A critical look at capsule contracture in subglandular versus subpectoral mammary augmentation.

Abstract:

:A critical comparison of the contracture rate in subglandular versus subpectoral augmentations was done in a personal series (senior author's) of 100 consecutive augmentation patients, 50 with subglandular augmentation and 50 with subpectoral augmentation. The average followup for the series was 27 months. Baker's classification of capsule contracture was utilized. Overall contracture rate in the subglandular group was 58% (29 of 50 patients) while in the subpectoral group it was 22% (11 of 50 patients), p less than 0.0002. Considering only the more severe contractures (Baker III & IV), the subglandular patients had 48% (24/50) while the subpectoral patients had 14% (7/50), p less than 0.0002. Comparing the more severe contractures in individual breasts, the subglandular group had 41% and the subpectoral group had 8%, p less than 0.0001. We conclude that in this personal series of patients, subpectoral placement of the prosthesis has significantly reduced but not eliminated the occurrence of capsule contracture without sacrificing a normal breast appearance.

journal_name

Aesthetic Plast Surg

authors

Puckett CL,Croll GH,Reichel CA,Concannon MJ

doi

10.1007/BF01575478

subject

Has Abstract

pub_date

1987-01-01 00:00:00

pages

23-8

issue

1

eissn

0364-216X

issn

1432-5241

journal_volume

11

pub_type

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