Higher Prevalence of Capsular Contracture with Second-side Use of Breast Implant Insertion Funnels

Background:. Breast implant insertion funnels have become popular adjuncts to breast implant surgery to reduce access incision length and contact of the implant with the skin of the breast. Although labeled as single-use devices, due to cost considerations, many surgeons use a new breast implant ins...

Descripción completa

Guardado en:

Detalles Bibliográficos
Autor principal:	Stephen D. Bresnick, MD
Formato:	article
Lenguaje:	EN
Publicado:	Wolters Kluwer 2021
Materias:	Surgery RD1-811
Acceso en línea:	https://doaj.org/article/df002ba912274e979f4df726e410113d
Etiquetas:	Agregar Etiqueta Sin Etiquetas, Sea el primero en etiquetar este registro!

id	oai:doaj.org-article:df002ba912274e979f4df726e410113d
record_format	dspace
spelling	oai:doaj.org-article:df002ba912274e979f4df726e410113d2021-11-25T07:58:04ZHigher Prevalence of Capsular Contracture with Second-side Use of Breast Implant Insertion Funnels2169-757410.1097/GOX.0000000000003906https://doaj.org/article/df002ba912274e979f4df726e410113d2021-11-01T00:00:00Zhttp://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000003906https://doaj.org/toc/2169-7574Background:. Breast implant insertion funnels have become popular adjuncts to breast implant surgery to reduce access incision length and contact of the implant with the skin of the breast. Although labeled as single-use devices, due to cost considerations, many surgeons use a new breast implant insertion funnel with each patient rather than each breast. The purpose of this study was to evaluate the prevalence of capsular contracture of the first augmentation side and compare it to the second side utilizing one insertion funnel per patient. Methods:. Patients undergoing silicone breast augmentation or silicone augmentation mastopexy with smooth surface silicone implant and utilizing a breast implant insertion funnel were studied. Six hundred consecutive patients (1200 breasts) meeting the study criteria were evaluated. Memory Gel silicone breast implants were utilized for each patient and only patients undergoing augmentation with the same implant size were studied. Patients underwent augmentation with either inframammary or periareolar incisions. Results:. A total of 27 capsular contractures were noted, a rate of 2.25%. The rate of capsular contracture was significantly higher with the second-side use of insertion funnels (P = 0.0179). Of the capsular contractures noted, 25.9% occurred on the first side, whereas 74.1% occurred on the second side. Capsular contracture rates were higher on the second side for both access incision locations. Capsular contracture prevalence increased with reuse of the same insertion funnel for the same patient. Conclusion:. Based on these findings, surgeons should consider utilizing implant insertion devices as single-use, to minimize the capsular contracture risk.Stephen D. Bresnick, MDWolters KluwerarticleSurgeryRD1-811ENPlastic and Reconstructive Surgery, Global Open, Vol 9, Iss 11, p e3906 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Surgery RD1-811
spellingShingle	Surgery RD1-811 Stephen D. Bresnick, MD Higher Prevalence of Capsular Contracture with Second-side Use of Breast Implant Insertion Funnels
description	Background:. Breast implant insertion funnels have become popular adjuncts to breast implant surgery to reduce access incision length and contact of the implant with the skin of the breast. Although labeled as single-use devices, due to cost considerations, many surgeons use a new breast implant insertion funnel with each patient rather than each breast. The purpose of this study was to evaluate the prevalence of capsular contracture of the first augmentation side and compare it to the second side utilizing one insertion funnel per patient. Methods:. Patients undergoing silicone breast augmentation or silicone augmentation mastopexy with smooth surface silicone implant and utilizing a breast implant insertion funnel were studied. Six hundred consecutive patients (1200 breasts) meeting the study criteria were evaluated. Memory Gel silicone breast implants were utilized for each patient and only patients undergoing augmentation with the same implant size were studied. Patients underwent augmentation with either inframammary or periareolar incisions. Results:. A total of 27 capsular contractures were noted, a rate of 2.25%. The rate of capsular contracture was significantly higher with the second-side use of insertion funnels (P = 0.0179). Of the capsular contractures noted, 25.9% occurred on the first side, whereas 74.1% occurred on the second side. Capsular contracture rates were higher on the second side for both access incision locations. Capsular contracture prevalence increased with reuse of the same insertion funnel for the same patient. Conclusion:. Based on these findings, surgeons should consider utilizing implant insertion devices as single-use, to minimize the capsular contracture risk.
format	article
author	Stephen D. Bresnick, MD
author_facet	Stephen D. Bresnick, MD
author_sort	Stephen D. Bresnick, MD
title	Higher Prevalence of Capsular Contracture with Second-side Use of Breast Implant Insertion Funnels
title_short	Higher Prevalence of Capsular Contracture with Second-side Use of Breast Implant Insertion Funnels
title_full	Higher Prevalence of Capsular Contracture with Second-side Use of Breast Implant Insertion Funnels
title_fullStr	Higher Prevalence of Capsular Contracture with Second-side Use of Breast Implant Insertion Funnels
title_full_unstemmed	Higher Prevalence of Capsular Contracture with Second-side Use of Breast Implant Insertion Funnels
title_sort	higher prevalence of capsular contracture with second-side use of breast implant insertion funnels
publisher	Wolters Kluwer
publishDate	2021
url	https://doaj.org/article/df002ba912274e979f4df726e410113d
work_keys_str_mv	AT stephendbresnickmd higherprevalenceofcapsularcontracturewithsecondsideuseofbreastimplantinsertionfunnels
_version_	1718413589098790912

Higher Prevalence of Capsular Contracture with Second-side Use of Breast Implant Insertion Funnels

Ejemplares similares