Absence of capsular contracture in 319 consecutive augmentation mammaplasties: Dependent drains as a possible factor |
| |
| Authors: | Nabil Fanous Iman Salem Carolyne Tawilé AE Bassas |
| |
| Affiliation: | 1.L’Institut Canadien de Chirurgie Esthétique and Department of surgery, Centre Hospitalier de LaChine, Montreal, Quebec;;2.Department of Plastic Surgery, Alexandria University, Alexandria, Egypt (as a fellowship with Dr N Fanous);;3.Department of Plastic Surgery, Hôpital Charles Lemoyne, Montreal, Quebec and;4.Department of Plastic Surgery, Security Forces Hospital, Ryad, Saudi Arabia (as a fellowship with Dr N Fanous) |
| |
| Abstract: | Capsular contracture is one of the major complications of augmentation mammaplasty. A review of 638 augmented breasts in 319 consecutive patients who underwent primary augmentation, with an average follow-up of 17.2 months and without a single case of capsular contracture of any degree to date, is presented, along with a discussion of the surgical technique and complications, and an analysis of measures used to prevent capsular contraction. Each patient received a pair of smooth saline-filled implants (Mentor, USA) placed in the submuscular space through an inframammary incision. In all operated breasts, many of the known measures commonly used for capsular contracture prevention were implemented. As well, a dependent drain was used as the final hemostatic step to prevent blood accumulation in the pocket. Leaving a dependent drain in the dissected pocket overnight, as one of the sequence of measures aimed at eliminating blood accumulation, is believed to be a contributing factor in capsular contracture prevention. |
| |
| Keywords: | Augmentation mammaplasty Drains Prevention of capsular contraction |
|
|
