Characteristics and outcomes of surgical management of capsular contracture in patients undergoing mammoplasty at an institution in the city of Medellín

Abstract

Objective: Augmentation mammoplasty is one of the most performed surgeries in the world. Capsular contracture is one of the most frequent complications, for which different associated factors have been evaluated and tools have been sought to reduce its incidence. The aim of this research was to describe characteristics and outcomes in pacientes who developed capsular contracture in a center in Medellin.

Methods: A descriptive longitudinal study was carried out over a 3-year period with patients who presented capsular contracture in the first postoperative year and who required surgical management.

Results: It was found that the use of smooth implants corresponded to 54,3 %, nanotextured implants 34,3 % and textured implants 8,6 %. The irrigation of the implants with saline solution was the most used in 51,4 %, antibiotic mixtures in 40 %, isodine in 20 % and hydrogen peroxide in 2,9%. The implant location was 42,9 % in the retromuscular plane, 37,1 % dual plane and 11,4 % subglandular, periareolar incision in 54,3 %, periareolar and vertical incision in 20 %, inframammary sulcus in 5,7 % and inverted T in 20 %. Patients who required reintervention during the first postoperative year underwent conservative management in 37,1 %, implant exchange in 54,3 % and explantation in 8,6 %.

Conclusions: The results obtained in this study were compared with data described in the literature, finding great concordance between them; however, two facets of this study were not found.