Treatment of breast contractures with open capsulotomy and replacement of gel prostheses with polyurethane-covered implants.
Capsular contracture around gel and gel-saline implants is the most common complication following breast augmentation and reconstruction. Thirty-one patients with postaugmentation gel-implant contractures were treated with open capsulotomy and replacement with polyurethane-covered implants. Eighty-seven percent remain soft after a minimum follow-up of 14 months. Results of replacement after subcutaneous mastectomy and reconstruction are more varied and less successful. Results in 14 patients are presented.
Melmed
E P
EP
Humana Medical City Hospital, Dallas, Texas.
D001940:Breast / Q000601:surgery*; D003286:Contracture / Q000209:etiology / Q000601:surgery*; D005260:Female; D005549:Foreign-Body Reaction / Q000209:etiology / Q000601:surgery; D005782:Gels; D006801:Humans; D008327:Mammography; D008408:Mastectomy; D011140:Polyurethanes; D019736:Prostheses and Implants / Q000009:adverse effects; D011474:Prosthesis Design; D012828:Silicones; D013518:Surgery, Plastic / Q000009:adverse effects / Q000379:methods*
D005782:Gels; D011140:Polyurethanes; D012828:Silicones