Back to Search
Start Over
Systematic Review of Capsular Contracture Management following Breast Augmentation: An Update.
- Source :
-
Plastic and reconstructive surgery [Plast Reconstr Surg] 2024 Feb 01; Vol. 153 (2), pp. 303e-321e. Date of Electronic Publication: 2023 Mar 07. - Publication Year :
- 2024
-
Abstract
- Background: Capsular contracture is one of the most frequent indications for revision following breast augmentation. Management goals focus on restoring breast aesthetics and minimizing subsequent recurrence of capsular contracture. As new data emerge, close review of the data are merited to build evidence-based clinical guidelines to inform surgical practice and management of capsular contracture.<br />Methods: A systematic review of the MEDLINE, Embase, and Cochrane Database of Systematic Reviews databases was conducted to characterize the surgical management of capsular contracture in revision breast augmentations. The primary endpoint was capsular contracture recurrence rate.<br />Results: The review was conducted in November of 2021. Primary search revealed 14,163 results. Initial screening by title left 1223 articles. Abstract review left 90 articles for full-text review, of which 34 were ultimately included and were all observational in nature.<br />Conclusions: Capsular contracture management remains an important topic, with limited high-level evidence for establishing clear evidence-based treatment guidelines. Although more evidence is required to assess the effects of capsulectomy, implant exchange, and plane change, these appear to be useful mechanisms for reducing recurrent capsular contracture. There is more evidence regarding the use of acellular dermal matrix, although this still requires long-term follow-up studies. New developments regarding textured implants limit the revision breast augmentation surgeon to smooth devices.<br /> (Copyright © 2023 by the American Society of Plastic Surgeons.)
- Subjects :
- Humans
Postoperative Complications etiology
Postoperative Complications surgery
Systematic Reviews as Topic
Implant Capsular Contracture etiology
Implant Capsular Contracture surgery
Breast Implants adverse effects
Mammaplasty adverse effects
Mammaplasty methods
Contracture etiology
Contracture surgery
Breast Implantation adverse effects
Subjects
Details
- Language :
- English
- ISSN :
- 1529-4242
- Volume :
- 153
- Issue :
- 2
- Database :
- MEDLINE
- Journal :
- Plastic and reconstructive surgery
- Publication Type :
- Academic Journal
- Accession number :
- 36877620
- Full Text :
- https://doi.org/10.1097/PRS.0000000000010358