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ISSN 1561-3186 (Electronic)

2020, Number 3

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Rev Acta Médica 2020; 21 (3)

Characterization of Patients with Capsular Contracture Who Received Augmentation Mammoplasty with Implants

Tamayo CAM, Manrique TAF, Guardo VCA, Cuastumal FDK

Language: Spanish
References: 28
Page: 1-20
PDF size: 491.98 Kb.


ABSTRACT

Introduction: Capsular contracture is the most common and frustrating complication in women who underwent breast augmentation.
Objective: To describe the clinical characteristics of patients with capsular contracture who underwent augmentation mastoplasty with implants.
Methods: Descriptive cross-sectional study of 30 cases, in which patients consented to participate. They belonged to the plastic surgery service of Hermanos Ameijeiras Clinical-Surgical Hospital. The period analyzed was August 2017-June 2019, with epidemiological analysis of data tabulated in Epidat version 3.1. A level of significance was set at α=0.05.
Results: The mean age was 36±10.8 years, with effort of the upper limbs (63.3%) and with dominant right arm (73.3%). The most affected breast was the right (53.3%), while the most frequent clinical stage was grade III (36.7%) according to Baker's classification. The most used approach was the periareolar one (73.3%), with implant placement in the submuscular plane (63.3%). The most widely used implants had a volume greater than 300 cc (36.6%), high profile (53.3%), textured surface (63.3%), and round shape (86.7%). There were no complications in 56.6% of the patients, while 63.3% had breastfed at least once. The majority underwent postoperative massage (76.6%) and 46.6% of the women had more than six years of surgery.
Conclusions: The factors that were most associated to the onset of capsular contracture were the skillful hand, with work that required effort of the upper limb, a postoperative of more than six years, and periareolar technique.


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