Aesthet Surg J. 2023 May 31:sjad166. doi: 10.1093/asj/sjad166. Online ahead of print.
ABSTRACT
BACKGROUND: Capsular contracture is the most common complication following breast implant surgery, and the implant shell characteristics are important to prevent this complication.
OBJECTIVES: This study aims to evaluate the capsular contracture rate for SmoothSilk Motiva implants (Establishment Labs Holdings Inc., New York, NY) in females who underwent primary and revision breast augmentation over a 3-year period.
METHODS: From 2017 to 2020, a total of 1324 cases were retrospectively analyzed, with 1027 being primary surgeries and 297 being revision surgeries.
RESULTS: In the 1324 cases of augmentation mammoplasty using SmoothSilk Motiva implants, the overall capsular contracture rate was 1.8% (n = 24). The capsular contracture rate in the 1027 primary surgery cases was 1.07% (n = 11), and the capsular contracture rate in the 297 revision surgery cases was significantly different at 4.39% (n = 13, p = 0.0001). More specifically, the capsular contracture rate in 182 revision surgery cases without capsular contracture was 1.12% (n = 2), and it showed no statistically significant difference from the rate in primary surgery cases (p = 0.965). However, the rate in 115 revision surgery cases with capsular contracture was 9.57% (n = 11), and it showed a statistically significant difference from the rate in primary surgery cases (p = 0.000) and the rate in revision surgery cases without capsular contracture (p = 0.001).
CONCLUSIONS: Augmentation mammoplasty using SmoothSilk Motiva implants demonstrated a lower rate of capsular contracture than the traditional smooth or textured implants. Revision surgery cases without capsular contracture showed a similar rate of capsular contracture as primary surgery cases, but the rates were higher in revision surgery cases with capsular contracture.
PMID:37254824 | DOI:10.1093/asj/sjad166
