피막구축 Capsular Contracture

Prepectoral breast reconstruction without acellular dermal matrix (ADM) is gaining attention as a potentially safe and effective approach, particularly in non-irradiated patients. This study aimed to evaluate the safety and efficacy of imme…

[OBJECTIVES] To synthesize evidence on breast plastic surgery in peri- and postmenopausal women and provide menopause-informed guidance on surgical safety, cancer screening, and long-term implant surveillance. [STUDY DESIGN] Narrative revi…

[BACKGROUND] Post-mastectomy radiotherapy (PMRT) may cause adverse events in the reconstruction setting. Proton-based PMRT is increasingly utilized and has been shown to improve cardiac and pulmonary dosimetry. Data reporting the risk of ca…

[BACKGROUND] Few studies have evaluated prepectoral implant reconstruction without acellular dermal matrix (ADM) or mesh, and most reported only short-term outcomes. This study, with long-term follow-up, reports the outcomes of prepectoral …

[BACKGROUND] Silicone leakage from breast implants may contribute to fibrosis leading to capsular contracture, yet no standardized method exists to quantify silicone leakage reliably. [OBJECTIVES] To validate a histological method for quan…

[BACKGROUND] Advances in the manufacturing of breast implants through improved shell architecture, gel cohesivity, and surface topography may mitigate against post-operative complications following breast augmentation. [OBJECTIVES] The pre…

[PURPOSE] Radiation therapy following implant-based reconstruction (IBR) is known to contribute to increased complication rates and aesthetic challenges, particularly breast asymmetry, which often necessitates additional revision procedures…

Implantation of medical devices and biomaterials can help restore form and function of missing or damaged tissue. It is known that the immune system plays a critical role in both positive and negative outcomes of these implanted materials. …

[BACKGROUND] Acellular dermal matrix (ADM) is commonly used in implant-based breast reconstruction, but the optimal timing of ADM use in prepectoral two-stage reconstruction remains uncertain. [OBJECTIVES] We evaluated whether delaying ADM…

Capsular contracture, the most common complication in breast implant surgery, is primarily driven by bacterial biofilm formation. Risk is influenced by surgical factors such as incision choice, implant placement, and sterility. Textured imp…

Capsular contracture (CC) remains a leading cause for reoperation after breast reconstruction. The cause of CC is likely multifactorial, and there are many working theories in the current peer-reviewed literature related to causes. There ar…

[BACKGROUND] Immediate breast reconstruction contributes to comprehensive breast cancer care. Implant-based reconstruction (IBR) accounts for most reconstructive procedures. However, many patients undergo subsequent implant exchange or auto…

[BACKGROUND] Implant-based breast reconstruction is a common procedure after mastectomy; however, postoperative radiotherapy (RT) increases the risk of developing complications such as capsular contracture, infection and implant failure. We…

[BACKGROUND] Capsular contracture is a common complication following breast augmentation and reconstruction with implants. Implant rupture is suspected to cause capsular contracture, but the evidence remains limited. [METHODS] This intrapa…

[BACKGROUND] Capsular contracture is a challenging entity to treat with consistent success. Recently, acellular dermal matrix (ADM) has been shown to be a highly effective therapeutic adjunct, particularly for patients at high risk for recu…

Benchmarking is a quality improvement tool used to help define the best potential outcomes from specific surgical procedures. Modern breast augmentation includes detailed patient education and informed consent including the FDA checklist. P…

Capsular contracture is the most frequent complication following breast augmentation, prompting many revision surgeries. Its prevention has evolved through precise surgical technique, antimicrobial measures, and the use of innovative materi…

Breast implant malposition is a common, multifactorial complication and a leading contributor to reoperation in breast surgery. Malpositions may be unidirectional or multidirectional and can occur in inferior, medial, lateral, superior, or …

[BACKGROUND] Implant-based breast reconstruction (IBBR) is the predominant reconstructive modality following mastectomy, accounting for more than 80% of all breast reconstruction procedures. Preventing subclinical infection at the time of i…

This is a protocol for a Cochrane Review (intervention). The objectives are as follows: To assess the effects (benefits and harms) of breast implant insertion funnels on capsular contracture rates in women undergoing breast reconstruction o…