title: Buckled upper pole breast style 410 implant presenting as a manifestation of capsular contraction.
abstract: Recent experience with the cohesive gel implant has shown an interesting variation of capsular contracture. Instead of spherical contraction, the capsule formation around the 410 implant seems to cause a buckling of the superior pole of the implant. This buckling has been observed in four implants and presented clinically in 2 of 50 patients with a superior pole mass. The capsular contraction around the implant and the buckling are probably camouflaged by a subpectoral implantation and this presentation should be recognized by the surgeon, especially when considering placement of the cohesive gel implant in a subglandular position. Histological sections of a capsule around the implant show fragmented silicone, with a cellular reaction around the fragmented silicone.
authors.affiliation: The Cosmetic and Restorative Surgery Clinic, NSW, Sydney, Australia.
authors.forename: D J
authors.initials: DJ
authors.lastname: Hodgkinson
mesh_terms: D018427:Breast Implants / Q000009:adverse effects; D005260:Female; D005782:Gels; D006801:Humans; D011475:Prosthesis Failure
chemical_list: D005782:Gels