Evaluating the Necessity of Capsulectomy in Cases of Textured Breast Implant Replacement
An interesting article by Eric Swanson, published in Annals of Plastic Surgery on February 25 2020.
An interesting article by Eric Swanson has been published in Annals of Plastic Surgery investigating the risks of capsulectomy as a treatment for capsular contracture after breast augmentation:
An electronic search was performed using PubMed to identify all the available literature on the subject of capsulectomy and open capsulotomy (the alternative treatment).
This review was undertaken to better inform clinical recommendations for women with textured devices. The author concludes that capsulectomy introduces additional morbidity and is not mandatory for asymptomatic patients. Implant removal or exchange for smooth implants without a capsulectomy may be an acceptable choice for many women who do not demonstrate capsular pathology. However, any symptoms or surgical findings suggesting pathology warrant a capsulectomy. En bloc resections are reserved for patients diagnosed with BIA-ALCL.
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