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What percentage of implants need to be replaced because of capsular contracture?

Q:

We are an academic research group that has developed a new material that can reduce fibrotic tissue formation in implants. Could this be helpful in plastic and cosmetic surgery?

A:

Simone,

 

 Plastic Surgeons are always looking for ways to improve patient outcomes. In the USA the FDA regulates human biomedical devises. Consider contacting one of the major breast  implant companies regarding your discovery. They have the staff, resources and funds to assist you. 

 Best,

 

Gary R Culbertson, MD, FACS

A:

There are many variables which influence the development of capsular traction.  Saline versus silicone, textured versus smooth, sub-muscular versus Sub-glandular and many other factors determine the rate of capsular contraction.

A general rate reported by Mentor for the new FDA approved silicone gel implants is 8.1% for primary augmentation and 18.9% for reoperation.

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