PDF herunterladen
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
› Institutsangaben
› Weitere Informationen
   Lizenzen und Reprints

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.




Publikationsverlauf

Artikel online veröffentlicht:
27. Mai 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/)

Thieme Medical Publishers, Inc.
333 Seventh Avenue, 18th Floor, New York, NY 10001, USA

 

  • References

  • 1 Handel N, Jensen JA, Black Q, Waisman JR, Silverstein MJ. The fate of breast implants: a critical analysis of complications and outcomes. Plast Reconstr Surg 1995; 96 (07) 1521-1533
    CrossrefPubMedSuche in Google Scholar
  • 2 Barr S, Hill E, Bayat A. Current implant surface technology: an examination of their nanostructure and their influence on fibroblast alignment and biocompatibility. Eplasty 2009; 9: e22
    PubMedSuche in Google Scholar
  • 3 Ulrich D, Lichtenegger F, Eblenkamp M, Repper D, Pallua N. Matrix metalloproteinases, tissue inhibitors of metalloproteinases, aminoterminal propeptide of procollagen type III, and hyaluronan in sera and tissue of patients with capsular contracture after augmentation with Trilucent breast implants. Plast Reconstr Surg 2004; 114 (01) 229-236
    CrossrefPubMedSuche in Google Scholar
  • 4 Peters W, Pritzker K, Smith D. et al. Capsular calcification associated with silicone breast implants: incidence, determinants, and characterization. Ann Plast Surg 1998; 41 (04) 348-360
    CrossrefPubMedSuche in Google Scholar
  • 5 Tan KT, Wijeratne D, Shih B, Baildam AD, Bayat A. Tumour necrosis factor-α expression is associated with increased severity of periprosthetic breast capsular contracture. Eur Surg Res 2010; 45 (3-4): 327-332
    CrossrefPubMedSuche in Google Scholar
  • 6 Prantl L, Angele P, Schreml S, Ulrich D, Pöppl N, Eisenmann-Klein M. Determination of serum fibrosis indexes in patients with capsular contracture after augmentation with smooth silicone gel implants. Plast Reconstr Surg 2006; 118 (01) 224-229
    CrossrefPubMedSuche in Google Scholar
  • 7 Headon H, Kasem A, Mokbel K. Capsular contracture after breast augmentation: an update for clinical practice. Arch Plast Surg 2015; 42 (05) 532-543
    Thieme ConnectPubMedSuche in Google Scholar
  • 8 Katzel EB, Koltz PF, Tierney R. et al. The impact of Smad3 loss of function on TGF-β signaling and radiation-induced capsular contracture. Plast Reconstr Surg 2011; 127 (06) 2263-2269
    CrossrefPubMedSuche in Google Scholar
  • 9 Marques M, Brown SA, Cordeiro ND. et al. Effects of fibrin, thrombin, and blood on breast capsule formation in a preclinical model. Aesthet Surg J 2011; 31 (03) 302-309
    CrossrefPubMedSuche in Google Scholar
  • 10 Sitbon E. ed. Fabrication des prothèses mammaires: une industrie de haute technologie. Annales de chirurgie plastique esthetique. Elsevier; 2005
    Suche in Google Scholar
  • 11 Gossner J. Sonography in capsular contracture after breast augmentation: value of established criteria, new techniques and directions for research. J Ultrasound 2016; 20 (01) 87-89
    CrossrefPubMedSuche in Google Scholar
  • 12 Redfern AB, Ryan JJ, Su TC. Calcification of the fibrous capsule about mammary implants. Plast Reconstr Surg 1977; 59 (02) 249-251
    CrossrefPubMedSuche in Google Scholar
  • 13 Cole NM. Consequences of the U.S. Food and Drug Administration-Directed Moratorium on Silicone Gel Breast Implants: 1992 to 2006. Plast Reconstr Surg 2018; 141 (05) 1137-1141
    CrossrefPubMedSuche in Google Scholar
  • 14 Basu B. Biomaterials Science and Implants: Status, Challenges and Recommendations. Springer Nature; 2020
    CrossrefSuche in Google Scholar
  • 15 Peters W, Smith D. Calcification of breast implant capsules: incidence, diagnosis, and contributing factors. Ann Plast Surg 1995; 34 (01) 8-11
    CrossrefPubMedSuche in Google Scholar
  • 16 Legrand AP, Marinov G, Pavlov S. et al. Degenerative mineralization in the fibrous capsule of silicone breast implants. J Mater Sci Mater Med 2005; 16 (05) 477-485
    CrossrefPubMedSuche in Google Scholar
  • 17 Mendonça Munhoz A, Santanelli di Pompeo F, De Mezerville R. Nanotechnology, nanosurfaces and silicone gel breast implants: current aspects. Case Reports Plast Surg Hand Surg 2017; 4 (01) 99-113
    CrossrefPubMedSuche in Google Scholar
  • 18 Ramasamy M, Lee J. Recent nanotechnology approaches for prevention and treatment of biofilm-associated infections on medical devices. BioMed Res Int 2016; 2016: 1851242
    CrossrefPubMedSuche in Google Scholar
  • 19 Fradinho N, Varanda A, Martins JB, Martins PA. Heterotopic ossification in breast prosthesis. Eplasty 2015; 15: ic7
    PubMedSuche in Google Scholar
  • 20 Raso DS, Greene WB, Kalasinsky VF. et al. Elemental analysis and clinical implications of calcification deposits associated with silicone breast implants. Ann Plast Surg 1999; 42 (02) 117-123
    CrossrefPubMedSuche in Google Scholar
  • 21 Prantl L. Serologic and Histologic Findings in Capsule Contracture Patients with Silicone Gel Implants. Breast Augmentation. Springer; 2009: 649-654
    Suche in Google Scholar
  • 22 Shah Z, Lehman Jr JA, Tan J. Does infection play a role in breast capsular contracture?. Plast Reconstr Surg 1981; 68 (01) 34-42
    CrossrefPubMedSuche in Google Scholar