title: Rate and incidence of capsular contracture: a comparison of smooth and textured silicone double-lumen breast prostheses.
abstract: Capsular contracture results in dissatisfaction and deformity among the 2 million women who have had silicone implants. The literature describes contracture rates as high as 74 percent. I present a comparison of rates and incidences of contracture in patients augmented with smooth and textured double-lumen silicone implants. A total of 165 "smooth" and 63 "textured" implant patients were included in this study, which spans 12 years, 1978-1990. All patients underwent bilateral aesthetic augmentation performed by the same surgeon. Of the 165 smooth implant patients, 74 (44.8 percent) experienced contractures requiring treatment. Of the 63 textured implant patients, 3 (4.8 percent) previous contracture patients experienced sudden fibrosis within 3 months. All others remained soft. It appears that deeply textured silicone surfaces delay or decrease the rate and incidence of clinical capsular contracture, at least for 2 years.
authors.affiliation: Department of Plastic Surgery, Southwest Texas State University, Austin.
authors.forename: R A
authors.initials: RA
authors.lastname: Ersek
mesh_terms: D001940:Breast / Q000601:surgery*; D003286:Contracture / Q000453:epidemiology / Q000517:prevention & control*; D005260:Female; D006801:Humans; D015994:Incidence; D011183:Postoperative Complications / Q000453:epidemiology / Q000517:prevention & control*; D019736:Prostheses and Implants; D011474:Prosthesis Design; D012828:Silicones
chemical_list: D012828:Silicones