Capsulectomy, Implant Exchange, and Placement of Acellular Dermal Matrix is Effective in Treating Capsular Contracture in Breast Augmentation Patients

Title

Capsulectomy, Implant Exchange, and Placement of Acellular Dermal Matrix is Effective in Treating Capsular Contracture in Breast Augmentation Patients

Creator

Wagner Douglas S; Mirhaidari Shayda

Publisher

Aesthetic Surgery Journal

Date

2019
2019-12-12

Description

BACKGROUND: Capsular contracture is a common complication of breast augmentation surgery and many techniques to prevent and to treat capsular contracture have been suggested with inconsistent or variably effective results. OBJECTIVES: The authors describe a protocol for treating established capsular contracture after breast augmentation with a low recurrence rate. METHODS: From January 2009 to December 2012, 79 previous bilateral breast augmentation patients presented for treatment of established capsular contracture. There were 135 breasts with capsular contracture: 56 were bilateral and 23 were unilateral. Ten patients opted for no treatment; two patients opted for implant removal. Twenty-four were treated with the ICES (Implant exchange, Capsulectomy, and possible Exchange of Site) protocol and 43 were treated with the SPICES (Strattice Placement in the reconstructive position, Implant exchange, Capsulectomy, and possible Exchange of Site) protocol. RESULTS: The 24 patients treated with the ICES protocol had a recurrent capsular contracture rate of 15%. The 43 patients treated with the SPICES protocol had a 2.7% recurrent capsular contracture incidence and an 2.7% complication rate. CONCLUSIONS: Capsular contracture after breast augmentation, whether primary or recurrent, can be successfully treated with the SPICES protocol.

Identifier

PMID: 31826242

Format

Journal Article

Search for Full-text

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Rights

Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).

ISSN

1527-330X

NEOMED College

NEOMED College of Medicine

NEOMED Department

Department of General Surgery

Update Year & Number

January 2020 Update

Affiliated Hospital

Summa Health System; Summa Health System Akron City Hospital,

Citation

Wagner Douglas S; Mirhaidari Shayda, “Capsulectomy, Implant Exchange, and Placement of Acellular Dermal Matrix is Effective in Treating Capsular Contracture in Breast Augmentation Patients,” NEOMED Bibliography Database, accessed April 22, 2021, https://neomed.omeka.net/items/show/10946.

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