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CC BY-NC-ND 4.0 · Arch Plast Surg 2022; 49(03): 360-364
DOI: 10.1055/s-0042-1744409
Breast/Trunk
Case Report

A Forgotten Entity following Breast Implant Contracture: Does Baker Need a Change?

Andrea Pagani
1   Clinic and Policlinic of Plastic, Reconstructive and Hand Surgery, Klinikum Rechts der Isar–Technische Universität München, München, Germany
,
Matthias M. Aitzetmüller
2   Section of Plastic Surgery, Department for Traumatology and Hand Surgery, University Hospital Münster, Münster, Germany
3   Plastic, Reconstructive, and Aesthetic Surgery, Hand Surgery, Fachklinik Hornheide, Münster, Germany
,
Lorenz Larcher
4   Plastic and Reconstructive Surgery Unit, SABES (South Tyrolean Health Care System), Bressanone, Italy
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Abstract

Although capsular contracture represents one of the most important complications after breast augmentation, local inflammation and fibrosis can lead, in very rare cases, to capsular calcification, an often-forgotten radiological sign of capsular contracture. In this article, the authors present a clinical case of breast implant calcification in an 81-year-old patient. Although this complication has been rarely described, the literature was reviewed to clarify the role of the local microenvironment in capsular contracture and calcification. At present, capsular contracture patients are classified using the conventional Baker score and the histological Wilflingseder classification. As it was not possible to consider capsular calcification when classifying our patient using the traditional scores, the authors propose an updated version of the current scale.

Keywords

breast implants - capsular calcification - Baker score - breast surgery - implant surface

Author Contributions

All authors contributed to the study conception, design, and manuscript writing.


Patient Consent

The patients provided written informed consent for the publication and the use of their images.




Publication History

Article published online:
27 May 2022

© 2022. The Korean Society of Plastic and Reconstructive Surgeons. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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