title: A review of 198 patients (389 implants) who had breast implants removed.
abstract: Because of the large number of women now returning to their plastic surgeons with concerns about their breast implants many years after surgery, we are afforded an ideal opportunity to evaluate these patients over the long-term. This study reviewed 198 patients (389 implants) who underwent explantation by two surgeons over a 2-year period, correlating prosthesis type, location, and length of time since implantation with two adverse endpoints, implant rupture and symptomatic capsular contracture. Significant findings included a relatively high rate of implant rupture in patients whose implants had been in place over 20 years, an increased incidence of both symptomatic capsular contracture and implant rupture in single lumen gel implants and a positive correlation between severity of capsular contracture and implant rupture.
authors.affiliation: Division of Plastic Surgery, Baylor College of Medicine, Houston, Texas 77030, USA.
authors.forename: D T
authors.initials: DT
authors.lastname: Netscher
authors.forename: L E
authors.initials: LE
authors.lastname: Walker
authors.forename: G
authors.initials: G
authors.lastname: Weizer
authors.forename: J
authors.initials: J
authors.lastname: Thornby
authors.forename: P
authors.initials: P
authors.lastname: Wigoda
authors.forename: D
authors.initials: D
authors.lastname: Bowen
mesh_terms: D000328:Adult; D000368:Aged; D018427:Breast Implants / Q000009:adverse effects* / Q000706:statistics & numerical data; D016009:Chi-Square Distribution; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008875:Middle Aged; D011140:Polyurethanes; D011475:Prosthesis Failure; D012189:Retrospective Studies; D012965:Sodium Chloride