:

  • Capsular contracture is a common complication of breast augmentation.
  • Etiology remains unclear, with factors like silicone bleed, infection, and trauma implicated.

Purpose of the Study:

  • To compare the incidence of capsular contracture between textured and smooth-walled silicone gel implants in submuscular breast augmentation.

Main Methods:

  • Prospective, double-blind study involving 61 women undergoing submuscular breast augmentation.
  • Randomization to either textured or smooth-walled silicone gel implants.
  • Assessment of capsular contracture by patients, physicians, and objective applanation tonometry.

Main Results:

  • Capsular contracture (Grade III and IV) rates were 3-9% for textured implants and 10-20% for smooth implants after one year.

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  • Differences were statistically significant based on patient assessment and applanation tonometry.
  • No correlation found between contracture and patient age, operation duration, or blood loss.
  • Conclusions:

    • Submuscular breast augmentation with textured implants showed a trend towards lower capsular contracture rates compared to smooth implants.
    • Objective and patient-reported outcomes suggest a benefit of textured implants, though physician evaluations did not reach statistical significance.