Breast implant complication review: double capsules and XXXX .

@entity1 @entity2080 @entity1410 @entity1860
BACKGROUND: The problem of double capsules and @entity2080 is a relatively new phenomenon in breast augmentation surgery. METHODS: The author's experience with double capsules in 14 @entity1 is outlined. The author reviewed all primary bilateral breast augmentations and primary bilateral mastopexy-augmentations after the moratorium in 1992. There were 209 @entity1 with saline implants, 160 @entity1 with @entity1860 and CMH Microcell textured surface implants, 105 @entity1 with Biocell textured surface silicone gel breast implants, and 152 @entity1 with smooth round silicone gel breast implants. Complications and revisions were reviewed to see if any patterns emerged. RESULTS: Fourteen @entity1 were found to have double capsules. Double capsules were only seen with the Biocell textured surface implant. Three @entity1 developed @entity2080 (more than a year after their original surgery), with two @entity1 requiring urgent drainage of an expanding seroma/ @entity1410 . Seven @entity1 were found to have double capsules as an incidental finding for procedures, such as asymmetry and bottoming out, and five @entity1 were found to have double capsules when surgery was performed for capsular contracture. The review of complications and revisions showed that the silicone gel implants were far better than saline implants. Highly cohesive Microcell textured CMH and @entity1860 implants had by far the best capsular contracture profile. Biocell texturing increased the capsular contracture rate. CONCLUSIONS: Double capsules and @entity2080 are a relatively new problem in breast augmentation surgery. The problem was not seen in smooth saline or smooth silicone gel breast implants but only in aggressively textured implants.
